- "Incident to" Billing Rules Clarified by CMS for 2016
- 17 Examples SAMHSA Payment and Health Care Operations
- 2013 Ambulatory Surgery Center Rates Proposes By CMS
- 300 Pages of New Regulations Ruining Health Care Attorney Lives Across the Country
- 60 Day Repayment Rule Affordable Care Act
- 60 Repayment Rules, False Claims Act and Compliance Programs
- 89 New Accountable Care Organizations Announced By CMS
- Accreditation Requirements - Advanced Diagnostic Imaging Services
- ACO Primary Care Exclusivity Requirement - Not As Broad As Some Believe
- Ambulatory Sugery Center Radiologist Rules - Proposed Simplified By CMS
- Ambulatory Surgery Center Advisory Opinions
- Ambulatory Surgery Center Compliance Legal Practice
- Ambulatory Surgery Center Exclusions - ASC Safe Harbor Compliance
- Ambulatory Surgery Center National Legal Practice ASC Compliance Issues
- Ambulatory Surgery Center Safe Harbor Regulations
- Ambulatory Surgery Centers - ASC Safe Harbor Compliance
- Ambulatory Surgery Centers - Federal Settlement Highlights Safe Harbor Requirements
- Anesthesia Billing Company Costly Advise Medically Directed Anesthesia
- Anesthesia Company Model Advisory Opinion 12-06
- Anesthesia Company Models and Advisory Opinion 12-06
- Anesthesia Conditions of Participation - CMS Interpretive Guidelines
- Anesthesia Service Profit Centers - OIG Advisory Opinion 13-14
- Annual Health Care Fraud and Abuse Control Program Report
- Annual Health Care Fraud and Abuse Control Program Report
- Annual Health Care Fraud and Abuse Control Program Report
- Anti-Discrimination Plans/Part D Sponsors
- Anti-kickback Statutes Safe Harbor Regulations
- Antitrust Law Application In Rural Areas- Hospital Mergers
- Antitrust Market Analysis In Provider Integration
- Antitrust Policies Avoiding Spillover - Clinically Integrated Networks
- Applying Section 1557 Discrimination Rules to Employer Sponsored Health Plans
- ASCs Must Begin Using Safe Surgery Checklists January 1, 2012
- ATA Issues Telemedicine Protocols for Mental Health Services
- Attorney Certified Health Care Law Health Care Compliance
- Auditing Physician Payments For Stark Law Compliance
- Authentication of Verbal Orders by Other Responsible Practitioner
- Auto Draft
- Auto Draft
- Billing Fraud Claims By Employees - What Not To Do
- Block Lease in Cancer Treatment to Urology Practice - 2008 OIG Advisory Opinion
- Block Leasing of Group Practice Facilities - Anti-Kickback Statute Risks
- Bundled Payment Arrangements for Clinically Integrated Networks
- Can Private Health Care Be Carved Out of Anti-kickback Application?
- Certification of Investigation of Individual Wrongdoing Under the Yates Memorandum
- Challenging Physician Payment Sunshine Act Disclosures
- CHOW Provisions - State Operations Manual - SOM 3210.1
- Clinical Integration - Key Factors of Integrated Networks
- Clinical Integration Elements - FTC Actions
- Clinical Integration Readiness Analysis CINs
- Clinically Integrated Networks - Fee Sharing Procedures
- CMS Backpedals on Medical Staff Director Requirement
- CMS Comments On ACO Participation Agreement Requirements
- CMS Improvement Standard Case Settlement
- CMS Improvement Standard Case Settlement
- CMS Issues Mandatory Report On Self Disclosure Protocols
- CMS Opens CRNA Reimbursement Into Pain Management
- CMS Position On Texting Physician Orders
- CMS Proposed Rules On Overpayment Self Disclosure
- CMS Releases Final Rules Under Medicare Shared Savings Program
- CMS State Goals in the COVID-19 Pandemic
- Co-Branding Requirements Under Medicare Advantage Marketing Standards
- Comments to Proposed 60 Day Repayment Rules
- Compliance Audits in Mergers and Acquisitions
- Compliance Comittment from the Top - Medical Practice Compliance
- Compliance Issues In Health Care Mergers and Acquisitions
- Compliance Issues In Mergers and Acquisitions - Compliance Institute 2013
- Compliance Officer and Legal Counsel Dual Role
- Compliance Program Best Practices
- Compliance Program Best Practices Mandatory Compliance Programs
- Compliance Program Best Practices Review of Effectiveness
- Compliance Program Best Practices Tips
- Compliance Program Effectiveness - About Our Compliance Practice
- Compliance Program Resources for Judging Compliance Effectiveness
- Compliance Program Scale and Scope - Customizing Compliance to Your Organization
- Compliance Programs Come Center Stage As Government Tools Expand
- Complying with HIPAA and Beyond during COVID-19
- Concierge Medicine Article Series
- Confidentiality of Substance Use Disorder Patient Records
- Coronavirus Checklist for Nursing Homes and Hospitals
- Corporate Compliance and Ethics Week 2012
- Credentialing Rules for Telemedicine Providers
- Credible Information Indicating Overpayment - Duty to Investigate
- Criminal Exposure for Failing to Repay Known Overpayment
- Denial of Access to Deadbeat Patients
- Dental Practice Compliance Programs
- Dental Practice Compliance Programs - Essential Elements of Compliance Policies
- Dermatology Fraud Risk Areas - Impossibly Long Days
- Dermatology Practice Fraud and Abuse Risks Identified in Florida Case
- Developing Compliance Programs For Small Providers
- Diagnostic Imaging Medicare Requirements Radiology Tests Supervision
- Diagnostic Imaging Radiology Test Coverage
- Differential Valuations and the Anti-kickback Statute
- Disclosures for Specific Payment or Health Care Operations Purposes (§ 2.33)
- Distant Site Telemedicine Credentialing Conditions
- DME Diabetes Supply Company - Corporate Integrity Agreement
- DME Face-to-Face Rule Compliance Date Approaching
- DOJ Skilled Nursing Facility Settlement Involving Rehab - Highest Ever
- Don’t Overlook Special Status of Behavioral Health Records
- Draft 2018 Medicare Marketing Guidelines Medicare Advantage Plans
- Effective Compliance Programs Are Important Says DOJ to HCCA
- EHR Donation Program Extended Through 2021 - Clinical Laboratory Companies Excluded
- Electronic Health Information System Proposed Regulations Ancillary Providers
- Electronic Medical Record Licensing and Contracting for EHR
- Elements of An Effective Compliance Program
- Employment Exceptions From Anti-kickback Statute
- EMTALA Transfer Policies to Specialty Hospitals
- ESRD Prospective Payment System Form CMS-265-11
- Excessive Use of Multiple Removal Codes - Dermatology Fraud and Abuse
- Excluded Parties - OIG Bulletin On Reimbursement
- Excluded Party Cases Dominate OIG Published Self Disclosure Settlements
- Excluded Party List Searches - How Often To Search Program Exclusion List
- Excluded Party Screening - Compliance Program Key Element
- Exercising Reasonable Care to Identify and Address Potential Overpayments
- Fair Market Value Analysis of Physician Compensation
- Fair Market Value Appraisal Judgment
- False Claims Act - Applying the Lincoln Law To Modern Health Care
- False Claims Act and Medicare Conditions of Participation
- False Claims Act Basics - Health Care False Claims
- False Claims Act Liability - Conditions of Participation and Conditions of Payment
- False Claims Act Liability For Failure To Repay Overpayment
- Faxing Patient Health Information to Wrong Number - Compliance Risk Area
- Federal Government Will Seek Dismissal of False Claims Act Cases That Lack Merit
- Final Rule Under the Medicare Shared Savings Program Released
- Fraud Allegation for Unnecessary Breast Cancer Index (BCI)Testing
- Fraud Risks In Nursing Home/Hospice Relationships
- Gainsharing Arrangement Addressed in New Advisory Opinion
- Government Intervenes In Physician Compensation Case Alleging Compensation For Referrals
- HCCA Compliance Institute Presentation On Compliance Role In Mergers and Acquisitions
- HCQIA and Clinically Integrated Provider Networks
- Health Care
- Health Care Compliance Attorney - Certified CHC Lawyer
- Health Care Compliance Resource Portal Launched by OIG
- Health Care Governance Issues - AHA Hospital Board Resources
- Health Care Leads in Fraud Recoveries in 2017
- Health Law Blog RSS Feed Information
- Health Law Firm Opens Green Bay Office
- Health Law Practice Across State Lines - Ethical Considerations For Health Lawyers
- HHS To Delay ICD-10 Compliance Date
- HIPAA Breach Notification Settlement - First Case of Untimely Notice of Breach
- Hiring Individuals With Access to Controlled Substances - DEA Waivers
- Home Health and Hospice Compliance Focus
- Home Health Hospice Face-to-Face Certification Rule
- Hospice - Nursing Home Relationships - Compliance Reviews
- Hospice and Home Health Areas of Review Risk
- Hospital Acquired Conditions - 2012 OIG Work Plan
- Hospital Inpatient Value-Based Purchasing Program Rules
- Hospital Supervision Rules - Billing "Incident To" Physician Services
- Hospital Tax Exemption Basics
- How Should Compliance Process Integrate the Yates Memorandum?
- In Office Ancillary Service Exception to Stark - 2014 Budget Proposal
- Incident To Billing - Physician Office Setting
- Incident To Billing Rules Changed In New CMS Regulations
- Incident To Billing Rules From CFR § 410.26
- Inpatient Prospective Payment Systems Hospitals Long-Term Care Hospital Fiscal Year 2013 Rates
- Investment Interest in Radiation Therapy Anti-kickback Statute Settlement
- IRS Proposed Regulations Defining Section 501(r) Responsibilities
- Is your EHR Donation Agreement in Compliance?
- Long Term Care Compliance Risk Factors
- Major Revamp of Nursing Home Regulations Proposed By CMS
- Malware Infection Causes Breach - Lack of Firewall - Hybrid Entity
- Mandatory Compliance Plan Requirements - Operationalizing Compliance
- Mandatory Compliance Plans For Physicians
- Mandatory Compliance Program for Physician Practices - New Blue Paper
- Mandatory Compliance Programs - CMS Regulatory Requirements
- Mandatory Compliance Programs for Nursing Facilities and Skilled Nursing Facilities
- Medicaid Reimbursement for Telehealth In Wisconsin Mental Health Programs
- Medical Alerts - HIPAA Implications of Flagging Patient Records
- Medical Director Agreements - Compliance Issues - Fair Market Value
- Medical Practice Sale Retirement Issues
- Medical Societies, Medical Boards, Medical Associations
- Medically Directed Anesthesia - Payment Conditions
- Medically Directed Anesthesia Conditions For Payment
- Medicare Advantage Marketing Standards 2018 Draft Requirements
- Medicare Shared Savings Program Changes Under 2016 Physician Fee Schedule Regulations
- Medicare Successor Liability In Healthcare Transactions
- Medicare’s New Low Volume Settlement Process
- Medigap PHO Discount Program Receives OIG Approval
- Mental Health Center Settlement for Failure to Provide Patient Record Copies
- Model Patient Privacy Notice Forms Privacy Rule Compliance
- New 2013 Self Disclosure Protocols
- New Federal Prosecution Standards Require Revisions to Investigation Policies
- New Memorandum On Telehealth In Mental Health and Substance Abuse Programs
- New Paper On Credentialing of Telemedicine Providers
- New TEP Report Posted On Quality Measures for Long-Term Care
- Notice of Restriction on Re-Disclosure SAMHSA Records
- Nursing Facility Compliance Program Deadline Is Here!
- Nursing Home Compliance Programs - ACA Statutory Mandate
- OCR HIPAA Audit Resources For Healthcare Providers
- Off-Campus Provider-Based Departments Neutrality
- OIG 2011 Work Plan Home Health Issues
- OIG 2013 Work Plan Nursing Home Hospice Home Health Provisions
- OIG 2017 Annual Work Plan
- OIG Advisory Opinion Addresses Medicare Carve-Outs and Antit-kickback Statute
- OIG Advisory Opinion Approves Free Audiometric Testing
- OIG Annual Work Plan 2014 - What Is New
- OIG Approves Free Insurance Authorization Services by Radiology Group
- OIG Audits Reveal Areas of Billing Compliance Risks
- OIG Fraud Alert - Medical Director Compensation Arrangements
- OIG HEAT Program Video Series Fraud and Abuse Issues
- OIG Issues 2013 Annual Work Plan, Outlines Areas of Focus for Fiscal Year Ahead
- OIG Outlook 2014 Video Published On OIG Website
- OIG Posts 2013 Annual Work Plan
- OIG Self Disclosure Protocol Revisions Explained
- OIG Upholds Patient Financial Assistance Program
- OIG Videos on Effective Compliance Program Development
- OIG Work Plan New Hospital Issues Added For 2013
- Opioid Prescribing Results in Medicare Fraud Claim
- Outpatient Surgery Article On Using A Safe Surgery Checklist
- Part A Medicare Appeal Process Described
- Patient Access to Medical Records Created by Another Provider
- Personal Care Agency Fraud - Business Structure Can Impact Compliance Risk
- Personal Care Service Providers and Wisconsin Medicaid
- Physician and Group Practice Representation
- Physician Compensation - Stark Law - Covenant Healthcare Settlement
- Physician Compensation Stark Law Compliance Excessive Compensation
- Physician Compliance Program Requirements
- Physician Compliance Programs
- Physician Compliance Programs - Specific Steps Necessary
- Physician Integration - Some Things Never Change
- Physician Orders - Definition and Reimbursement Implications
- Physician Orders : Why Are They So Important?
- Physician Owned Hospital Expansion - CMS Approval Process
- Physician Practice Compliance Programs - Practical Approach
- Physician Specialty Group Affiliations and ACO Involvement
- Physician Sunshine Act Final Rules Issues
- Pioneer Program ACO Accountable Care Organization CMS Program
- Population Health Management and Clinical Integration
- Present-On-Admission Indicators – Hospital Acquired Conditions
- President Signs the 21st Century Cures Act
- Primary Care Integration Strategies - Divisional Group Practice Mergers
- Primary Care Integration Strategies - The Division Model Group Practice
- Primary Care Rate Increases in Proposed CMS Rule
- Protecting Your Practice From Fraud - Seminar Announcement
- Providing Protected Health Information in Response to Subpoena
- RAT-STATS - What Is Rat-Stats?
- RCOD Responsible Corporate Officer Doctrine Individual Liability and Exclusion
- RCOD Responsible Corporate Officer Doctrine Use Increasing
- RCS-1 Model Worksheet Gives a Glimpse of a World Without RUG
- Reassignment of Physician Claims - OIG Special Alert
- Referral Fee Fine Despite Kickback Concerns – OIG Advisory Opinion 14-01
- Referral Requirements - Can Employed Doctors Be Required to Make Referrals?
- Reimbursement for Telemedicine and Telehealth Services
- Requirements Pertaining to Non-English Speaking Populations Medicare Health Plans
- Responsible Corporate Officers Doctrine - New Focus On Health Care
- Rochester Network Antitrust Advisory Opinion - Clinical Integration
- Role of Compliance Officer In Mergers and Acquisitions
- Ruder Ware Health Care and Compliance Attorney Receives Top Award
- Safe Harbor Permits Some Free Transportation to Patients
- Safe Surgery Checklist Use For Ambulatory Surgery Centers
- Self Disclosure Process - Voluntary Self Disclosure Decisions are not Always Easy
- Self Disclosure Protocols Revised By OIG
- Self Disclosure Settlements Help Identify Compliance Risk Areas
- Self Disclosures Settlements Under Stark Law
- Sixth Circuit Limits False Claims Act Liability
- Skilled Nursing Facility and Nursing Home Initiatives - OIG 2017 Annual Work Plan
- Specialty Compliance Risk - Data Mining Used to Identify Practice Outliers
- Standards for Achieving Clinical Integration - How Much Is Enough
- Stark Law Period of Disallowance
- Stark Law Self Disclosure - Period of Dissallowance
- Stark Law Self Disclosure Protocols | Do They Create More Ambiguity?
- Stark Law Self Disclosures Through 2013
- Stark Law Settlement - Physician Compensation Case
- Statistical Sampling in False Claims Act Cases
- Supreme Court Upholds PPACA Except Medicaid Expansion To States
- Telehealth Certification In Wisconsin Mental Health Programs
- Telemedicine - States Look To Private Payment Mandates
- Telemedicine Credentialing By Proxy
- Telemedicine IT Donations and the Anti-kickback Statute - OIG Opinion 18-03
- Telemedicine Medicare Reimbursement Expansion Proposed
- Telemedicine Private Reimbursement State Laws Mandate
- Telemedicine Resources On The Internet
- Temporary Non-Compliance With The Stark Law
- The Impact of a Physician’s Ethical Obligations on Concierge Program Structure
- The Joint Commission COVID-19 Information Page for Health Care Providers
- The Truth About Physician Liability Under the Stark Law
- Toumey Stark Law Case - Verdict In Second Toumey Trial
- Treatment Center Plead Guilty to Anti-kickback Statute Violations Involving Alcohol and Drug Addiction Treatment Centers
- Two Midnight Rule Exceptions CMS Inpatient Only
- Two Midnight Rule Implementation Delays Announced
- Unnecessary Inpatient Admissions Results in Hospital DOJ Settlement
- US Attorney Manual Updated to Incorporate Yates Memorandum
- Using Self-Disclosure Protocols - CMS and OIG Self Disclosure Process
- Using the Self Disclosure Protocols to Minimize Risk
- Vendor Delays Hardship EHR Meaningful Use Implementation Standards
- Verbal Orders Documentation and Authentication
- Voluntary Self Disclosure Decisions Can Be Complicated
- We Received a PPP Loan - Now What?
- What Does the HIPPA Phase2 Audit Program Mean for Providers
- What Is The Different Between Fraud, Abuse, and Criminal Conduct
- What Will Happen If I Don't Have Health Insurance?
- When is a Referral Mandate for Employed Physicians Permitted under the Stark Law?
- Whistleblower Settlements Increase Compliance Risk for Providers
- Wisconsin Law Changes Informed Consent Standard
- Written Agreement Requirement for Disclosure of Part 2 Records
- Yates Memorandum and Compliance Investigations - New Newsletter Released
