The Department of Health and Human Services Office of the Inspector General (OIG) has issued an Advisory Opinion (Opinion) in connection with a hospital’s gainsharing arrangement (Arrangement) with a designated group of...more
1/11/2018
/ Anti-Kickback Statute ,
Cherry Picking ,
Civil Monetary Penalty ,
Compensation ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Medicaid ,
Medical Reimbursement ,
Medicare ,
OIG ,
Physicians ,
Stark Law
Last month the California legislature passed AB-72, which amends the Health & Safety Code to address reimbursement for out of network (OON) providers who provide services at in-network facilities, such as hospitals and...more
One of the most frequently asked questions posed to healthcare lawyers is whether State X has a prohibition on the corporate practice of medicine, nursing or other profession, and if so, whether the prohibition is enforced. ...more
7/31/2015
/ Anti-Kickback Statute ,
Attorney General ,
Billing ,
Civil Monetary Penalty ,
Corporate Management ,
Corporate Practice of Medicine ,
Dentists ,
Government Investigations ,
Management Agreements ,
Nurses ,
Physician Compensation Arrangements ,
Physicians ,
Quality of Care Standards ,
Settlement
Last week, new bi-partisan legislation was introduced to increase the number of graduate medical education (GME) slots over the next five years at teaching hospitals and academic medical centers. If passed, the Resident...more
Last year New York passed legislation known as the “Emergency Medical Services and Surprise Bills” law, a much-heralded consumer protection law primarily intended to guard against surprise bills for out of network (OON)...more
On November 24, 2014, the New Jersey Appellate Division affirmed a lower court’s decision to dismiss a physician’s lawsuit against a hospital based on federal and state statutory immunity provisions that shield hospitals and...more
The Accreditation Council for Graduate Medical Education (ACGME), American Osteopathic Association (AOA), and the American Association of Colleges of Osteopathic Medicine (AACOM) will be forming a unified, single...more
Recently, a colleague and I spoke at the NAMSS 37th Educational Conference & Exhibition to nearly 200 medical directors, chief medical officers, and credentialing staff about what constitutes disruptive physician conduct in...more
Originally published in University Business Magazine on March 7, 2013.
Every teaching hospital and academic medical center knows that the process of becoming accredited and re-accredited by the Accreditation Council...more