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Fee-Splitting Health Care Providers

Rivkin Radler LLP

NY Court Finds Unlawful Fee Splitting in Practice Acquisition

Rivkin Radler LLP on

The prohibition on fee splitting by professionals is alive and well in New York. The sale of a dental practice from one dentist to another was found to violate the state’s prohibition against fee splitting because the...more

Health Care Compliance Association (HCCA)

Compliance with Medicare’s updated 2024 split (or shared) visit policy

Split (or shared) visits—the current term used by the Center for Medicare & Medicaid Services (CMS)—allow non-physician practitioners (NPPs) and physicians who work for the same employer/entity to share patient visits on the...more

Tarter Krinsky & Drogin LLP

Law Brief®: Steve Polyakov and Richard Schoenstein Explore Healthcare Agreements

On the latest Law Brief® episode, Steve Polyakov, Partner and Chair of the Healthcare and Pharmacy Law Practice, joins Host Richard Schoenstein to explore New York corporate regulations that prohibit non-physicians from...more

Shumaker, Loop & Kendrick, LLP

Client Alert: Practical Considerations in the Purchase and Sale of Physician Practices

The purchase and sale of a physician practice is a common transaction, especially as the trends of health care diversification and consolidation continue. While general business and legal knowledge regarding the sale of...more

Farrell Fritz, P.C.

New York State’s Prohibition of the Corporate Practice of Medicine – A Not-So-Gentle Reminder

Farrell Fritz, P.C. on

Spurred in large part by the changing landscape of medicine, more and more medical professionals are seeking to become a part of something bigger. Often, they are under the misassumption that they can set up and run their...more

Troutman Pepper

Private Equity Investments in Health Care Practices

Troutman Pepper on

Private equity funds are generally prohibited from owning entities that employ licensed professionals and may not invest directly in medical or dental practices in many states because of laws that prohibit the corporate...more

Farrell Fritz, P.C.

Percentage-Based Billing Contracts Violate Medicaid Regulations and May Constitute Improper Fee-Splitting

Farrell Fritz, P.C. on

The Medicaid Fraud Control Unit (MCFU) of the New York State Office of the Attorney General has recently issued restitution demand letters to providers for allegedly entering into percentage-based contracts with their billing...more

Mintz - Health Care Viewpoints

New York Medical Society Warns Providers to Avoid Percentage-Based Billing

A series of recoupment letters from the New York State Medicaid Fraud Control Unit (MFCU) to healthcare providers who have management or billing company arrangements based on a percentage of collections has prompted the...more

Manatt, Phelps & Phillips, LLP

An Examination of Fee-Splitting Statutes in the Context of Value-Based Health-Care

One of the goals of the Affordable Care Act is to align incentives among provider communities and their patients and partners. This effort to create communities of common interest with mutually beneficial incentives is now a...more

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