March 19th 2025
Doctors are dealing with a ton of challenges all at once, and seeing their reimbursement shrink while costs to do business increase is a major problem.
February 12th 2025
Senators are expected to vote this week on Kennedy’s bid to become the nation’s next health secretary.
December 20th 2024
What top health care leaders expect from the new year
December 19th 2024
Leaders across the industry sound off.
December 17th 2024
A look at what may be ahead in the new year.
How the new H-1B visa selection hinders international medical graduates
The government’s change to the H-1B process could negatively impact thousands of physicians who wish to practice in rural communities and intensify the growing physician shortage.
The differences among records and what’s legally required to be in them
Parsing out the various terms used in relation to a patient’s health record can be daunting. Here’s a primer to make the process less intimidating
Caring for patients as they enter adulthood
The legality of caring for minor patients once they turn 18.
Meaningful Use violations represent a new frontier in healthcare fraud
Recent False Claims Act settlement underscores the importance of accurate Meaningful Use attestations.
Profit-sharing that works (and complies with the law)
It’s great that you want to share the wealth with your nonphysician employees. Just make sure you draft a policy that also meets state and federal laws.
A review of key 2018 False Claims Act recoveries and developments
A look back at notable U.S. Department of Justice settlements and policy directives to see what lies ahead for 2019.
Don’t give employees unrestricted access to medical records
Lax policies regarding medical records and ordering prescriptions and tests puts physicians-and their practices-at risk of DEA and HIPAA violations.
California and Colorado update laws on protected health information
A trend to watch: Last year, two states made significant changes to laws related to personally identifiable information and protected health information.
The dangers of self-prescribing
Physicians who write a script for themselves, or their friends and family, risk a suspended license-unless they have a record of proper documentation.
Balancing good patient care with effective quality reporting
Four ways advances in EHR technology can help providers achieve mandated MIPS target performance to not only report but also improve patient care.
What physicians need to know about the SUPPORT Act
The recently passed SUPPORT Act addresses various aspects related to the opioid crisis through a series of more than 120 separate bills. Here are five sections physicians should be aware of.
Why an annual risk assessment should be at the top of your New Year’s resolutions
A look over the Office for Civil Rights’ recent HIPAA actions reveal why privacy and security safeguards are a must for medical practices.
When patients hit ‘record’ at the doctor’s office
More patients are recording their visits at the doctor’s office, sometimes without permission.
New anti-kickback provisions impact laboratory-physician relationships
Until recently, arrangements between physicians and commercial laboratories escaped federal anti-kickback rules because the arrangements did not involve government payers.
Cybersecurity and medical devices: What physicians need to know
Although physicians may not be involved with the cybersecurity of medical devices, they are still obligated to comply with HIPAA and the HITECH Act.
A legal look at the 2019 Physician Fee Schedule
Proper billing and coding under CMS’s final rule is important not only for reimbursement but also to avoid potential lawsuits.
6 considerations for negotiating LOIs
Before you sign on the dotted line, here are some legal issues to keep in mind for letters of intent.
If it could happen to Anthem, could it happen to you?
Insurance giant Anthem was recently tagged with a $16 million-dollar HIPAA penalty. What can you do to keep your solo or small practice from getting hit?
What OIRA’s HIPAA agenda means for providers
Following the Anthem settlement, the Fall 2018 Unified Agenda of Regulatory and Deregulatory Actions doubles down on HIPAA privacy and enforcement efforts.
Seasonal tax evasion by doctors
Doctors are pitched a variety of tax planning schemes at the end of each year by both salespeople and well-meaning friends and colleagues. Here is a final look at some common tax evasion landmines physicians must be aware of.
Why PHI is considered a trade secret
The suspension of a New York nurse highlights the intersection between HIPAA and trade secrets.
Tax scams that doctors sell each other: Conservation easements
The line between sharing helpful information and “affinity fraud” is very thin when well-meaning friends and colleagues share bad information.
Disclosing PHI: What’s legal vs. what’s illegal
Legal insights from both sides of the aisle about what to do when protected health information (PHI) has been disclosed or when law enforcement requests it in a legal proceeding.
Doctors and tax fraud
Here are the basics every physician must be familiar with before implementing any tax plan.
Diagnosing acronyms
The cure for docs who have seen too many government-induced healthcare acronyms? A heaping dose of alphabet soup.
Parting ways with a provider
Terminating a provider’s employment with a physician practice is a sensitive process that needs to be handled with care.
The real cost of falsifying claims
A recent $65M False Claims Act settlement highlights physicians' responsibility to provide the best care as well as correctly document and appropriately code it.
CMS’s proposal to collapse E/M levels will hurt physicians and patients
Doctors should never be disincentivized from caring for their sickest patients.
It’s tax fraud season for doctors, again
Many doctors will be solicited to engage in some kind of income tax avoidance planning this fall.
3 things to consider when working with reps
Representatives can play an important role in keeping physicians updated on proper use of manufacturers’ products. But they can also integrate themselves into practices in ways that violate the law.