Annual Compliance Training Requirements Written by: J. Paul Spencer, CPC, COC As a healthcare compliance professional, there have been two constant pieces of advice that I have provided for medical practices: If you do not have a compliance program, implement one, and Once you implement a compliance program, follow it. The Office of Inspector General…
Understanding Internal Self-Referrals Written by: Ashley Morgan, Partner, Liles Parker PLLC Healthcare regulations outline legal risks related to internal self-referrals, making it important for both physicians and healthcare organizations to be informed about these issues. While internal referrals may seem like a natural part of integrated healthcare systems, they are heavily regulated under federal and…
Incident-to Billing Revisited: Chasing the 15% Written by: Shannon O. DeConda | NAMAS, a division of DoctorsManagement, LLC Incident-to billing, as defined by the Centers for Medicare & Medicaid Services (CMS), has long been both a point of interest and a source of confusion among healthcare providers. For many years, the prevailing advice among compliance…
A Stark Law Overview for Non-Legal Minds Written by: David M. Glaser, Shareholder | Fredrikson Health Law Stark is perhaps the most difficult of health law regulations, which may explain why there are so many misunderstandings about it. The first source of confusion is that the law is commonly called an “anti-self referral law.” But…
Understanding the Core Purpose of Certificate Of Need Regulations Written by: Trevor McElhaney, JD | Director of Consulting at DoctorsManagement, LLC What is a Certificate of Need? In the complex landscape of healthcare regulation, the Certificate of Need (CON) plays a significant role in determining the expansion and distribution of healthcare services. A Certificate of…