Healthcare Newsletter
Addressing the HIPAA and Patient Abandonment
Audits: Extrapolation as Valid Methodology
Another Reason You Need A Contract
Appropriate Tasks for Chiropractic Assistants
Asking Patients to Contract Away Their Right to Sue You, Part 1
Asset Protection Tip: The More Control, The Less Protected
Balance Billing: Investigations are up, Do you have a policy in place?
Balance Billing, Take 2: Non-Participating Providers MUST Balance Bill
Balance Billing, Take 3, Charging Different Rates for Different Patients
Balance Billing Take 4, Who's Monitoring Balance Billing?
Balance Billing Take 5, Horizon Blue Cross NJ Suing Non-Pars for Failure to Balance Bill
Billing Facility Fees - DOH Says Has To Be Through Professional Entity That Bills for Professional
Component As Well
Billing for Consults? Medicare Prepayment Reviews after 99245s!
Billing for Nurse Practitioner services in a Medical Office
Billing Medicare for Consultations Codes?
Billing Surgery that has Medically Necessary and Cosmetic Component
Charging for Medical Records
Charging No Show Hearing Impaired Patients for Interpreter Costs is a NO NO
Chiropractor-Physician Permitted Contractual Arrangements
CMS SCAM ALERT - For those not on CMS or Society List Serves
Commentary - Hospital Relations
Comments On - How many physician assistants may a doctor supervise at one time?
Corporate Structure: Options and Considerations
Correction: Medicare Cut Temporarily Averte, Hope For Permanent Fix?
Department of Labor knocking on my Medical Practice's Door; what am I required to maintain?
Divorce and Your Medical Pracitce
Does Multiple Surgery Rule (same patient, different procedures, same operation) Apply to Non-Pars?
Do I really have to collect co-pays?
DOJ and HHS Join Forces for to form HEAT - New Joint Agency to Fight Fraud
Emailing With Patients? Make Sure You Have a Security Policy in Place
Employee Sick Time and Disability Benefits
Employees v. Independent Contractors: Question of Fact, Which Do You Qualify As?
Employment Contracting: Equity Potential?
FAIR Health, Inc.: Tabulating Out-of-Network Usual & Customary Rates
False Claims Act: Enticing Whistleblowers to Report on Practice Improprieties
Feisty Employee Ignoring Office Policy?
Free Money for Medical Residents Prior to April 1, 2005
Free Services OK? - Allowed for Medicare so long as Value <$10 per gift, <$50 per year
Friendly Reminder That You May Need to Get Accredited for OBS SOON
FTC Price Fixing Charges - Another Reason to Support NYS Legislation for Collective Bargaining
Group Practices
Helping Strangers In Emergency Situations: Am I Protected From Liability?
HIPAA - Disclosing to the family member of a deceased patient
HHS Report: Insurance Companies Prosper, Families Suffer
HMO? Balance Billing a No-No
Installing Monitoring in Office Setting
Introducing EMR Roundtable
IRS Scheduled to Audit: Checking Employment Tax Compliance
Is EMR a MUST?
Is your practice HIPAA compliant in light of the new HITECH Act changes?
Just When You Thought You Were Compliant - Red Flag Rules
Liability Everywhere!
May a Physician-Owner Not Performing Clinical Services Receive Profit-Share?
May a practitioner appeal a hospital's decision to deny his/her privileges?
May I Bonus Based on Performance?
May I Charge Patients an Administrative Fee if They Fail to Pay Copays at Time of Visit?
May I Fire a Patient?
May I Install Cameras and Audio Recording Devices in my Practice?
May I Pay My Biller on a Percentage Basis?
May Par Doc “Supervise” For Out-of-Network Rates?
Medicaid Taking Small Step to Improve Quality and Efficiency
Medicare Audit Process
Medicare's Hired Guns: Medicare's Recovery Audit Contractors Coming to Provider Offices Near You in
October 2008, Part I
More Audits
Must you disclose protected health information to the parent of a patient who is a minor?
New Law, New Tax Benefits
New Years Resolutions for 2010
New York Accounts for almost 50% of Nationwide Fraud Recovery
Non-Disclosure Agreements:What,Why,When and How?
NY's Good Samaritan Law in Action
NYs Response to Stem Cell Initiatives
Office-Based Surgery Credentialing Requirement
OIG Self-Disclosure Protocol: Colorable Anti-Kickback Violations Only
OMIG Goals and Initiatives and its Self-Disclosure Program
OPMC newsletter, February 2009
OPMC update: D'Angelo v. State Board for Professional Medical Conduct
Opting Out of Medicare: 2-Year Opt-Out Period of NO MEDICARE PAYMENTS
Out of Network Co-Pays, Deductibles
Outsourcing Administrative Work
Participate with Empire? Empire's New Out-of Network Referral Policy - Fining Doctors who Fail to
Obtain Patient Waiver
FOLLOW UP: Participate with Empire? Empire's New Out-of Network Referral Policy - Fining Doctors who
Fail to Obtain Patient Waiver
Perform Surgery in Your Office? Deadline Rapidly Approaching
Performing Vision Tests? Reporting Legally Blind Patient, but NOT to DMV Without Consent
Physician-Doctor Permitted Contractual Relationships
Practice Sign Requirements
Prior Insurance Approval, Subsequent Denial for Lack of Coverage
Prompt Pay Discounts - May You Accept?
Provide Free Care Inadvertently? You May Be Providing Less - Relatively Soon
Comments on Prompt Pay Discounts
Physician Office Lab Director MUST be W-2 Employee
Q. I’m forming a separate entity for my facility; does that entity have to be a professional entity?
Quick Q&A: Charging for Copies?
Recent OIG Opinion - Bona Fide Employee Relationship saves counselor from Anti-Kickback Statute
Violation
Received a Record Request? Now What?
Received a Record Request, Take 2 - Allegations of Fraud/Misrepresentations
Red Flags Rule Policies and Procedures - Getting Ready for May 1, 2009 Effective Date
Red Flags Rule Effective Date Changed to August 1, 2009
Red Flag Rule Enforcement Delayed to June 1, 2010
Reigning in OMIG Audit Tactics
Reimbursement and Liability when Assisting?
Referring Practice Patients to OBS - NYS Self-Referral Exception --> Disclosure
Renting More Than Space?
Seeing Outpatients at Hospital - How Do I Bill?
Suing a Patient? Are you a Debt Collector?
Telemedicine: Radiologist Indicted for Fraudulent "Ghosting" Charges
Understanding the Costs and Benefits of Capitated Plans
Understanding the Sustainable Growth Rate and How Medicare is Cutting Reimbursement 21% in 37 hours
Want Leverage in Your Third Party Payor Contract Negotiations? Support the Bill - Collective Negotiations By Health Care Providers with Health Care Plans – Action Required!!!
What complaints are appropriate to be made to the Department of Insurance?
What Contracts Do I Really Need?
What is CLIA and does my office have to worry about it?
Whats the State up to? -- Doctors Across New York Program - Have loans? Like nature?
What You Need to Know About Multi-Disciplinary Practice Arrangements
Where Can I Find the "List of Codes" of the Designated Health Services?
Whistleblowers Beware: False Claims Act Qui Tam Provision Does not Provide Protection for All Kinds of
Complaints
Why is my practice name important?
Why You Should Board the Bus to Albany - AMA Report: Senate Fails to Stop 21% Medicare Pay Cut - For Now
Workin 9 to 5, Set Lunch Break Required?
