Health Law

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Webinar | The Ins and Outs of The Medicare Billing, Overpayment, & Appeals Process

by admin on May 26, 2021 Comments Off on Webinar | The Ins and Outs of The Medicare Billing, Overpayment, & Appeals Process

If you are a provider who has to submit claims to Medicare in order to get paid for the services you and your office provide this presentation is for you. This webinar will provide an overview of the Medicare Billing, Overpayment & Appeals process and more specifically I will help answer questions for you such as: How long do I have? What do I do next? Why is that the best choice? Exactly how do I do that? Join healthcare law attorney Zach Simpson for this free webinar.

Webinar register here button

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Webinar | Supervision Requirements and Restrictions in Non-Traditional Healthcare Business Settings

by admin on May 5, 2021 No comments

Medical spas and hormone replacement therapy (HRT) clinics are gaining popularity. Although these are non-traditional healthcare businesses, they still must operate safely and efficiently like any healthcare business in order to be successful. In this webinar, business and health attorney Chase Howard will go over specific supervision requirements and restrictions in these types of healthcare business spaces.Webinar register here button

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adminWebinar | Supervision Requirements and Restrictions in Non-Traditional Healthcare Business Settings

Five Reimbursement Denial Reduction Tips

by admin on April 25, 2021 No comments

EOBBy: Zach Simpson

  1. Review EOBs and determine where denials are originating and their root cause

While reviewing EOBs practices need to determine if a trend can be established that identifies the root cause for why claims are being denied. Trends can be established by asking if most denials are originating in your patient access and registration departments, or are denials occurring because of insufficient documentation, or due to billing or coding errors?

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Just The Fax, Ma’am…

by admin on March 30, 2021 No comments

hipaa compliant healthcare communicationsGuest Blog Post By: Phil Liberty, Universal The Communications Company

The healthcare industry is doing its level best to keep fax machine manufacturers in business. Because fax machines are considered to be HIPAA compliant, it’s easy to keep them humming along. Paying for expensive toner, electricity and the telephone line attached to the wall behind the machine is just the way we’ve always done it. But that telephone line should give you enough reason to consider your options.

AT&T built and owns the copper telephone network that provides the analog signal required for T1 lines, traditional telephones, fax machines, credit card machines, postage meters, alarms and elevators. That service is known as POTS – Plain Old Telephone Service. Maintaining that antiquated network is costly and inefficient for AT&T so they will retire POTS in the near future. All services will eventually run over fiber optic cables and your equipment may have to change to keep up. You may have received a letter telling you about this transition but probably ignored it or did not even open it thinking it was a solicitation. So, how does AT&T get your attention if you won’t read their letter? Check your phone bill!

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adminJust The Fax, Ma’am…

Health Care Fraud Enforcement Got You Worried?

by admin on March 25, 2021 No comments

healthcare fraud in 2020By: Karen Davila

Healthcare fraud continues to be a significant priority for the U.S. Department of Justice.  On February 24, 2021, the DOJ’s Criminal Division Fraud Section published its annual “Fraud Section Year in Review 2020.”  While the Fraud Section has three separate enforcement units, the Health Care Fraud (HCF) Unit is responsible for all enforcement activities in the health care industry.  The Unit’s focus is to protect against fraud and abuse in federal health care programs and recoup illicit gains.

During 2020, the HCF Unit operated 15 strike forces in 24 federal judicial districts throughout the U.S.  The efforts of these strike forces led to charges against 167 individuals alleging $3.77 billion in fraudulent charges for health care paid for by federal and state programs.  This should cause any health care provider to stand up and take notice.  And enforcement in the health care industry is not likely to go away soon with so many schemes ripe for the government’s picking and generating recoupment on behalf of the federal health care programs.

Here are couple of the latest schemes that have landed pharmacies, pharmacists and other health care professionals squarely in the crosshairs of federal enforcement:

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Aesthetic Clinics and Regulation – What’s Happening?

by admin on March 22, 2021 No comments

supervision requirements for medspaBy: Chase Howard

Over the last few months, there has been a significant uptick in investigations in the “medical spa” space. The biggest points of enforcement have been in regards to supervision and scope of practice.

The various governing bodies have taken a more active role in ensuring that providers are providing services within their scope of practice as wells as enforcing the various supervision statutes.

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2021 Pharmacy Enforcement Actions in Full Swing

by admin on February 5, 2021 No comments

By: Michael Silverman

The new year has brought with it no lull in pharmacy fraud crackdowns and enforcement actions, with allegations related to over one billion dollars in false claims.

Here’s a breakdown of the latest:

Mississippi Man Sentenced to 18 Years in Prison and $287,659,569 in Restitution

This individual spearheaded a scheme involving kickbacks to marketers and prescribers to defraud TRICARE and other healthcare programs by submitting claims for unnecessary compounded medications, which also involved routine waiver of patient financial responsibility.

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How Autonomous Practice Is The Biggest Business Opportunity for 2021

by admin on January 6, 2021 No comments

fhlf nurse practitioner lawBy: Chase Howard

With the passage of autonomous practice ability for nurse practitioners in Florida this year, many are wondering how this will affect the healthcare industry in Florida. In a traditional sense, rural and underserved areas should have the opportunity for growth in healthcare providers. The autonomous practice law removes restrictions on certain nurse practitioners, granting them the ability to practice in primary care practice settings without worrying about supervision restrictions. Outside of that, the application of the new law can expand healthcare business offerings and abilities.

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Recap: Dental Employment Contracts

by admin on January 6, 2021 No comments

fhlf dental lawBy: Chase Howard

Many young dental professionals are presented with the opportunity to join a practice after graduation. Making an informed decision and negotiating a fair contract can be difficult but will ultimately pay dividends for years to come. Here are some items to consider when reviewing and negotiating your employment contract.

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adminRecap: Dental Employment Contracts