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Rachel V. Rose, JD, MBA

Rachel V. Rose, JD, MBA

Rachel V. Rose, JD, MBA, is a Houston-based attorney advising on federal and state compliance and areas of liability associated with a variety of healthcare legal and regulatory issues including: HIPAA, the HITECH Act, the False Claims Act, Medicare issues, women’s health, as well as corporate and security regulations. She can be reached here.

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In light of continuing Medicare fraud, it is vital to review your coding and billing procedures. Prevention is key to avoiding expensive take-backs.

Medical providers need to be wary of vendors who sell compliance products. All companies who espouse compliance are not necessarily compliant.

The deadline for reviewing records and reporting compliance with the Sunshine Act is Aug. 27. There are several tools to make that task easier for physicians.

Anyone involved with protected health information at your medical practice can be the one who gets you fined for a HIPAA violation. So due diligence is a must.

Physicians have a multitude of options when structuring ACOs. Make sure you understand all the legal requirements before committing your practice.

By helping patients and their families design a life care plan, physicians can help them to navigate the complexities of a catastrophic or serious injury.

A HIPAA risk assessment can help your practice put safeguards in place to protect against both cyberthreats and cyberliability.

Proposed changes to the Physician Fee Schedule for 2015 will affect calculation of payment rates and potentially misvalued codes.

Whether you are working with off-shore radiologists or your own coding department, using the same language is vital.

Physicians are likely to be challenged with conflict in their practices. It is important to know how to approach it in a positive manner.

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