Law & Malpractice

CMS says its Medicaid Fraud War Room stopped $203 million and flagged 50 providers in 88 days, all surfaced by billing analytics.

The HIPAA Security Rule won't be final until July 2027, but the HIPAA Privacy Rule's final rule is expected in August 2026.

Rachel V. Rose, J.D., MBA, breaks down a Federal Circuit ruling on penile implants that draws bright lines between trade secrets and patents.

Rachel V. Rose, J.D., MBA, on the False Claims Act risk created when a biller assumes who rendered the care on a claim.

Rachel V. Rose breaks down three June False Claims Act settlements and what they signal for practice compliance programs.

MGMA's government affairs team on what’s already changed in 2026 and what’s still to come.

AI is transforming medicine faster than the legal and clinical frameworks governing it, raising new questions about liability, deskilling and the standard of care.

Rachel V. Rose, JD, MBA, breaks down the legal risks physicians face when investing in or dispensing from compounding pharmacies.

Neil Baum, M.D., walks physicians through how to cleanly leave a practice, from reviewing contracts and notifying patients to securing tail coverage.

As House lawmakers take up MACRA, MGMA backs three bills to tie payments to inflation, raise budget neutrality and replace MIPS scoring.

HHS-OCR settled four ransomware cases for $1.1M all tied to missing annual risk analyses. Are your safeguards up to date?

Reps. Miller-Meeks, M.D., and Conaway Jr., M.D., introduce legislation to reform the Medicare Physician Payment System.

Auto-renewal clauses, stale fee schedules and unread terms quietly erode revenue; these eight questions surface what to fix before renewal.

A long-awaited HIPAA Security Rule update could arrive this month, and medical practices should start preparing now.

What covered entities need to know about valid authorizations, common defects and protecting patient privacy.

Before you sign on the dotted line, these nine questions can protect your income, your patients and your career.

State law is moving fast — here's what physicians need to know before signing or renegotiating a contract.

Bipartisan legislation targeting Medicare Advantage prior authorization has rare supermajority support.

From missed submission windows to overlooked bonuses, here is what MIPS participants need to review now to protect their Medicare payments.

Private equity has drawn increasing scrutiny in health care, but responsible investment paired with strong compliance infrastructure can strengthen rather than destabilize the system.

Medicare could run out of money by 2033 and physicians could end up paying the price.

MGMA's Anders Gilberg joins the show to break down the group's new regulatory burden report.

What practices need to know about "vishing" — the phone-based scam putting patient data and HIPAA compliance at risk.

95% of practices say regulatory burden has grown over the past three years, according to MGMA's 2026 Regulatory Burden Report.

Rep. Greg Landsman (D-Ohio) explains why he wants to ban the WISeR model, and why AI should be used to fix prior authorization, not make it worse.