Law & Malpractice

Articles

Only a quarter of Medicare and Medicare Advantage recipients receive an annual wellness visit.

Four best practices for your Annual Wellness Visit (AWV) engagement campaigns

Senior director of strategic programs for The US Oncology Network

If providers fail to follow these new rules, claims will be denied, and eventually, those who are outliers on adherence to appropriate use criteria will be subject to prior authorization.

Preparation for appropriate use criteria is key to success

Ericka L. Adler, JD, LLM has practiced in the area of regulatory and transactional healthcare law for more than 20 years. She represents physicians and other healthcare providers across the country in their day-to-day legal needs, including contract negotiations, sale transactions, and complex joint ventures. She also works with providers on a wide variety of compliance issues such as Stark Law, Anti-Kickback Statute, and HIPAA. Ericka has been writing for Physicians Practice since 2011.

Most physician compensation structures must comply with Stark laws. The danger is that practices may be in violation without realizing it, putting themselves at risk of fines and exclusion from Medicare and Medicaid.

How not complying with Stark laws can put your practice at risk

New guidance unveiled this week would allow states to impose work requirements on Medicaid recipients, but one physician advocacy group is not on board.