Law & Malpractice

, JD, MBA, advises clients on compliance and transactions in healthcare, cybersecurity, corporate and securities law, while representing plaintiffs in False Claims Act and Dodd-Frank whistleblower cases. She also teaches bioethics at Baylor College of Medicine in Houston. Rachel can be reached through her website, 

Articles

On December 2, 2020, CMS published new provisions and exemptions related to the Stark Law (85 Fed. Reg. 77492) and HHS-OIG published new provisions and safe harbors related to the Anti-Kickback Statute (AKS) (85 Fed. Reg. 77684. 


Reminder: Important Stark Effective Date and Physician Group Practices

Code accurately with the appropriate documentation to substantiate medical necessity.

CMS increases payments for cognitive assessments and care plan services

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.