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What is Medical Credentialing?

Medical credentialing ensures that physicians practicing in certain areas have all the essential education, skills, and experience required to practice medicine efficiently and safely. It acts as a safeguard that protects patients and allows them to have more confidence and trust in their providers. This kind of oversight also benefits doctors and medical organizations. This is […]

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What are the Stark Law and Anti-Kickback Statute Waivers for COVID-19?

Amid the Coronavirus (COVID-19) pandemic, health care facilities must adapt to this new crisis that is overwhelming hospitals, doctors’ offices, and other medical facilities. Blanket waivers have been issued for policies under Stark Law, and the Anti-Kickback Statute (AKS) has implemented a new policy in response. Adaptations during this time are meant to lessen stress […]

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Stark Law Compliance Programs

Physicians who understand the importance of following Stark Law may wonder if setting up a compliance program for their practice is a good idea. There may be benefits for doing so, but there are also questions that should be addressed first. There are currently five major federal fraud and abuse laws that every physician should […]

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What Should I Know About Whistleblowing as a Physician?

The federal False Claims Act gives citizens an incentive for reporting parties who submit false claims or false statements. When the government successfully recovers monies in these cases, whistleblowers are entitled to a percentage, plus attorney fees. The United States Department of Justice recovers billions of dollars in these qui tam cases. Qui tam lawsuits are filed […]

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Provider Credentialing Biggest Issue for Medical Practices

Having a team of credible health care providers that is up to date on their credentialing is essential for worker efficiency within a medical practice. Without all the essential credentials, staff is not permitted to aid in any medical services. This can lead to a variety of issues for the practice itself, including lost productivity […]

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What Resources Does a Physician Have in Court?

Physicians can find themselves caught in lawsuits that affect their ability to care for their patients by challenging laws they worked to have passed or dealing with licensing issues, staff privileges, and malpractice. Having to face these charges can be overwhelming, and it is good to know that in addition to experienced physician lawyers, the […]

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What are the Top Disciplinary Actions Taken by Medical Boards?

Physicians rely on their medical license to continue practicing. If a physician abuses their medical authority, they risk losing their license. In order to assess whether one is acting as they should, the Federation of State Medical Boards acts as the governing body. The FMSB is an organization that prides itself on looking out for […]

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Potential Risks Involved in New Health Care Laws

The Department of Health and Human Services recently announced proposed changes to Stark Law and the Anti-Kickback Statute (AKS) that will continue to protect against Medicare and Medicaid fraud, but offer physicians greater flexibility to provide coordinated health care for their patients. The proposed changes will allow exceptions to these laws and ease the burden […]

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Changes to Anti-Kickback Safe Harbors

On October 9, 2019, the Office of Inspector General (OIG) published proposed revisions to the federal Anti-Kickback Statute (AKS). If they are passed, the changes would affect regulatory safe harbors. There are several key points targeted to change, which include how payments are made, warranties, and transportation. The AKS is a well-known, wide-ranging fraud and […]

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Physician Contract Provisions

The American Medical Association’s recent “Making the Rounds” podcast focused on restrictive covenants and termination clauses with a senior attorney for the organization. This podcast was the fourth installment of a six-part series that explores physician employment contract negotiations. These provisions apply to post-employment, and limit where and how long doctors can practice once the […]

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