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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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What Should I Know Regarding Medical Records Requests?

Medical records are important files that discuss a patient’s ongoing medical history. These files tend to be used in a variety of situations. Therefore, medical records tend to be transferred from the physician to others more frequently compared to other files. Mishandling a patient’s medical records can put a physician in a legal situation, so […]

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Telehealth Credentialing Challenges

The field of telehealth is growing with regulatory changes paving the way for digital health companies to offer services. Federal and state policies have also helped increase access for more patients, changing how people choose and receive their health care. As this field expands, some physicians may encounter challenges when dealing with provider credentialing, state […]

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Third Circuit Revives Whistleblowers’ Claims in False Claims Act

Last month, the United States Third Circuit Court of Appeals reversed an earlier decision to dismiss whistleblowers’ claims that neurosurgeons affiliated with the University of Pittsburgh Medical Center (UPMC) violated the False Claims Act by falsely billing Medicaid and Medicare for services to boost their personal income. Among the whistleblowers’ allegations, they claimed the compensation […]

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Prescribing the Wrong Medication to Patients

Countless prescriptions are written every day, and there are many steps that must be followed for patients to receive the proper medications. From the moment production begins, to the time the patient takes a first dose, there are many opportunities for mistakes to happen. Patients trust their doctors and expect to receive effective treatment and […]

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