Category Archives: Compliance

Physician Practices Should Brace for HIPAA Compliance Audits

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JENNIFER SEARFOSS, JD, CMPE The second phase of the HIPAA audit program will begin sometime in 2015. The Office for Civil Rights (OCR) within the US Department of Health and Human Services is the enforcement agency for breaches of protected health information (PHI). In light of the very public hacks and cyber terrorism acts against […]

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Open Payments/Sunshine Act Year Two: Guidance for Physicians  

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THEODORE M. “TED” DOOLITTLE  On June 30, 2015, the Centers for Medicare and Medicaid Services (CMS) will publish the first full-year report of payments to physicians from pharmaceutical and medical device manufacturers. Physicians who want to review their data before publication can register with CMS. These data are being published pursuant to the Sunshine Act […]

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False Claims Act Investigations: Ten Best Practices for Complying with DOJ Subpoenas

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The Obama administration has made healthcare fraud cases a top priority for the past five years. In 2009, Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius established an interagency task force, the Fraud Prevention and Enforcement Action Team, to increase coordination and optimize civil and criminal enforcement. […]

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Don’t Be a HIPAA-CRIT: Are You Unintentionally Exposing Your Practice?

Most physicians are technologically savvy and provide quality healthcare in today’s cutting-edge, fast-paced practice of medicine. While you are likely taking precautions to protect your practice, there are privacy risks that may not be so apparent.

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How to Stay on the “Right” Side of the Maryland Board of Physicians

NATALIE MCSHERRY Practicing physicians should make sure to avoid licensing issues and potential disciplinary actions from the Maryland Board of Physicians by taking a few simple measures. Failure to follow these steps could result in drastic consequences for your practice. The Board is composed of 22 members, 14 of whom are practicing licensed physicians (including […]

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Avoiding Billing Pitfalls in the Age of the ACA

In the second decade of the 21st century, many healthcare providers are struggling to decide whether or not to accept patients who have Medicaid. A key issue is the provider’s ability to ensure compliance with its myriad reimbursement regulations.

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When Must You Report Suspected Child Abuse?

MARC COHEN | SARAH C.J. NADIV Do you understand your reporting duties when you suspect that child abuse has occurred? This article provides a simplified overview of the reporting requirements for physicians and other health practitioners. The Health Insurance Portability and Accountability Act (HIPAA), Maryland’s Medical Records Confidentiality Act, and professional ethics all require that […]

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How to Avoid Legal Pitfalls in Hospital Employment Agreements

In Maryland and elsewhere in the U.S., health reform and other factors are fueling the trend toward hospital employment of physicians. Consider these issues If you are considering the sale of your practice to a hospital.

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How to Avoid the Legal Pitfalls of Social Media

Pro-active use of social media can provide myriad benefits to a medical practice, and a little bit of careful planning and implementation can help avoid many of the potential legal pitfalls.

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ACA Impact on Small Private Medical Practices

Small private medical practices should know which provisions in the Patient Protection and Affordable Care Act taking effect January 1, 2014, may affect the health insurance plan currently offered to their staff.

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