By Randi Kopf, RN, MS, JD The use of healthcare technology (often referred to as telemedicine, telehealth, eHealth or eHealthcare) has provided clinical medicine services and performed remote robotic surgery with the surgeon in the U.S. and their patient on the other side of the world for over 30 years. Yet many physicians are not […]
TERRY DOUGLAS, ATTORNEY In 2015, an estimated 238,000 people living in Maryland, DC and Virginia have Alzheimer’s. Chances are that some of them are your patients. When no clear instructions are in place, a conflict can arise between physicians, the aging patient’s wishes, and his or her adult children. Two examples of scenarios that may […]
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 […]
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 […]
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. […]
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.
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 […]
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.
Posted in Compliance
Tagged ACA, Affordable Care Act, billing process, CMS, coding, electronic health records, False Claims Act, health law, healthcare law, HIPPA, ICD-10, Medicaid, Medicaid fraud, Medicare, OAH, revenue cycle management, whistle blowing
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 […]
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.