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What are ACOs and Why Should You Care?

Articles from Our Team

FLORIDA BOARD OF MEDICINE SET TO TACKLE TELEMEDICINE ISSUE

Florida laws that pertain to telemedicine are precious few. In fact, there is really only one regulation dead on target, and that requires face to face physician contact with a patient in order to write a prescription.

MARKETING AND REPORTING OF PAXIL, WELLBUTRIN AND AVANDIA GIVES RISE TO LARGEST HEALTH CARE FRAUD SETTLEMENT IN UNITED STATES HISTORY

GlaxoSmithKline LLC ("GSK") has agreed to pay three billion dollars to resolve criminal and civil liability stemming from: the manner in which it marketed Paxil, Wellbutrin, Avandia and a host of other drugs to the public; GSK's failure to report safety data regarding Avandia; and from GSK's underpayment of rebates due pursuant to the Medicaid Drug Rebate Program.

RECOVERY BUSINESS MARKETING NOT IMMUNE FROM KICKBACK EXPOSURE

Many business people involved in some aspect of the recovery business world (e.g. IOPs, PHPs, Detox) are not aware of the punishing laws that apply to their marketing arrangements.

FROM INTERVENTION TO PREVENTION

"Healthcare Reform,"PPACA" and "ACOs" all have one certain thing in common: cost-saving change. Though debate swirls about politics, timing and the particulars of change, it seems clear that the changing demographics of our country (aging baby boomers) in our economic climate is not sustainable as is.

PERCEIVED RISK OUTWEIGHS ACTUAL HARM IN ASSESSING $1.5M HIPAA FINE

The Office of Civil Rights' recent assessment of a $1.5 million fine for HIPAA violations should be a shrill wakeup call to all health care organizations that use (or allow their physicians to use) portable devices containing patient identifiable information. The sanction stems from a physician's lost laptop computer containing protected health information (ePHI).

IS BUYING YOUR OFFICE A WISE INVESTMENT?

At some point, and usually more than once in a physician's career, the question arises: "Should I continue to lease my office, or would it make more sense to purchase an office instead?"

LIFE INSURANCE IS NOT A RETIREMENT PLAN

Recently I was asked to weigh in on life insurance policies in general and more specifically, their place in the retirement planning process.

WHAT DO YOU MEAN I NEED A LICENSE TO SELL T.E.N.S. UNITS IN FLORIDA

There have been some long faces around our conference room table over the past few months. 

Are You "Prepared" to Raise Capital? Ask Yourself These 5 Questions

Often great ideas or proven concepts fail to attract quality capital partners purely based on the message delivery or lack of preparation.

Retirement Planning: The New 401(k) Plan Disclosure Rules and You

As 401(k) plans have become more popular and plan participants have become increasingly responsible for making their own investment decisions with respect to their retirement, the Department of Labor (DOL) has become concerned that participants in self-directed 401(k) plans are not made fully aware of critically important information that will ensure that they make informed investment decisions.

In The Zone: Where the Practice of Medicine Meets Local Government Zoning

On November 15, 2011, First Coast Service Options, Inc. (FCSO) issued notice that they will be performing prepayment medical reviews of inpatient hospital claims related to 15 diagnosis related groups (DRGs).

PHYSICIAN OWNED DISTRIBUTORSHIPS (PODS)

Physician owned distributorships (PODs) have been the source of considerable controversy for years, but now they've caught the attention of Congress! 

THE 2012 OIG WORK PLAN - THE GOVERNMENT IS STILL AT WORK DURING THE HOLIDAYS

On November 10, 2011, the Office of the Inspector General of the Department of Health and Humans Services (the "OIG") issued their 2012 Work Plan. The annual Work Plan is designed to give Medicare providers and supplier notice and information on areas of potential abuse that the OIG to address with particular attention. 

ARE YOU READY FOR THE NEW PREPAYMENT MEDICAL REVIEW PROGRAM FOR INPATIENT HOSPITAL CLAIMS?

On November 15, 2011, First Coast Service Options, Inc. (FCSO) issued notice that they will be performing prepayment medical reviews of inpatient hospital claims related to 15 diagnosis related groups (DRGs).

PATH LAB PROPOSAL SHOT DOWN BY OIG

The Office of Inspector General of the Department of Health and Human Services recently (October 11, 2011) shook its head at a proposal involving a pathology lab management services business that was to be owned by physicians.

Thursday, September 21, 2017

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