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Health & Health Care Law Archives

Deadline for meeting new home health requirements postponed?

In mid-January, the Centers for Medicare & Medicaid Services published a home health agency final rule outlining new minimum standards for home health agencies participating in Medicare and Medicaid.

What to expect during the Texas Medical Board Enforcement Process

Doctors may encounter licensing issues at any time during their careers, and they are stressful whenever they arise. Issues may include allegations involving:

Things you should know if you're considering a venture in health care

Health care is one of the strongest sectors in the United State's economy. In a moment when the industry is adapting to new rules and regulations, there is a significant opportunity for new players to break into the market with transformative ideas and innovation.

Buying or selling a health care business

Just like with any other business, the owners of health care companies may wish to expand by purchasing related organizations, or they may wish to sell to a potential buyer. Additionally, individuals may want to get into the health care industry by purchasing an already existing organization.

How to appeal Medicare or Medicaid overpayment determinations

In recent years, federal authorities have been making an effort to prevent fraud, waste and abuse within the Medicare and Medicaid programs. As a result, health care businesses of all types and sizes are being accused of overpayments.

How does the Anti-Kickback Statute's bona fide employee safe harbor work?

If you work in the health care industry, then you are probably familiar with the federal Anti-Kickback Statute, which is a federal regulation that prohibits the exchange (or offer of exchange) of any type of gift or payment in an effort to reward or induce referrals for federal health care program business.

OIG's Recommendations for Medicare Part B Ambulance Transports

Ambulance Transports are a necessity in life. They save hundreds of lives every day. However, some ambulance companies are in hot water for improper payments as well as questionable billing, which generally involves transport to non-covered destinations and unusually high average mileage on these transports.

Nurses facing disciplinary matters need a legal advocate

Nurses have one of the most difficult jobs on the planet. They selflessly care for the sick and injured, working long hours with few breaks or down time. The profession is made even more difficult when a nurse faces a Texas Board of Nursing (BON) disciplinary proceeding, which can threaten the nurse's license and livelihood.

The OIG and Physician Compensation

Physicians who enter into compensation arrangements commonly known as Medical Director Agreements must ensure that those arrangements reflect fair market value for bona fide services the physicians actually provide. Although many compensation arrangements are legitimate, a compensation arrangement may violate the anti-kickback statute if even one purpose of the arrangement is to compensate a physician for his or her past or future referrals of Federal health care program business.

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