Even honest billing mistakes can lead to devastating effects for a health care provider. Take overbilling for example. Health care providers occasionally receive overpayment for Medicare or Medicaid. These issues can easily be resolved with a refund. Unfortunately, if...
Texas Health Care Law Blog
How to address Medicare overpayment claims
Doctors are extremely busy. In addition to caring for their patients, regulations force healthcare providers to fill out seemingly endless paperwork. Medicare Parts A and B healthcare providers face the additional burden of ensuring, at risk of punishment, that all of...
Difficult patient issues perplex every provider
Providers report an increased number of problems with challenging patients.These are the patients, or their family members, who become angry, raise their voices and make up their minds early in the interaction that you are not competent, or you are disrespecting them,...
How can improper Medicare claims affect your practice?
The health care industry comes with stacks of government paperwork necessary for regulatory compliance. You can easily feel like you are drowning in forms, and rush to complete them. Unfortunately, hurrying through government forms, such as those required for Medicaid...
CEO culpability in the health care industry
Many business executives believe that building a great organization starts at the top. For chief executive officers, this means fostering an environment that is both ethical and profitable. Since the passage of the Affordable Care Act in March 2010, the health care...
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What To Do When Being Investigated By the Medical Board
Not every board complaint is investigated, but those that are can have a grave impact on your medical license and your livelihood. For physicians who are facing a medical board investigation, it is crucial to take the proper steps to defend yourself against sanctions,...
Defining “Advertising” and “Referrals” in the Healthcare Industry
It is often necessary for healthcare professionals, pharmacies, home health care agencies, and DME businesses to advertise. In doing so, these businesses need to proceed carefully with how they compensate their marketers-especially when dealing with clients who are...
Risks Involved with Physician Ownership of Toxicology Labs
The laboratory industry is undergoing heightened medical scrutiny, both for independent clinical laboratories and physician office laboratories. Expansion into this industry is filled with regulatory risk for violation of state or federal laws. Some of the issues...
Medicare & Medicaid to Pay Hospices $160 Million More in 2016
Last week, The Centers for Medicare & Medicaid Services (CMS) published a final rule that will change the way hospices are paid in 2016. In the final rule announced in Federal Register, 80 Fed. Reg. 47142, hospices will receive approximate $160 million more in...