Download or read book A Guide to Complying with Stark Physician Self referral Rules written by and published by . This book was released on 2004 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Stark Law written by Ramy Fayed and published by HC Pro, Inc.. This book was released on 2009 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stark Law, Second Edition: A User's Guide to Achieving Compliance Penalties for violations can include $15,000 per claim--and you can be fined for even unintentional violations. Further consequences involve potential exclusion from participation in Medicare, Medicaid, and other federal health care programs.It's tough to simplify a complex rule. Here's help. You will be well equipped to protect your organization from the severe consequences of Stark Law violations with the practical analytical tools and explanations provided in "Stark Law: A User's Guide to Achieving Compliance, Second Edition. " This updated version of HCPro's Stark Law best seller, first published in 2005--and now co-authored by former CMS Stark Law regulator, Lisa Ohrin--helps health care providers, practitioners, suppliers, and other affected members of the health care industry understand the many recent changes in the Stark Law. It explains each provision of the rule and its practical effect for compliance professionals.There are no compliance shortcuts Since issuing its long-awaited Stark II, Phase III Regulations, CMS proposed and finalized a host of additional regulations, notices, and clarifications, including a major final rulemaking in August 2008. The number and speed of these changes add yet another layer to the already complex web of rules and regulations governing Stark Law compliance. Your copy of "Stark Law: A User's Guide to Achieving Compliance, Second Edition, " delivers: A thorough explanation of how the 2007 and 2008 regulations impact the Law as a whole, as well as your organization Access to a comprehensive outline of the entire Law in one location, from the initial proposed regulations through the most recent updates Scores of easy-to-understand case studies, which illustrate the application of the Law A searchable CD-ROM to help you find specific citations Take a look at the Table of Contents: Chapter 1: Background and Analytical Framework Chapter 2: Definitions Chapter 3: Designated Health Services Chapter 4: Referrals Chapter 5: Financial Relationships Chapter 6: All-Purpose Exceptions Chapter 7: Ownership Interest Exceptions Chapter 8: Direct Compensation Exception Chapter 9: Indirect Compensation Arrangements Exception Chapter 10: Exceptions for Physician Recruitment and Retention Payments in Underserved Areas Chapter 11: Period of Disallowance, Temporary Noncompliance, and Technical Noncompliance Chapter 12: Sanctions, Collateral Consequences, and Reporting Requirements Chapter 13: Advisory Opinions With such high stakes, your organization needs "Stark Law: A User's Guide to Achieving Compliance, Second Edition, " to remain on top of the recent amendments to the Law.
Download or read book The Stark Law written by Charles B. Oppenheim and published by . This book was released on 2021 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Practical Guide to Kickback and Self Referral Laws for Florida Physicians written by Alan Gassman and published by . This book was released on 2013-03-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides health care professionals, lawyers, medical office managers, and physician advisors with a straightforward explanation of the various Florida and federal laws controlling patient referrals and financial relationships involving medical practices, testing facilities, surgery centers, hospitals, and other businesses.
Download or read book Physician Recruitment and Employment written by Eugene E. Olson and published by Jones & Bartlett Learning. This book was released on 2007 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Second Edition of Physician Recruitment and Employment serves as a resource for physician recruitment offices within hospitals, medical groups, and health systems. Thoroughly updated, this edition offers comprehensive coverage of revisions made to the Stark self referral guidelines, general guiding principles, current legal environments, and recruitment policy development. In addition, it provides readers with the templates and tools necessary to optimize physician recruitment."--BOOK JACKET.
Download or read book The Complete Guide to Fair Market Value Under the Stark Regulations written by Timothy Smith and published by BVResources. This book was released on 2022-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Healthcare Valuation The Financial Appraisal of Enterprises Assets and Services written by Robert James Cimasi and published by John Wiley & Sons. This book was released on 2014-03-24 with total page 1098 pages. Available in PDF, EPUB and Kindle. Book excerpt: A timely look at the healthcare valuation process in an era of dynamic healthcare reform, including theory, methodology, and professional standards In light of the dynamic nature of the healthcare industry sector, the analysis supporting business valuation engagements for healthcare enterprises, assets, and services must address the expected economic conditions and events resulting from the four pillars of the healthcare industry: Reimbursement, Regulation, Competition, and Technology. Healthcare Valuation presents specific attributes of each of these enterprises, assets, and services and how research needs and valuation processes differentiate depending on the subject of the appraisal, the environment the property interest exists, and the nature of the practices. Includes theory, methodology, and professional standards as well as requisite research, analytical, and reporting functions in delivering healthcare valuation services Provides useful process tools such as worksheets and checklists, relevant case studies, plus a website that will include comprehensive glossaries and topical bibliographies Read Healthcare Valuation for a comprehensive treatise of valuation issues in the healthcare field including trends of compensation and reimbursement, technology and intellectual property, and newly emerging healthcare entities.
Download or read book Healthcare Valuation The four pillars of healthcare value written by Robert James Cimasi and published by John Wiley & Sons. This book was released on 2014 with total page 752 pages. Available in PDF, EPUB and Kindle. Book excerpt: In light of the dynamic nature of the healthcare industry sector, the analysis supporting business valuation engagements for healthcare enterprises, assets, and services must address the expected economic conditions and events resulting from the four pillars of the healthcare industry: reimbursement, regulation, competition, and technology. This title presents specific attributes of each of these enterprises, assets, and services and how research needs and valuation processes differentiate depending on the subject of the appraisal, the environment the property interest exists, and the nature of the practices.
Download or read book Discharge Planning Guide written by Jackie Birmingham and published by HC Pro, Inc.. This book was released on 2004 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Book discusses federal regulations surrounding discharge planning.
Download or read book AHLA The Stark Law AHLA Members written by Charles B. Oppenheim and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: More than a summary of the law, this new edition of an essential monograph offers in-depth critical analysis of this risky, complex area, as well as a wealth of practice pointers and advice for advising clients. Written by leading experts in the interpretation and application of Stark Law, the latest edition of The Stark Law: Comprehensive Analysis + Practical Guide offers up to date information on the following topics:The definition of entitySplit/shared evaluation and management servicesTimeshare agreementsValuing goodwill in physician practice acquisitionsJoint marketingFair market value assessments"Stand in The Shoes" when contracting with a groupWhen A collection of documents can constitute a written agreementDevelopments on the signature RequirementRevisiting fair market value over the course of a termLiability under The False Claims Act with respect to MedicaidBankruptcy trustees and Stark LawUpdates to the self-referral disclosure protocol
Download or read book The Essential Guide to Coding in Otolaryngology written by Seth M. Brown and published by Plural Publishing. This book was released on 2021-09-07 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference
Download or read book The Medical Staff Leaders Practical Guide written by William K. Cors and published by HC Pro, Inc.. This book was released on 2007 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: You are a great clinician. But do you have the tools to become a great leader? Physicians who accept or are assigned leadership positions are too often left on their own to develop leadership skills and educate themselves on their responsibilities as medical staff leaders. These physicians may be great clinicians and enthusiastic about taking a leadership position, but neither of these characteristics automatically makes a great leader. Get practical answers for physicians in leadership. The Medical Staff Leaders' Practical Guide, Sixth Edition provides direction for physician leaders in hospitals--those who remain primarily clinicians, but who also accept positions of leadership in the hospital or medical staff organization. It gives an overview of physician leaders' roles and responsibilities in credentialing, privileging, bylaws development, performance improvement, physician management, and board/physician relations. Completely revamped and updated, this essential resource for medical staff leaders includes: - Tools and information needed to fulfill leadership responsibilities for all medical staff leaders, including directors of medical staff offices, vice presidents of medical affairs, medical staff presidents, credentials committee chairs and members, and committee and department chairs - Expanded analysis and strategies for overcoming current medical staff leadership challenges, including merger issues, medical staff development plans, physician practice evaluations, assessing and improving clinical competence, and more - Guidance and how-to advice on creating a positive medical staff culture, minimizing distrust or conflict, and improving policies - Tips and insights from experienced medical staff leaders currently working in hospitals How do you keep up with evolving roles? As relationships continue to evolve between hospitals and medical staff, it is especially important for physician leaders to be well-educated about credentialing, privileging, conflicts of interest, medical staff organization, the roles of various physician leaders and committees, performance improvement, and more. This practical guide includes in-depth reviews of the top five medical staff leadership responsibilities: - Medical staff structure and governance - Credentialing and privileging - Peer review and performance improvement - Hospital-medical staff collaboration - Medical staff culture Rise to the challenge of leadership! Written by experienced medical staff leaders currently working in hospitals, The Medical Staff Leaders' Practical Guide, Sixth Edition, gives physicians the tools they need to meet the challenges of a leadership role. The tools and advice in this guide will help you: - Overcome physician apathy, poor meeting attendance, lack of volunteers for leadership positions, and turf battles - Improve peer review, evaluation of physician competency, and physician/hospital relations - Deal with disruptive and impaired physicians, conflicts of interest, exclusive contract problems, accreditation challenges, and emergency department coverage challenges - Create a positive working environment - Gain a better understanding of the credentialing and privileging process Take a look at the table of contents: Introduction: Today's Effective Medical Staff Section I: Medical Staff Structure and Governance - Physician apathy - Poor meeting attendance - Poor medical staff communication - Unprepared leaders - Lack of volunteers for leadership positions - Conflict over member rights and responsibilities Section II: Credentialing and Privileging - Cumbersome and lengthy process - Turf battles - New technology privileges - AHP credentialing and supervision - Information and decision errors - Lack of reappointment data - Unnecessary, lengthy, or costly fair hearings - Lack of criteria for privileges Section III: Peer Review and Performance Improvement - Ineffective peer review - Disruptive conduct - Impaired physicians - Assessing and improving clinical competence - Excessive utilization - Medical records completion - Inappropriate physician practice evaluation Section IV: Hospital-Medical Staff Collaboration - Strained physician-hospital relations - EMTALA and ED coverage - Hospital-physician competition - Economic credentialing - Strained physician-nurse relationships - Costs exceeding reimbursement - Medical errors and patient safety - Ineffective medical staff influence with board and administration - Liability risk - Conflicts of interest - Exclusive contract problems - Corporate compliance challenges - Accreditation challenges - Merger challenges - Lack of effective medical staff development plan Who will benefit from this book? Directors of medical staff offices, vice presidents of medical affairs, medical staff presidents, credentials committee chairs and members, committee and department chairs
Download or read book A Dentist s Guide to the Law written by American Dental Association and published by American Dental Association. This book was released on 2021-03-18 with total page 669 pages. Available in PDF, EPUB and Kindle. Book excerpt: This resource addresses the wide array of new and longstanding legal issues relevant to dental practices in a user-friendly format with additional related references and resources in each chapter. With sample contracts, checklists, and other helpful supplementary materials. Includes e-book access.
Download or read book Understanding Compliance written by Robert J. Saner and published by Medical Group Management Assn. This book was released on 2000 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: Design and operate a solid compliance program.
Download or read book Nurse Practitioner s Business Practice and Legal Guide written by Carolyn Buppert and published by Jones & Bartlett Learning. This book was released on 2008 with total page 541 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse Practitioner’s Business Practice and Legal Guide, Third Edition lays a solid foundation of knowledge upon which students can build their practice confidently and effectively, whether it be in developing an employment relationship, undertaking a business venture, giving testimony before the state legislature, composing a letter to an insurance company about an unpaid bill, teaching at a school of nursing, or serving as president of a state or national organization. The Third Edition of this best-seller is newly revised and updated to include topics such as: • How to write an effective business plan using the most up-to-date informationand planning strategies • How to avoid malpractice and other lawsuits • How to effectively negotiate managed care contracts • What must take place for NPs to become primary care providers • What decisions need to be made before starting a practice • State-by-state laws completely updated! • New section on the NP Portfolio - What is it? - What goes in it? - Why is it necessary?
Download or read book The Complete Business Guide for a Successful Medical Practice written by Neil Baum and published by Springer. This book was released on 2015-01-02 with total page 281 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides physicians with the basic business skills in order for them to become involved in the financial aspect of their practices. The text will help the physician decide what kind of practice they would like to join (i.e. private practice, small group practice, solo practice, hospital employment, large group practice, academic medicine, or institutional\government practice) as well as understand the basics of contracting, restrictive covenants and how to navigate the road to partnership. Additional topics covered include, monthly balance sheets, productivity, overhead costs and profits, trend analysis and benchmarking. Finally, the book provides advice on advisors that doctors will need to help with the business of their professional and personal lives. These include accountants, bankers, lawyers, insurance agents and other financial advisors. The Complete Business Guide for a Successful Medical Practice provides a roadmap for physicians to be not only good clinical doctors but also good businessmen and businesswomen. It will help doctors make a difference in the lives of their patients as well as sound financial decisions for their practice.
Download or read book Master Medicare Guide 2015 written by Wolters Kluwer Law & Business Health Editorial and published by Wolters Kluwer. This book was released on 2015-02-25 with total page 1642 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2015 Master Medicare Guide is a one-volume desk reference packed with timely and useful information for providers, attorneys, accountants, and consultants who need to stay on top of one of the most complex programs maintained by the federal government.
