Download or read book AHLA The Stark Law Non 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 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 Telehealth Law Handbook written by Jennifer R. Breuer and published by . This book was released on 2018 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Fundamentals of Health Law written by Barry D. Alexander and published by . This book was released on 2011-01-01 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: This specialized and complex field of health law requires a thorough grounding in the basics, and Fundamentals of Health Law, 5th Edition, provides that grounding like no other book on the market does. This new edition has been thoroughly revised and made current to cover the basic issues of health law practice, from patient to facility issues, from permits and regulation issues to compliance and investigation issues, and includes issues raised by new laws, regulations and guidelines promulgated since the fourth edition in 2008, including the Affordable Care Act (ACA). This publication covers fundamental legal principles and issues to assist: * New Practitioners or experienced attorneys entering their first years of health-law practice; * Professors of health law searching for a comprehensive text for their students; and * Users of any law library looking for answers on the health law resource shelf.

Download or read book Conflict of Interest in Medical Research Education and Practice written by Institute of Medicine and published by National Academies Press. This book was released on 2009-09-16 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.

Download or read book Health Care Fraud and Abuse written by Aspen Health Law Center and published by . This book was released on 1998 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.

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 What Is the Corporate Practice of Medicine and Fee Splitting written by Ari J. Markenson and published by . This book was released on 2020-12 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book What is the Anti kickback Statute written by Thomas S. Crane and published by American Bar Association. This book was released on 2015 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn how the Anti-Kickback Statute protects the healthcare system and beneficiaries from the influence of money on referral decisions.

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 2015-09-23 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides legal guidance for dental practice formation, marketing, employment, privacy and data security, disability access, contracts, antitrust, insurance, collections, reimbursement, patient treatment, and more. Covers the Physician Payment Sunshine Act, website accessibility, online ratings sites, Children’s Online Privacy Protection Act (COPPA). Includes sample agreements for associateships.

Download or read book Managing Relationships with Industry written by Steven C. Schachter and published by Academic Press. This book was released on 2008 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: An indispensable resource for doctors, community hospitals, and group practices struggling to understand the law and ethical standards on interactions with pharmaceutical and device companies, this title is the first summary of the law and ethics on physician relationships with industry.

Download or read book Ethics Manual written by American College of Physicians (2003- ). Ethics and Human Rights Committee and published by ACP Press. This book was released on 2005 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines the issues in medical ethics faced by doctors and their patients. This book also discusses the distinction and potential conflicts between legal and ethical obligations while making clinical decisions. It includes sections on: Genetic testing, Organ donation, Care of patients at the end of life, Health and human rights, and more.

Download or read book The Physician Employment Contract Handbook Second Edition written by Maria K. Todd and published by CRC Press. This book was released on 2011-06-30 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: No matter which way you look at it, whether you own your own practice, become a part of a large physician group, or become an employee of a hospital, you will be signing an employment contract of some sort. Revised and updated, The Physician Employment Contract Handbook, Second Edition: A Guide to Structuring Equitable Arrangements provides sample physician employment contracts and explains how each contract works. The new edition includes increased information on the latest managed care entities and a review of basic concepts in fraud and abuse, corporate practice of medicine, and antitrust concerns. The author discusses the various legal and compliance issues related to physician employment, such as anti-self referral and anti-kickback issues, and examines how to resolve disputes through arbitration or mediation. The author also outlines the pros and cons of various partnership arrangements. After you have finished this book, you will be able to ask meaningful questions of legal and accounting counsel, do a preliminary review and analysis of the agreement offered, and even compare a prospective employer’s contract to other standard agreements without endangering confidentiality agreements. You will be able to design standard text, saving time and money on legal fees by having counsel review and add the final touches to contract drafts instead of starting from scratch. With proper planning and a clear understanding of both short- and long-term objectives, you can move into the future and take advantage of opportunities in the current healthcare revolution.

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 Nonphysician Practitioner Reference Guide First Edition written by AAPC and published by AAPC. This book was released on 2020-06-30 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ensure full pay for services provided by your nurse practitioners, physician assistants, clinical nurse specialists, and other mid-level clinicians. Staffing nonphysician practitioners (NPPs) enables your practice to see more patients, but the revenue benefits depend on your team’s ability to navigate the complex set of NPP coding and billing rules. Do you know the guidelines that Medicare and other payers apply toward reimbursement of NPP services? Are you clear on the rules for direct supervision? How about reciprocity? If you’re like most, you have more questions than answers. Getting incident-to billing right means 15% more in reimbursement. Getting it wrong could be considered fraudulent. With stakes this high, you need the Nonphysician Practitioner Reference Guide. This comprehensive resource provides expert guidance covering the scope of NPP coding and billing regulations. Understand the distinctions between shared visit and incident-to services and meet the troublesome requirements of audit-ready incident-to billing. Packed with authoritative tips, readers’ Q&A, and handy clip-and-save tools—including an incident-to audit checklist—you’ll master the reporting nuances of E/M services, prolonged services, virtual visits, and more. Shore up revenue for your mid-level practitioners with: Tips for accurate dual-provider coding Max out incident-to pay the right way and earn 100% of allowable revenue versus 85% Rely on split/shared visit coding in non-office settings Know how to avoid substitute physician billing challenges Boost your signature know-how and avoid claim denials Watch incident-to claims when physician is out of office Get the facts on performing consults Learn the secret NPP guidelines for coding virtual visits Do you know the reciprocity rules when your physician leaves town? And much more! Clear up your NPP compliance confusion—and know exactly when you can bill service incidents to the physician—with the Nonphysician Practitioner Reference Guide.

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 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.