Posts Tagged ‘Healthcare law’

Legal Issues Impacting Physician Recruitment Relationships

January 24th, 2010

In general, two of the primary laws that are applicable to recruitment arrangements are: (1) the Federal “Stark” law; and (2) the Federal Anti-kickback law and the accompanying safe harbor for physician recruitment.

FEDERAL STARK –PHSYICIAN RECRUTIMENT EXCEPTION

The Federal Stark law prohibits a physician from making a referral to an entity for the furnishing of “designated » Read more: Legal Issues Impacting Physician Recruitment Relationships

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Medicare Eases Rule on Termination of Provider Medical Records Review

November 6th, 2009

Prior to the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA), a provider or supplier subject to non-random prepayment complex medical review remained on this targeted review until it met all Medicare billing requirements and demonstrated an “acceptable error rate.”

The Medicare contractor was given the discretion to determine when the provider or supplier achieved an “acceptable error rat » Read more: Medicare Eases Rule on Termination of Provider Medical Records Review

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Medicare’s Anti-Markup Rule-Partially Delayed Until 2009

October 14th, 2009

On December 28, 2007, the Centers for Medicare and Medicaid Services (CMS) displayed a final rule announcing that it was delaying the effective date of the majority of the newly revised anti-markup rule until January 1, 2009. CMS’ announcement came just a few days before the newly revised rule was set to take effect on January 1, 2008.  There are two provisions of the anti-markup rule that were not delayed: (1) the technical » Read more: Medicare’s Anti-Markup Rule-Partially Delayed Until 2009

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