Two recent high-profile Stark cases involving Tuomey Healthcare Systems in South Carolina and Marion General Hospital in Ohio offer good evidence that legal advice on physician-related transactions is worth the investment. Earlier this year, Tuomey was found guilty by a jury of violating the federal physician self-referral “Stark” law, and may have to repay nearly $45 million in Medicare reimbursement and face potential exclusion from Medicare participation, while Marion General Hospital agreed to a $1.2 million settlement for Stark violations.
Given the complexity of relationships between healthcare providers, violations of the Stark Law are unfortunately common and inadvertent. The self-referral disclosure protocol may be an efficient way to report known violations. However, a Medicare provider should consider several factors before using the SRDP or it may possibly face unintended consequences.
Many experts anticipate that the number of mergers and acquisitions in the healthcare industry will rise in the next few years. While there are typically many hurdles and unexpected costs associated with an M&A transaction, there are a few hurdles and costs that, when properly prepared for, can be eliminated. This specifically rings true when considering technology agreements.
Modifications to Stage One and guidance on Stage Two requirements of the Electronic Health Records (EHR) meaningful use regulations are on the way. For health care IT professionals, there was never as much anticipation surrounding the release of federal regulations as there was when the meaningful use regulations were finalized.
The new healthcare reform legislation known as the Patient Protection and Affordable Care Act of 2010 (PPACA) has significantly increased potential liability for healthcare providers. The PPACA includes new provisions designed to reduce fraud and abuse in the healthcare system; however, the new provisions make it possible for healthcare providers to inadvertently run afoul of anti-fraud statutes.
Hospitals continue searching for ways to meet ever-increasing demands for improving care in the face of revenue pressures, some of which involve working in a conjunctive manner with the hospital’s medical staff. One such approach that is quickly gaining traction is a process known as clinical integration.
DBL partner Matt Klein was recently appointed as the Kentucky representative to the legal committee for the American Association of
Despite a recent push to digitize medical records in order to reduce errors and costs, many providers have been slow to acquire electronic systems.
Lawmakers have a knack for regulating the business of healthcare with a host of unique laws. As a result, transactions
With the rapid foreseeable growth in the adoption of electronic medical records (EMR), health care providers need to be aware
After an earlier delay, the Federal Trade Commission (FTC) has pushed back the date for enforcement of new identity theft
Federal funding is making its way to the states to encourage hospitals, physicians and pharmacists to take the plunge into
In today’s fast-paced society, the high-stakes, pressure-packed work environment can sometimes cause co-workers to leave their manners at the door.
Hospitals and physicians face an ongoing dilemma: How to devise business strategies for bringing the two together in beneficial ways,
Physician ranking systems are being utilized with greater frequency by commercial health insurers. Typically, these systems are designed to provide
If your work involves any legal issues associated with physicians and hospitals, there is a good chance you have heard
Hospital mergers could become more complex In changing local scene, Illinois ruling raises questions from the Cincinnati Business Courier –
For years, federal and state laws have prohibited hospitals from giving physicians any payments or gifts with the intention of
It is difficult to visit any physician’s office and not notice various items splashed with the names of prescription drugs.