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Wisconsin Health Law Posts
- The Physician Board Member – Meeting Your Responsibilities as a Director
- Concierge Medicine Agreements – Five Key Contract Clauses for Medical Practices
- Telehealth Membership Platforms: A Provider Compliance Guide
- Medicare Opt-Out – A Make-or-Break Decision for Concierge Physicians
- Hybrid Concierge Models – Why Popularity Comes With Compliance Risk
- Cash-Based Clinics – A Regulatory Landscape More Complex Than It Appears
- State Spotlight: Wisconsin, Illinois, and Michigan — Three Distinct Regulatory Environments
- Understanding HIPAA and Its Interaction with State and Federal Confidentiality Laws
- Concierge Medicine Legal Guide: Key Compliance and Business Issues for Physicians
- Direct Primary Care (DPC) vs. Concierge Medicine: A Regulatory Comparison
- Physician Autonomy in the Value-Based Care Era: Legal and Operational Priorities for Health Care Providers
- Telehealth and Concierge Medicine – A Strong Fit with Complex Rules
- Preparing for Certification Surveys at Ambulatory Surgery Centers
- Podcast – ASC 2030: The New Playbook
- Podcast – ASC Life Safety Code Decoded
- Podcast – ASC Survey Ready Now
- Podcast – QAPI: Build It Right
- Podcast – Closing Infection Control Gaps
- Podcast – ASC Governance Accountability
- ACO Primary Care Exclusivity Requirement – Not As Broad As Some Believe
Categories
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- Ambulatory Surgery Centers
- Anesthesiologists
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- Consierge & Cash-Based Practices
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- Dental Practice
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- False Claims Act
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- Reimbursement & Payment Practices
- Reimbursement Issues
- Self Disclosure Protocols
- Stark Law and Anti-Kickback Issues
- Telemedicine
- Uncategorized
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Category Archives: Physician Issues
The Physician Board Member – Meeting Your Responsibilities as a Director
Understanding Legal, Ethical, and Practical Obligations for Healthcare Leaders Serving as a board member gives physicians a meaningful opportunity to shape the strategic direction of healthcare organizations and support their long-term success. The role also carries legal and ethical obligations … Continue reading
Posted in Accountable Care Organizations, Ambulatory Surgery Centers, Governance, Medical Staff Organization & Structure, Physician Issues, Wisconsin Health Laws
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Concierge Medicine Agreements – Five Key Contract Clauses for Medical Practices
Summary: Concierge medicine agreements should clearly address membership benefits, refund and cancellation policies, Medicare-related disclosures, arbitration provisions, and fee-adjustment mechanisms to help medical practices manage legal risk and patient expectations. Concierge medicine, direct primary care, and membership-based medical practices can … Continue reading
Posted in Consierge & Cash-Based Practices, Health Care Contracting, Physician Contracting and Alignment, Physician Issues, Wisconsin Health Laws
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Medicare Opt-Out – A Make-or-Break Decision for Concierge Physicians
For physicians moving into concierge, direct-pay, or cash-based practice models, opting out of Medicare is a consequential compliance decision—not merely an administrative formality. A properly executed Medicare opt-out changes how the physician may treat and bill Medicare beneficiaries, how private … Continue reading
Posted in Consierge & Cash-Based Practices, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues, Reimbursement & Payment Practices
Tagged Cash-Based Medical Practices, Medicare Opt-Out, opt-out rules, opting out of medicare
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Hybrid Concierge Models – Why Popularity Comes With Compliance Risk
Hybrid concierge models are gaining traction for a simple reason: they give physicians a way to offer a more personalized patient experience without walking away from traditional insurance. Patients can opt into a membership tier for enhanced access and non-covered … Continue reading
Posted in Consierge & Cash-Based Practices, Physician Contracting and Alignment, Physician Issues, Wisconsin Health Laws
Tagged concierge medical practice, direct primary care, hybrid cash-based, hybrid dpc practices, hybrid models
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Cash-Based Clinics – A Regulatory Landscape More Complex Than It Appears
Cash-based medical practices often assume that avoiding insurance billing also avoids legal risk. In reality, the risk profile does not disappear—it shifts. A clinic that does not submit claims to Medicare, Medicaid, or commercial payors may still face meaningful exposure … Continue reading
Posted in Consierge & Cash-Based Practices, Fraud and Abuse, Medicare and Medicaid Reimbursement, Physician Issues, Wisconsin Health Laws
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Direct Primary Care (DPC) vs. Concierge Medicine: A Regulatory Comparison
In recent years, alternative primary care models like Direct Primary Care (DPC) and concierge medicine have grown in popularity as both patients and providers seek more personalized and accessible healthcare. While both models emphasize improved doctor-patient relationships and enhanced patient … Continue reading
Posted in Consierge & Cash-Based Practices, Physician Contracting and Alignment, Physician Issues, Wisconsin Health Laws
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Physician Autonomy in the Value-Based Care Era: Legal and Operational Priorities for Health Care Providers
Topics: value-based care compliance, physician autonomy, health care provider legal issues, Stark Law compliance, Anti-Kickback Statute compliance, physician compensation arrangements, value-based care contracts, health care compliance counsel, medical staff governance, accountable care organizations, provider reimbursement strategy, health care fraud and … Continue reading
Posted in Accountable Care Organizations, Clinical Integration, Physician Contracting and Alignment, Physician Issues, Wisconsin Health Laws
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Podcast – ASC Governance Accountability
Legal Pulse: Healthcare Edition Welcome to Legal Pulse: Healthcare Edition, the podcast where we explore the intersection of law and medicine to keep you informed on the latest developments and trends. Episode 8 – ASC Governance Accountability Welcome to “ASC … Continue reading
Posted in Ambulatory Surgery Centers, Compliance Issues, Fraud and Abuse, Legal Pulse Podcast, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues
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Podcast – ASC’s 1/3 Safe Harbor
Legal Pulse: Healthcare Edition Welcome to Legal Pulse: Healthcare Edition, the podcast where we explore the intersection of law and medicine to keep you informed on the latest developments and trends. Episode 12 – ASC’s 1/3 Safe Harbor Welcome to … Continue reading
Posted in Ambulatory Surgery Centers, Fraud and Abuse, Legal Pulse Podcast, Physician Issues, Stark Law and Anti-Kickback Issues, Wisconsin Health Laws
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Block Leasing of Group Practice Facilities – Anti-Kickback Statute Risks
By John Fisher, JD, CHC, CCEP Client Alert – Healthcare Block Leasing, Anti-Kickback Statute Risks, and AKS Safe Harbor Compliance Healthcare block leasing arrangements—where a group practice, physician organization, or other healthcare provider leases defined blocks of space in a … Continue reading
Posted in Compliance Issues, False Claims Act, Fraud and Abuse, Health Law Practice, Physician Contracting and Alignment, Physician Issues, Stark Law and Anti-Kickback Issues
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