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

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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

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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

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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

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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

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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

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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

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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 | Comments Off on Podcast – ASC Governance Accountability

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

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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 | Comments Off on Block Leasing of Group Practice Facilities – Anti-Kickback Statute Risks