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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
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Category Archives: Reimbursement & Payment Practices
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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Podcast – ASC 2030: The New Playbook
Episode 17 – ASC 2030: The New Playbook Welcome to “ASC 2030: The New Playbook,” the seventeenth episode in our Legal Pulse: Healthcare Edition series. In this episode, we’ll take a forward-looking approach and explore what the next decade holds … Continue reading
Posted in Ambulatory Surgery Centers, Medicare and Medicaid Reimbursement, Reimbursement & Payment Practices
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Podcast – ASC Life Safety Code Decoded
Episode 16 – ASC Life Safety Code Decoded Welcome to “ASC Life Safety Code Decoded,” the sixteenth episode in our Legal Pulse: Healthcare Edition series. In this episode, we break down the life safety requirements that Ambulatory Surgery Centers must … Continue reading
Posted in Ambulatory Surgery Centers, Compliance Issues, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Reimbursement & Payment Practices
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Podcast – ASC Survey Ready Now
Episode 15 – ASC Survey Ready Now Welcome to “ASC Survey Ready Now,” the fifteenth episode in our Legal Pulse: Healthcare Edition series. Today’s discussion centers on preparing your Ambulatory Surgery Center for regulatory surveys and inspections. ASC Survey Ready … Continue reading
Posted in Ambulatory Surgery Centers, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Reimbursement & Payment Practices
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Podcast – ASC Coverage Rules Decoded
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 11 – ASC Coverage Rules Decoded Welcome to … Continue reading
Posted in Ambulatory Surgery Centers, Compliance Issues, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Reimbursement & Payment Practices
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Wisconsin Medicaid Telehealth Reimbursement: What Providers Need to Know
Wisconsin Medicaid Telehealth Reimbursement – Wisconsin Medicaid allows many covered services to be delivered by telehealth when the service is clinically appropriate and functionally equivalent to in-person care. This article by Wisconsin telehealth lawyer John Fisher explains how ForwardHealth reimbursement … Continue reading
Posted in Behavioral Health, Compliance Issues, Reimbursement & Payment Practices, Reimbursement Issues, Telemedicine, Wisconsin Health Laws
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Podcast – Medicare’s Code Revolution 2026
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. Epidoe 10 – Medicare’s Code Revolution 2026 Welcome to … Continue reading
Posted in Legal Pulse Podcast, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues, Reimbursement & Payment Practices
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Annual Health Care Fraud and Abuse Control Program Report
2026 Health Care Fraud Enforcement Update: Compliance Risks, False Claims Act, and Medicare Advantage Health care fraud enforcement is no longer a distant risk reserved for bad actors on the margins of the industry. In 2026, health care providers, suppliers, … Continue reading
Posted in Compliance Issues, False Claims Act, Fraud and Abuse, Reimbursement & Payment Practices, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues, Telemedicine
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Key Elements for Medical Practice Policies: Incident-to Billing, Physician Supervision, and False Claims Act Enforcement Risk
Understanding Compliance Requirements for Healthcare Providers Medical practices face a complex landscape of billing and compliance regulations. Three critical areas—Incident-to Billing, Physician Supervision, and False Claims Act Enforcement Risk—demand careful attention when crafting practice policies. Establishing clear guidelines not only … Continue reading
Posted in Compliance Issues, False Claims Act, Fraud and Abuse, Medicare and Medicaid Reimbursement, Physician Issues, Reimbursement & Payment Practices
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Podcast – ASC Compliance 2026 – Complying With the New Regulations
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 7 – ASC Compliance 2026 Welcome to “ASC … Continue reading
Posted in Compliance Issues, False Claims Act, Legal Pulse Podcast, Physician Issues, Reimbursement & Payment Practices
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