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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: Telemedicine
Telehealth Membership Platforms: A Provider Compliance Guide
Telehealth Membership Platforms – Operational and Legal Considerations for Healthcare Providers Introduction Telehealth has become a routine part of healthcare delivery in the United States, giving patients more convenient access to clinicians through digital platforms. Telehealth membership platforms, which offer … Continue reading
Posted in Telemedicine
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Telehealth and Concierge Medicine – A Strong Fit with Complex Rules
Concierge medicine and telehealth are a strong operational fit, but the combination creates a layered legal and compliance profile. Both models emphasize access, continuity, and individualized care; however, virtual care can transform a single-state concierge practice into a multi-jurisdictional health … Continue reading
Posted in Consierge & Cash-Based Practices, Telemedicine
Tagged cash-based practices, telehealth, telehealth concierge medicine, using telehealth in cash-based
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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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Wisconsin Telehealth Certification for Mental Health Programs: Requirements, Application Steps, and Compliance Tips
Quick answer: Wisconsin telehealth certification for mental health programs generally requires an approved underlying program certification, a written telehealth plan, compliance with applicable Wisconsin Administrative Code requirements, secure technology, privacy protections, staff training, consumer choice, and ongoing quality assurance. Healthcare … Continue reading
Posted in Behavioral Health, Telemedicine, Wisconsin Health Laws
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New Memorandum On Telehealth In Mental Health and Substance Abuse Programs
By John Fisher, JD, CHC, CCEP Wisconsin Updates Telehealth Guidance for Mental Health and Substance Abuse Programs Client Alert: August 11, 2015 What Changed? The Wisconsin Division of Quality Assurance (DQA) has issued updated guidance on the use of telehealth … Continue reading
Posted in Department of Health Services, Telemedicine, Uncategorized, Wisconsin Government, Wisconsin Health Laws, Wisconsin Hospitals, Wisconsin Long Term Care, Wisconsin Physician Issues
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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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Concierge Medicine Article Series | The Anti-kickback Statute in Concierge and Cash-based Medical Practices
By John Fisher, JD, CHC, CCEP The Concierge and Cash-Based Medical Practice Article Series explores the evolving landscape of healthcare delivery models that prioritize patient-centered care, transparency, and direct financial relationships between patients and providers. Through this series, readers will … Continue reading
Posted in Consierge & Cash-Based Practices, Fraud and Abuse, Medicare and Medicaid, Physician Issues, Reimbursement & Payment Practices, Stark Law and Anti-Kickback Issues, Telemedicine, Uncategorized
Tagged anti-kickback statute, Concierge Clinics, Concierge Medicine, direct primary care, Telemedicine, wisconsin health lawyer
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CONCLUSIONS ABOUT DIRECT PRIMARY CARE AND CONCIERGE PRACTICES
Now is Not the Time for Complacency The concierge medicine and direct primary care movement represents a genuine and important evolution in how physician services are delivered in the United States. These models, at their best, offer patients more attentive … Continue reading
Posted in Consierge & Cash-Based Practices, Fraud and Abuse, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues, Reimbursement Issues, Stark Law and Anti-Kickback Issues, Telemedicine, Wisconsin Health Laws
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THE APRIL 2026 OIG FAQ UPDATES — A CRITICAL WARNING TO THE FIELD
On April 23, 2026, OIG updated its General Questions Regarding Certain Fraud and Abuse Authorities FAQ page — its first update since July 2024 — with two additions that carry direct and significant implications for concierge and cash-based practice models. … Continue reading
Posted in Consierge & Cash-Based Practices, Fraud and Abuse, Medicare and Medicaid, Stark Law and Anti-Kickback Issues, Telemedicine, Wisconsin Health Laws
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WHY CONCIERGE AND DPC PRACTICES ARE NOT AUTOMATICALLY EXEMPT
The AKS exposure of a concierge or cash-based practice depends heavily on its specific structure and business relationships. The analysis differs materially across three broad categories of practice. A. Pure Cash / DPC Practice — No Federal Program Participation A … Continue reading
Posted in Consierge & Cash-Based Practices, Fraud and Abuse, Medicare and Medicaid, Stark Law and Anti-Kickback Issues, Telemedicine, Wisconsin Health Laws
Tagged anti-kickback statute, Cash-Based Medical Practices, Concierge Medicine, Hybrid Concierge Practice, Medicare Opt-Out
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