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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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Tag Archives: Medicare Opt-Out
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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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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