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Wisconsin Health Law Posts
- Managing AI Risk: Governance, Hallucinations, Automation Bias, and Human Oversight
- What Part of Your Creative Workflow Needs Stronger Compliance Structure?
- Wisconsin APRN Modernization Act: Wisconsin’s New Nurse Practitioner Law
- The 7 Rules of Human-Led Creation: Protecting Originality in an AI-Assisted World
- Preserving Your Copyright When Using AI-Assisted Songwriting
- The New Creative Frontier: Human Authorship in a Hybrid Age
- Why Generative AI Creates Unique Governance Challenges
- AI Training Data and Copyright: Legal Risks and Vendor Contract Protections
- How Copyright Law Applies to Generative AI Training Data
- Human-Led AI Creation and AI Copyright Protection: A Practical Framework
- AI Governance Risks: AI Ethics, Compliance, and Oversight Strategies
- Organizational Drift in Artificial Intelligence Governance
- The Opacity Problem in Artificial Intelligence Deployment
- Cascading Dependency Risk in AI Systems: How to Govern the Hidden AI Supply Chain
- Applying PII Compliance Protocols to Artificial Intelligence Activities
- OSHA Citation Lessons: Written Safety Plans Required by OSHA Standards
- From Contract Signature to Continuous AI Governance in Third-Party Risk Management
- Corporate Practice of Medicine in Wisconsin: Why Structure Still Matters for Physician Practices
- Wisconsin Noncompete Bill Would Restrict Noncompetes for Medical Practitioners
- The Physician Board Member – Meeting Your Responsibilities as a Director
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Category Archives: False Claims Act
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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What Is The Different Between Fraud, Abuse, and Criminal Conduct
By Fisher, JD, CHC, CCEP Fraud, Abuse, Overpayment — When Does a Mistake Become Fraud? Why Enforcement Matters Anyone involved in the health care system should understand that the federal government continues to devote significant resources to the investigation and … Continue reading
Posted in Compliance Issues, False Claims Act, Fraud and Abuse
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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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Dermatology Fraud Risk Areas – Impossibly Long Days
By John Fisher, JD, CHC, CCEP Dermatology Billing Risk — Incident-to Supervision and Impossibly Long Days Executive Summary This compliance brief summarizes a dermatology enforcement matter involving alleged improper “incident to” billing, failure to supervise services, and billing patterns reflecting … Continue reading
Posted in False Claims Act, Fraud and Abuse, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues, Reimbursement & Payment Practices, Reimbursement Issues, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues
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Federal Government Will Seek Dismissal of False Claims Act Cases That Lack Merit
By Fisher, JD, CHC, CCEP False Claims Act Enforcement Priorities in 2018 Overview The False Claims Act (FCA) remained the federal government’s primary civil tool for combating fraud against taxpayer-funded programs in 2018. Although the statute dates to 1863, when … Continue reading
Posted in False Claims Act, Fraud and Abuse, Reimbursement & Payment Practices
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Podcast – Physician Verbal Orders 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 6 – Physician Verbal Orders Decoded Welcome to another … Continue reading
Posted in Compliance Issues, False Claims Act, Fraud and Abuse, Hospital Issues, Legal Pulse Podcast, Medicare and Medicaid Reimbursement, Physician Issues, Reimbursement & Payment Practices
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“Incident to” Billing Rules Clarified by CMS for 2026
By Fisher, JD, CHC, CCEP Incident-to Billing, Physician Supervision, and False Claims Act Enforcement Risk In the Client alert health care and compliance attorney John Fisher discusses the current CMS incident-to billing requirements; recent False Claims Act enforcement updates; incident-to … Continue reading
Posted in False Claims Act, Fraud and Abuse, Health Law Practice, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues, Reimbursement & Payment Practices, Reimbursement Issues
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PRACTICAL COMPLIANCE FRAMEWORK — WHAT COMPLIANT PRACTICES DO COMPLIANT DPC PRACTICES USE
Effective AKS compliance in a concierge or DPC practice is not a matter of checking boxes on a form or obtaining a valuation letter. It requires a systematic, practice-specific analysis of every financial relationship that implicates the statute, implemented through … Continue reading
Posted in Compliance Issues, Consierge & Cash-Based Practices, False Claims Act, Fraud and Abuse, Physician Issues, Stark Law and Anti-Kickback Issues, Wisconsin Health Laws
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