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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
Categories
- Accountable Care Organizations
- Ambulatory Surgery Centers
- Anesthesiologists
- Antitrust in Healthcare
- Artificial Intelligence
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- Corporate Practice of Medicine – CPOM
- COVID-19 Resources
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- Self Disclosure Protocols
- Stark Law and Anti-Kickback Issues
- Telemedicine
- Uncategorized
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Category Archives: Fraud and Abuse
Cash-Based Clinics – A Regulatory Landscape More Complex Than It Appears
For owners, operators, management services organizations, and investors, the central lesson is straightforward: cash pay is not a compliance shortcut. The appeal of the cash-based model is clear. Practices can simplify revenue collection, reduce administrative friction, and design services around … Continue reading
Posted in Consierge & Cash-Based Practices, Fraud and Abuse, Medicare and Medicaid Reimbursement, Physician Issues, Wisconsin Health Laws
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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
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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
Posted in Ambulatory Surgery Centers, Fraud and Abuse, Legal Pulse Podcast, Physician Issues, Stark Law and Anti-Kickback Issues, Wisconsin Health Laws
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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
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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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Podcast – ASC Credentialing 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 9 – ASC Credentialing Decoded Welcome to “ASC … Continue reading
Posted in Ambulatory Surgery Centers, Compliance Issues, Fraud and Abuse, Medical Staff Organization & Structure, Medicare and Medicaid Reimbursement, 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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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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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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