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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
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- Anesthesiologists
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- Corporate Practice of Medicine – CPOM
- COVID-19 Resources
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- Stark Law and Anti-Kickback Issues
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Category Archives: Medicare and Medicaid
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 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 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 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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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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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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OIG Advisory Opinions on Gainsharing Arrangements Since 2018
By Fisher, JD, CHC, CCEP Client Alert: OIG Advisory Opinions on Gainsharing Arrangements Since 2018 Introduction to Gainsharing Arrangements As hospitals, health systems, and physician groups continue to pursue value-based care strategies, gainsharing arrangements remain an important—but highly regulated—tool for … Continue reading
Posted in Anesthesiologists, Clinical Integration, Fraud and Abuse, Health Care Contracting, Health Law Practice, Hospital Issues, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Contracting and Alignment, Physician Issues, Reimbursement & Payment Practices, Reimbursement Issues, Stark Law and Anti-Kickback Issues
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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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Podcast – Opting Out of Healthcare
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. Podcast – Opting Out of Healthcare Episode 4 – … Continue reading
Posted in Consierge & Cash-Based Practices, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Contracting and Alignment, Physician Issues, Reimbursement & Payment Practices, Reimbursement Issues
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