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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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- Reimbursement & Payment Practices
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- Stark Law and Anti-Kickback Issues
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Category Archives: Reimbursement Issues
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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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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Podcast – Private Pay Practice Wins
Legal Pulse: Healthcare Edition Episode 3 – Private Pay Practice Wins 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. In this episode, … Continue reading
Posted in Consierge & Cash-Based Practices, Physician Contracting and Alignment, Physician Issues, Reimbursement Issues
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Ambulatory Surgery Center Radiologist Requirement: Federal Law and Wisconsin Law
Health Care Lawyer John Fisher has substantial experience in the legal and regulatory issues impacting Ambulatory Surgery Centers and their physician owners. In this article, Mr. Fisher discusses whether federal and/or Wisconsin law require an ASC to have a radiologist … Continue reading
Posted in Ambulatory Surgery Centers, Compliance Issues, Physician Issues, Reimbursement & Payment Practices, Reimbursement Issues
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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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Credible Information Indicating Overpayment – Duty to Investigate
By John Fisher, JD, CHC, CCEP Credible Information Indicating Overpayment: Duty to Investigate Date: June 27, 2017 Executive Summary The 60-day repayment rule requires health care providers to act promptly when they receive credible information indicating a potential overpayment. Under … Continue reading
Posted in Compliance Issues, Fraud and Abuse, Medicare and Medicaid Reimbursement, Reimbursement Issues, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues
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Using the Self Disclosure Protocols to Minimize Risk
By John Fisher, JD, CHC, CCEP Client Alert: When to Use the OIG’s Self-Disclosure Protocol Executive Summary Health care providers that identify potential compliance issues involving federal health care programs should carefully evaluate whether disclosure through the HHS Office of … Continue reading
Posted in Compliance Issues, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Reimbursement & Payment Practices, Reimbursement Issues, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues
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