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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
- Behavioral Health
- Clinical Integration
- Compliance Issues
- Consierge & Cash-Based Practices
- Corporate Practice of Medicine – CPOM
- COVID-19 Resources
- Dental Practice
- Dental Practice Issues
- False Claims Act
- Fraud and Abuse
- Governance
- Health Care Contracting
- Health Care Legislation
- Health Law Practice
- HIPAA – Health Information Privacy
- Home Health
- Hospital Issues
- Legal Pulse Podcast
- Licensing
- Long Term Care
- Managed Care Contracting
- Medical Staff Organization & Structure
- Medicare and Medicaid
- Medicare and Medicaid Reimbursement
- OSHA
- Physician Contracting and Alignment
- Physician Issues
- Physician-Owned Hospitals
- Proprietary Right Protection
- Radiology Issues
- Reimbursement & Payment Practices
- Reimbursement Issues
- Self Disclosure Protocols
- Stark Law and Anti-Kickback Issues
- Telemedicine
- Uncategorized
- Wisconsin Government
- Wisconsin Health Laws
- Wisconsin Hospitals
- Wisconsin Long Term Care
- Wisconsin Physician Issues
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Category Archives: Self Disclosure Protocols
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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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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Health Law Firm Opens Green Bay Office
By Fisher, JD, CHC, CCEP < Health Care Attorney John Fisher Announces Virtual Legal Services for Green Bay, Menominee, Appleton, Oshkosh, and the Greater Fox Valley Attorney John Fisher, a health care lawyer with more than 30 years of … Continue reading
Posted in Ambulatory Surgery Centers, Anesthesiologists, Antitrust in Healthcare, Behavioral Health, Clinical Integration, Consierge & Cash-Based Practices, Dental Practice Issues, Fraud and Abuse, Health Care Contracting, Health Law Practice, HIPAA - Health Information Privacy, Home Health, Hospital Issues, Long Term Care, Medical Staff Organization & Structure, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Contracting and Alignment, Physician Issues, Physician-Owned Hospitals, Radiology Issues, Reimbursement & Payment Practices, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues, Telemedicine, Wisconsin Health Laws, Wisconsin Hospitals, Wisconsin Long Term Care, Wisconsin Physician Issues
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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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Compliance Program Best Practices Review of Effectiveness
By John Fisher, JD, CHC, CCEP Compliance Program Best Practices: Review of Effectiveness Legal and Regulatory Considerations for Reassessing Compliance Program Effectiveness Regulatory Context and Compliance Obligations Historically, compliance programs were not imposed as a universal legal requirement for all … Continue reading
Posted in Compliance Issues, Fraud and Abuse, 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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Unnecessary Inpatient Admissions Results in Hospital DOJ Settlement
Hospital Inpatient Admission Fraud: False Claims Act Risks for Unnecessary Hospital Admissions Quick Answer: What Is Hospital Inpatient Admission Fraud? Hospital inpatient admission fraud occurs when a hospital allegedly bills a federal health care program for inpatient care that was … Continue reading
Posted in Compliance Issues, Fraud and Abuse, Hospital Issues, Physician Issues, Self Disclosure Protocols, Uncategorized
Tagged admissions criteria, DOJ settlements, Fraud Settlement, fraudulen admissions, Hospital fraud, unnecessary admissions
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Dermatology Practice Fraud and Abuse Risks Identified in Florida Case
By John Fisher, JD, CHC, CCEP Client Alert: Dermatology Fraud Case Highlights Risks of Repetitive Multiple Removal Code Billing Date: June 27, 2017 Executive Summary A 2015 criminal conviction of a Chicago-area dermatologist provides a cautionary example for healthcare providers … Continue reading
Posted in Compliance Issues, False Claims Act, Fraud and Abuse, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues, Self Disclosure Protocols
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Health Care Compliance Resource Portal Launched by OIG
By Fisher, JD, CHC, CCEP Office Inspector General Launches New Compliance Resource Portal by John H. Fisher, II, JD, CHC, CCEP OIG Compliance Portal: Centralized Health Care Compliance Resources for Providers What the OIG Compliance Portal Adds At a recent … Continue reading
Posted in Accountable Care Organizations, Ambulatory Surgery Centers, Anesthesiologists, Compliance Issues, Consierge & Cash-Based Practices, Dental Practice, Dental Practice Issues, Fraud and Abuse, Health Law Practice, Home Health, Hospital Issues, Long Term Care, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues, Radiology Issues, Reimbursement & Payment Practices, Reimbursement Issues, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues, Telemedicine
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Using Self-Disclosure Protocols – CMS and OIG Self Disclosure Process
By Fisher, JD, CHC, CCEP Self-Disclosure Has Become a Normal Part of the Compliance Process As the OIG and CMS make self-disclosure easier for providers, we have noticed an increase in the rate of cases that are being filed. Assisting … Continue reading
Posted in Compliance Issues, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues, Uncategorized
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