This is our third blog post on concierge medicine practices this month due to an increase in interest by our business and healthcare law firm’s clients. Previous blog posts provided an overview of what concierge medicine is and an overview of compliance risks under Medicare. This post continues the topic by discussing how commercial payors view concierge medicine practices. If you have questions regarding this blog post or starting a concierge practice, you may contact us at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com. You may also learn more about our law firm by visiting www.littlehealthlaw.com.
As stated in our previous post, understanding the compliance risks associated with concierge medicine practices requires understanding a fairly easy and, perhaps, obvious concept: Providers cannot bill patients for services paid for by their insurance; a practice referred to as “double billing.” The general rule is the same for Medicare and commercial payors. Continue reading ›
Increasingly, our healthcare and business law firm’s clients are interested in opening concierge medicine practices. Little Health Law’s last blog post provided an 
Both concierge medicine and direct primary care practices have become popular alternatives to the traditional insurance medical practice model. In a previous post, we 
There are numerous adverse actions that can be taken against a provider’s Medicare ordering and referring or billing privileges. In general, however, deactivation is not considered such an “adverse action” that will reflect on the providers PECOS; however, it does “stop” your ability to use your Medicare privileges. If you have experienced an adverse action on your privileges, such as your privileges being revoked or excluded, please investigate yourself or call counsel to understand the rules and strict deadlines around what to do to 
For various reasons, licensed medical providers may choose to voluntarily surrender their state medical license. Earlier this year, our healthcare and business law firm blogged about the repercussions of 
Our healthcare and business law firm previously published a blog post on the 
Given the increased use of telehealth during the Public Health Emergency (“PHE”), the Centers for Medicare and Medicaid Services (CMS) passed a final rule modifying the rules around when Medicare will reimburse for mental health visits. A previous blog post analyzed Federal laws and rules governing telehealth visits, including the general 
Many of our healthcare and business law firm’s clients have an interest in offering a practice that offers more flexibility to patients when it comes to in-person versus virtual visits. Deciding to offer telemedicine visits to your patients not only requires acquiring a video product that satisfies HIPAA and other privacy requirements but requires compliance with numerous laws at the state and federal level. This post analyzes potentially relevant federal laws and rules that currently apply during the Public Health Emergency (“PHE”). A subsequent post will provide an overview of state law considerations. If you have questions about 
We have seen a continued growth in the popularity of medical spas despite the hurdles presented by the COVID-19 pandemic. See 
Previous blog posts provided an overview of the Centers for Medicare and Medicaid Services’s (“CMS”)