Halifax Hospital Medical Center and Halifax Staffing, Inc. (Halifax), on the day of jury selection, agreed to pay $85 million and made other concessions as part of a settlement with the federal government to resolve allegations that Halifax violated STARK prohibitions and the False Claims Act (FCA). The settlement amount…
Little Health Law Blog
March 19, 2014. Our firm’s article Financial Ramifications for Physician Practices of ACA Deductibles: Getting Paid for “Affordable Care,” Published by The Ambulatory M&A Advisor
Our firm’s article Financial Ramifications for Physician Practices of ACA Deductibles: Getting Paid for “Affordable Care,” Published by The Ambulatory M&A Advisor
Possible Delay of the Affordable Care Act’s Individual Mandate
House Republicans gained the support of 27 Democrats and passed The Suspending the Individual Mandate Penalty Law Equals Simple (SIMPLE) Fairness Act (H.R. 4118), a bill that would delay for one year the Affordable Care Act (ACA) individual mandate penalty tax for those failing to buy health insurance before the…
Navigating Troubled Waters: Five Tips for Physician Practice Breakups and Departures
Medical practice breakups and physician departures are inevitable. Some are the result of professional or personal disputes, and others are simply the result of practical or economic realities or life events (disability, death, retirement, etc.). Whatever the circumstances, failing to carefully execute a plan for the breakup can quickly result…
February 20, 2014. Kevin Little speaks to physicians. Financial Ramifications for Physician Practices of ACA Deductibles. In Health Consulting & Educational Services National Tele-Class Series.
Kevin Little speaks to physicians. Financial Ramifications for Physician Practices of ACA Deductibles. In Health Consulting & Educational Services National Tele-Class Series.
Medical Practice Compliance 101
Patients tend to see physicians only as providers of care — meeting their medical needs. The reality is that a physician’s efforts to stay compliant with regulations and laws may consume as much or more time than actually rendering care. With consequences for regulatory violations ranging from financial to criminal,…
An Ounce of Prevention: Identify and Mitigate HIPAA Compliance Issues to Avoid Costly HIPAA Penalties
An unencrypted thumb drive cost a dermatology practice $150,000. On December 26, 2013, the U.S. Department of Health & Human Services (HHS) announced a settlement with Adult & Pediatric Dermatology, P.C. of Concord, Massachusetts (APD) of alleged violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). APD,…
The Affordable Care Act Will Enhance Direct Practice Medicine Opportunities
The Affordable Care Act (ACA), widely known as “Obamacare,” will create new opportunities for primary care doctors (and some specialists) who weigh starting or converting to a direct primary care model. At first blush direct care medicine practices, also known as “concierge,” “boutique” and “retainer-based” practices, which charge patients a…
Don’t Work for Free: Obtaining Timely Physician Reimbursement
Nobody likes to work for free. Physicians and other healthcare providers are frequently at risk of non-payment for valuable services to patients due to third-party payer mistakes and/or attempts to arbitrarily delay, reduce or avoid reimbursement. A common practice of payers is, for example, to deny reimbursement based on an…
Breaking Up is Hard to Do: Dividing Medical Practice Assets
Ending a professional relationship is not easy for anyone. But the demise of a healthcare business relationship among doctors often involves more risks, greater headaches, and more issues to tackle than non-healthcare businesses. Dividing up medical business assets is, for example, much more complex and involved than simply drawing a…