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Medical Practice

When Do I Need a Healthcare Attorney?  Responding to an Investigation by the Virginia Department of Health Professions

When Do I Need a Healthcare Attorney? Responding to an Investigation by the Virginia Department of Health Professions

Do I really need a healthcare attorney? The Board is simply asking me to answer some questions and provide some documentation. Of course, a Board complaint is a big deal, but this part seems harmless/easy enough. I will just respond and tell them what happened, right?” The reality is that an effective is not as straightforward as it may seem. Hiring a healthcare attorney to assist in the preparation of your response to a complaint investigation can improve your chances of resolving the complaint at the investigation stage, incidentally saving you money in the long run.

Can Nurse Practitioners Run Their Own Practices in Virginia?

Can Nurse Practitioners Run Their Own Practices in Virginia?

In April 2018, Governor Ralph Northam signed House Bill 793, which will allow Virginia nurse practitioners (NPs) with the equivalent of five years of full-time practice with a collaborating physician to be certified to practice independently.  What does this mean for NPs in Virginia? Practically speaking, if a nurse practitioner meets the qualifications and makes the appropriate filings with the Board of Nursing, he or she can open up an independent practice to provide care in their community. This change aligns Virginia law with more than twenty other states across the country in adopting full practice authority and is expected to expand access to affordable primary care to thousands of Virginians. 

How to get paid for Remote Patient Monitoring with CPT Code 99091

How to get paid for Remote Patient Monitoring with CPT Code 99091

Two Final Rules issued by CMS in November 2017 opened up entirely new avenues for reimbursement of Remote Patient Monitoring services in 2018, creating the potential for better patient outcomes and a boost to a medical practice's bottom line.

The MACRA 2018 Proposed Rule: What does it mean for you?

The MACRA 2018 Proposed Rule: What does it mean for you?

Last week, CMS issued a Proposed Rule suggesting changes for Year 2 of the Quality Payment Program ("QPP"), established under the Medicare Access and CHIP Reauthorization Act of 2015. The changes are aimed at reducing administrative and financial burdens of the QPP on physician practices, particularly small independent practices and practices serving rural communities. Per CMS, the Proposed Rule "continues the slow ramp-up of the Quality Payment Program by establishing special policies for Program Year 2 aimed at encouraging successful participation in the program while reducing burden, reducing the number of clinicians required to participate, and preparing clinicians for the CY 2019 performance period."

Physician Employment Contracts: The Compensation Package

Physician Employment Contracts: The Compensation Package

Before signing an employment contract, it is crucial to understand the details of your compensation package.  Often, things are not as straightforward as they may appear, and small details may make a big difference to your take-home bottom line and your lifestyle. Before you sign on the dotted line, consider both the cash and non-cash components and evaluate what is most important to you. 

Five New Safe Harbors to the Fraud and Abuse Statutes: What do they mean for healthcare providers?

Five New Safe Harbors to the Fraud and Abuse Statutes: What do they mean for healthcare providers?

Five new safe harbors have been added to the Anti-Kickback Statute (AKS) in the final rule, issued on December 17, 2016 by the Health and Human Services Office of the Inspector General (OIG). In addition, existing safe harbors have been revised to grant further protections to providers from criminal prosecution and civil damages. What these changes mean for providers: The trend in healthcare is to move from volume-based care to value-based care.