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Little Health Law Blog

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Georgia Medical Practices: Not Having a Compliance Program is AT YOUR FINANCIAL PERIL

Some critical details of The Affordable Care Act (ACA) are often omitted from the political rhetoric and other noise during public debate about whether the ACA is a “good” or “bad” thing. One such detail – and a huge one – is the ACA’s significant expansion of compliance risks for…

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ICD-10 Implementation: What To Do Now

Post by Guest Author: Robert F. Polglase, MD, JD, CHCQM On Wednesday February 11, 2015 the House Energy and Commerce Committee’s subcommittee on healthcare held its much-awaited hearing on ICD-10 implementation, scheduled for October 1, 2015. Since the implementation delay last year, many providers have slowed down or stopped their…

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FQHCs AND HOSPITALS: EXPECT MORE SECTION 340B AUDITS THIS YEAR

While various types of regulatory and insurance “audits” are on the radar of any prudent Federally Qualified Health Center (FQHC) or hospital, as health care providers, Section 340B audits are a relatively new and unknown animal. The Section 340B Program, whereby qualified covered entities can benefit from substantial discounts on…

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FQHC Section 340B Audit Readiness: A Pound of Prevention

For Federally Qualified Health Centers and other eligible safety net health care centers, proper utilization of the federal Section 340B Drug Discount Program can offer enormous financial advantages to facilitate delivery of high quality primary health care services to their communities. The Section 340B Program, created in 1992, requires drug…

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Physician Practice: Are Physician Non-Compete Agreements Enforceable?

Hospital employment among doctors is increasing. According to Jackson Health’s 2014 Survey, the trend of physician employment is gaining speed. Rapid changes in health care industry fueled by the Affordable Care Act, more insured patients and increasing demands on doctors, decreasing reimbursement, and the growing cost and headaches of owning…

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New Medicare Rules Strengthen Regulatory Oversight of Medicare Providers and Increase CMS’ Ability to Remove Providers from Medicare

Earlier this month, the Centers for Medicare and Medicaid Services (CMS) announced implementation of a Final Rule intended to increase oversight of Medicare providers and enable recoveries from those health care providers that commit fraud and violate Medicare rules. According to the press release, Marilyn Tavenner, the CMS Administrator, stated…

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HHS 2015 Quality Improvement Awards for FQHC recipients: HHS Awards $36.3 Million in Affordable Care Act Funding for FQHCs and Other Health Centers

On December 9, 2014, the U.S. Department of Health & Human Services (HHS) announced substantial financial awards for numerous Federally Qualified Health Centers (FQHCs) and other health centers nationwide. Our Atlanta, Georgia business and health care law firm represents FQHCs and health centers. We learned from HHS’ press release that…

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