Legal

5 Big Reasons Employees Sue

Physicians as business owners suffer from the same employment-related issues as other small business owners. Unfortunately, this can sometimes include employee lawsuits. There are five big reasons employees sue their employers: 1) unfair dismissal; 2) wage and hour violations; 3) retaliation; 4) harassment; and 5) discrimination. By following good practices, a business owner can avoid these land mines.


The Unexamined Employee Handbook Is Not Worth Having

Even considering the time commitment required to maintain a quality employee handbook, there is little question that employee handbooks can be priceless in solving problems, resolving issues and providing benefits to employers and employees alike.


Estate Planning —It’s Not for the Faint-hearted

Estate planning is telling the courts what to do with your stuff in case you die. When it comes to estate planning, everybody needs something. Figuring out what that “something” is can be difficult.


The Escobar Case and False Certification

Last month’s column provided a brief overview of the False Claims Act (FCA). To recap, the FCA is a federal law that imposes liability on persons and companies who defraud government programs.


HealthCare Law Update: 2016 Fraud and Abuse Control Program Report

Background: The national Health Care Fraud and Abuse Control Program was established by The Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Program, co-managed by the Department of Justice (DOJ) and the Secretary of the Department of Health and Human Services (HHS), conforms federal, state and local law enforcement resources for healthcare fraud and abuse compliance and enforcement.


Physicians on Alert: HIPAA Enforcement Expected to Increase

Federal regulators are taking violations of the Health Insurance Portability and Accountability Act very seriously. 


More and More Physicians Finding FBI Knocking on Door

In recent years, the federal government has placed greater emphasis on healthcare fraud enforcement, and this trend is expected to continue. While the focus had long been on large providers, such as hospitals and pharmaceutical companies, the federal government in 2014 intensified its enforcement of fraud and abuse laws on physicians allegedly engaged in unlawful activity.


The FDA and the Practice of Medicine: The Hidden Price of Lowest-cost Drugs

In June 2014, a Kentucky oncology center and its former office manager pled guilty to purchasing and selling unapproved and improperly labeled chemotherapy drugs and paid $2 million to reimburse the Centers for Medicare and Medicaid Services (CMS). The crime was purchasing drugs approved in foreign countries from an unregistered Canadian supplier, which constituted “false claims” under federal law.


Murky World of Insurance Companies: Physicians and the Texas Prompt Pay Act

Can you think of anything more important than your health? 


ICD-10: An Administrator’s Perspective

By now, you have heard of ICD-10 and know it is coming. You know it will affect not only your practice but our overall healthcare delivery system, too. Within this final period of preparations, I have had the opportunity to attend several ICD-10 seminars and training sessions geared toward preparing practices for implementation. With this article, I would like to explore ICD-10 from a practice administrator perspective and take a look at specific focus areas.