Regulatory & Compliance

The IRS and Physicians

The Internal Revenue Service (IRS), along with the U.S. Department of Justice, has launched a massive effort to identify and prosecute tax evaders from the medical profession. A major emphasis is to initiate criminal investigations and perform audits of thousands of healthcare providers, focusing on issues such as tax shelter schemes, concealment of income and excessive deductions.

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.

Eliminate the Temptation

In most every instance that is reported regarding embezzlement or theft, the owner of the business is stunned that his or her trusted employee would have committed such an act.

CMS Finalizes Changes to Stark Law

Last month, we discussed a new exception to the Stark Law that will allow hospitals, federally qualified health centers and rural health clinics to provide payments to physicians for the purpose of recruiting and employing nonphysician practitioners (NPPs).

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.

Tax Season Thoughts

As I sat there signing off on tax returns for my physician clients, I smiled to see the beneficial results from the tax planning we started in April of last year. 

The Anthem Security Breach: A Wake-up Call for Covered Entities, Including Physician Practices

In February, Anthem Inc., the country’s second-largest health insurer, announced that hackers breached its IT system and gained unauthorized access to the personal information of as many as 80 million of its current and former clients and employees. 

A Few Comments from a CPA to Others Providing Services to Physicians

As CPAs, we must provide timely tax and accounting services to physicians, their medical practices and their families. As a general rule, it is not possible to over-communicate with your physician clients.