How Specific Should a Health Plan's Appeals Policies Be?

A recent federal appeals court case, Killian v.

Did You Know? - Winter 1998

Home Health Compliance. Did you know that the Office of Inspector General of the Department of Health and Human Services has issued a model voluntary compliance plan directed at ho

Practice Management Agreements Draw Fire

The Office of the Inspector General of the Department of Health and Human Services (OIG) has recently issued an advisory opinion raising serious questions concerning the legality of many agreements

Monetary Penalties For the Violation of Agreements Not to Compete

When physicians enter into employment agreements they often are asked to agree to covenants not to compete.

Maryland Regulatory News - Fall 1998

1. In July, the Health Services Cost Review Commission (HSCRC) denied Union Memorial Hospital's request for a 3.89% rate increase as generated by the HSCRC's Inflation Adjustment System.

JCAHO Sentinel Event Policy Stirs Controversy

The Joint Commission on Accreditation of Healthcare Organization (JCAHO), a private organization that accredits the nations' health care institutions, has adopted a new policy that encourages all a

Is It Too Late To Bill?

Health care providers understand that they should send their bills out within a certain time period from the date services are rendered, but what is that time period?

Did You Know? - Fall 1998

Health Planning Authority.

A Securities Law Primer

Doctors are increasingly finding themselves owners of interests in various health care companies. For example, some doctors are trading their practices for stock in practice management companies.

Voluntary Hospital Compliance Programs May No Longer Be Voluntary

On February 11, 1998, the Office of the Inspector General (OIG), of the Department of Health and Human Services, released the long awaited "Compliance Program Guidance for Hospitals" to help hospit