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New IRS Regulations on Transfers from For-Profit Companies to Exempt Entities

Tax-exempt hospitals appear to be swinging back from the days of experimenting with for profit ventures that assumed managed care risk or operated physician practices.

Sexual Harassment and the Practice of Medicine

In May of 1999, Maryland's highest court addressed two issues of interest to the medical community - sexual harassment and the definition of the practice of medicine.

Here Comes the Attorney General

Health care providers should take notice of the expanding role of State Attorneys General in the internal corporate activities of nonprofit health care entities.

Is the SAAC Discount Dead?

Maryland's hospital rate-setting commission, the Health Services Cost Review Commission (HSCRC), has traditionally allowed third-party payors to pay Maryland hospitals 4% less than the hospitals' a

Can an HMO Be Billed for the Balance?

Maryland's Attorney General has issued advice to the State Insurance Commissioner concerning "balance billing" of HMO enrollees.

Inspector General Reports to Congress on Medicare Fraud

June Gibbs Brown, the Inspector General of the U.S.

Did You Know? - Summer 1999

Health Lawyers Acquitted: Did you know that two health care attorneys were acquitted of criminal charges that they allegedly participated in an anti-kickback violation involving a

Angry Doctors

Gordon Feinblatt's recent physician seminar attracted the press, and the following is a reprint of the resulting article that ran in several local newspapers.

New Maryland Health Care Legislation - Summer 1999

The following is a sampling of some of the more significant health care measures enacted by the Maryland General Assembly during its 1999 Session.

Physician Unions: An Antitrust Panacea?

Can physicians increase their bargaining power in negotiations with managed care plans (MCPs)? One way is for physicians collectively to negotiate their contracts with MCPs.

Maryland Regulatory News - Summer 1999

1. In March, the Health Care Access and Cost Commission (HCACC) released its annual report on health care expenditures and utilization based on 1997 data.

Medical Care and the Millennium Bug

We all know the first joke of the new millennium: "Don't be on a life-support system at midnight on December 31, 1999."

Recent Physician Billing Developments

Recent Medicare developments in the area of physician billing include:

Supreme Court Leaves Hospitals Exposed for Medical Training Costs

The U.S. Supreme Court has ruled in favor of federal regulators with respect to graduate medical expenses. The Court's 6-3 decision in Regions Hospital v.

Did You Know? - Spring 1999

Third-Party Payments: Did you know that the Department of Justice has settled charges brought against an Ohio health care insurer's practice of requiring hospitals not to charge lo

Dentist Who Refused to Treat AIDS Patient Loses Again

Earlier in 1998, the United States Supreme Court ruled, in a case involving dental services, that an individual who is HIV positive, but who has no symptoms of AIDS, is disabled and protected again

Heads, the Hospital Wins...Tails, the Physician Loses

A recent decision by Maryland's intermediate appellate court sheds some light on a physician's hearing rights when a hospital terminates the doctor's medical staff privileges as the result of a "bu

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

Husband's IRA Defeats Wife's Medicaid Eligibility for Nursing Home

The New Jersey Supreme Court has recently held, contrary to popular belief, that a husband's individual retirement account (IRA) must be included as a resource for purposes of determining his wife'

Maryland Attorney General Ventures into the Muddy Waters of Fraud and Abuse

At the request of a member of Maryland's General Assembly, the Maryland Attorney General recently ventured into the various State and federal laws that comprise the murky waters of health care frau

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

A recent federal appeals court case, Killian v.

OIG Releases Guidance Regarding Voluntary Fraud Disclosure

The Department of Health and Human Services' Office of the Inspector General (OIG) issued guidelines on October 21, 1998, relating to the voluntary disclosure of "health care fraud." These guidelin

The Duties of Corporate Directors

Everyday, another hospital merger is announced, but what are the duties of hospital directors in approving such a merger?