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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

Inspector General Reports to Congress on Medicare Fraud

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

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."

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.

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

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

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

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? - 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

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

A recent federal appeals court case, Killian v.

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

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

Physicians Selling Vitamins

Many physicians around the country are selling or considering selling vitamins to their patients.

The Duties of Corporate Directors

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

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.

Did You Know? - Fall 1998

Health Planning Authority.

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?

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

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.