The practice of health care providers giving valuable gifts and throwing parties for referral sources presents considerable risk.  Scrutiny from the Office of the Inspector General (OIG) and other policing bodies is at an all-time high. Here we provide a quick summary of some rules set out by Stark Law, anti-kickback laws, and the Office […]

A recent study finds that nearly half of births in the U.S. are now covered by Medicaid.  America’s income inequality has been growing for nearly two-decades, and this has implications for home health marketing and physical therapy marketing.  As income inequality grows, more and more people become eligible for Medicaid. Unfortunately, in many states, Medicaid […]

The New England Journal of Medicine recently published a study concluding that non-payment for nosocomial infections deemed avoidable has not reduced the rate of hospital-acquired infections so far.* Beginning in 2008, CMS declared that if patients returned to the hospital or surgeon for an infection that was deemed avoidable, they would not pay additional fees […]

With the potential of 26.5% pay cut from the “Sustainable Growth Rate” calculations that could take effect January 1 plus a 2% pay cut from the “Fiscal Cliff,” doctors are probably giving more thought than usual to their Medicare participation. Physicians will have until Dec. 31, 2012, to modify their status with the Medicare program […]