Compliance Archives - Wisdom. Applied. https://blog.weisspc.com/category/compliance/ Wisdom Applied - Decoding the Business of Healthcare — Mark Weiss’s Perspective Wed, 14 Oct 2026 16:19:03 +0000 en-US hourly 1 183918279 Prosecuted For an Employee’s Crime? https://blog.weisspc.com/prosecuted-for-an-employees-crime/ https://blog.weisspc.com/prosecuted-for-an-employees-crime/#respond Mon, 05 Oct 2026 16:02:58 +0000 https://blog.weisspc.com/?p=37318 The DOJ has issued new guidance explaining how prosecutors will decide whether to charge a business for employee misconduct. For healthcare organizations, understanding those factors may be critical to reducing enforcement risk.

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]]> https://blog.weisspc.com/prosecuted-for-an-employees-crime/feed/ 0 37318 Are They Banning Corporate Practice of Medicine if Hospitals Get a Pass? https://blog.weisspc.com/corporate-practice-of-medicine-hospital-exemption/ https://blog.weisspc.com/corporate-practice-of-medicine-hospital-exemption/#respond Mon, 21 Sep 2026 16:08:36 +0000 https://blog.weisspc.com/?p=37260 If controlling physician practices is the problem, why do proposed corporate practice of medicine reforms target private equity while largely exempting nonprofit hospital systems?

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]]> https://blog.weisspc.com/corporate-practice-of-medicine-hospital-exemption/feed/ 0 37260 Ghost Medical Directors Haunted by Medical Boards https://blog.weisspc.com/ghost-medical-director-liability/ https://blog.weisspc.com/ghost-medical-director-liability/#respond Mon, 14 Sep 2026 16:11:36 +0000 https://blog.weisspc.com/?p=37251 State regulators are cracking down on physicians who serve as medical directors in name only. If you're collecting a fee but providing little or no actual oversight, your medical license could be at risk.

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]]> https://blog.weisspc.com/ghost-medical-director-liability/feed/ 0 37251 The DOJ Doesn’t Care That You Didn’t Know https://blog.weisspc.com/anti-kickback-trap-physicians/ https://blog.weisspc.com/anti-kickback-trap-physicians/#respond Tue, 08 Sep 2026 16:14:49 +0000 https://blog.weisspc.com/?p=37236 Most physicians charged under the Anti-Kickback Statute aren't criminal masterminds. They're busy professionals who signed agreements they never fully vetted. Here's why medical directorships, consulting arrangements, and referral relationships deserve a second look before the DOJ does it for you.

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]]> https://blog.weisspc.com/anti-kickback-trap-physicians/feed/ 0 37236 Prosecuted by Algorithm? What Every Physician Must Know About the DOJ’s Renewed Attack on Healthcare Fraud.  https://blog.weisspc.com/doj-healthcare-fraud-enforcement-ai-physicians/ https://blog.weisspc.com/doj-healthcare-fraud-enforcement-ai-physicians/#respond Mon, 17 Aug 2026 17:10:42 +0000 https://blog.weisspc.com/?p=37213 Physicians and medical groups should understand the compliance risks before becoming unintended targets of government scrutiny.

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]]> https://blog.weisspc.com/doj-healthcare-fraud-enforcement-ai-physicians/feed/ 0 37213 For FIFA They Called It a Bribe. The OIG Calls It a Kickback.  https://blog.weisspc.com/fifa-bribe-oig-kickback-healthcare/ https://blog.weisspc.com/fifa-bribe-oig-kickback-healthcare/#respond Tue, 14 Jul 2026 15:37:27 +0000 https://blog.weisspc.com/?p=37155 What FIFA called bribery, healthcare regulators call kickbacks. Lessons from FIFA, labs, drug companies, and health systems on AKS compliance.

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]]> https://blog.weisspc.com/fifa-bribe-oig-kickback-healthcare/feed/ 0 37155 The Fall of the Friendly Physician  https://blog.weisspc.com/fall-of-friendly-physician-model/ https://blog.weisspc.com/fall-of-friendly-physician-model/#respond Tue, 30 Jun 2026 19:42:49 +0000 https://blog.weisspc.com/?p=37142 The “friendly physician” model is being dismantled. New laws target MSO control and paper ownership, forcing real physician governance in healthcare practices.

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]]> https://blog.weisspc.com/fall-of-friendly-physician-model/feed/ 0 37142 A $995 Sneaker and Its Lessons for Your Business https://blog.weisspc.com/physician-services-not-commodity/ https://blog.weisspc.com/physician-services-not-commodity/#respond Mon, 29 Dec 2025 16:24:15 +0000 https://blog.weisspc.com/?p=5455 Physician services aren’t a commodity, they’re a value proposition. Learn how mindset shifts and premium positioning can transform your practice and attract high-value patients.

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]]> https://blog.weisspc.com/physician-services-not-commodity/feed/ 0 5455 Double Trouble: Prosecuted and Sued for the Same Scam https://blog.weisspc.com/physician-fraud-civil-and-criminal-charges/ https://blog.weisspc.com/physician-fraud-civil-and-criminal-charges/#respond Mon, 28 Jul 2025 15:57:50 +0000 https://blog.weisspc.com/?p=35120 Out of state. Still billing for in-person care.
A physician submitted claims while vacationing in Hawaii—and now faces criminal sentencing and a $500k civil payout.

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]]> https://blog.weisspc.com/physician-fraud-civil-and-criminal-charges/feed/ 0 35120 The Nation’s Largest Health Care Fraud Bust, Plus Bureaucratic Negligence https://blog.weisspc.com/the-nations-largest-health-care-fraud-bust-plus-bureaucratic-negligence/ https://blog.weisspc.com/the-nations-largest-health-care-fraud-bust-plus-bureaucratic-negligence/#respond Mon, 07 Jul 2025 15:52:01 +0000 https://blog.weisspc.com/?p=34540 It’s been said that people read published lists of disciplined fellow professionals out of a sense of schadenfreude, the pleasure derived from another’s misfortune.

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]]> https://blog.weisspc.com/the-nations-largest-health-care-fraud-bust-plus-bureaucratic-negligence/feed/ 0 34540 Leasing Out Your Medical License? From a Few Bucks to a Felony https://blog.weisspc.com/leasing-out-your-medical-license-from-a-few-bucks-to-a-felony/ https://blog.weisspc.com/leasing-out-your-medical-license-from-a-few-bucks-to-a-felony/#respond Thu, 19 Jun 2025 16:17:40 +0000 https://blog.weisspc.com/?p=34290 As physicians get squeezed by insurers and other payers, including Medicare, and as the costs of operating a medical practice increase, more are looking for ways to supplement their income.

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]]> https://blog.weisspc.com/leasing-out-your-medical-license-from-a-few-bucks-to-a-felony/feed/ 0 34290 A Ban on PE in Medical Practice and a Gutting of Practice Value https://blog.weisspc.com/a-ban-on-pe-in-medical-practice-and-a-gutting-of-practice-value/ https://blog.weisspc.com/a-ban-on-pe-in-medical-practice-and-a-gutting-of-practice-value/#respond Mon, 16 Jun 2025 15:51:56 +0000 https://blog.weisspc.com/?p=34172 Certainly, Oregon is a small state in terms of medical practice, but what’s happened in Oregon could, and some say will, spread across the country.

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]]> https://blog.weisspc.com/a-ban-on-pe-in-medical-practice-and-a-gutting-of-practice-value/feed/ 0 34172 Pain Doc Likely in Pain After Settling Allegations That Billed Procedures Weren’t Performed https://blog.weisspc.com/pain-doc-likely-in-pain-after-settling-allegations-that-billed-procedures-werent-performed/ https://blog.weisspc.com/pain-doc-likely-in-pain-after-settling-allegations-that-billed-procedures-werent-performed/#respond Wed, 11 Jun 2025 15:07:47 +0000 https://blog.weisspc.com/?p=34118 Was it a scam or an error? A settlement is just that and there’s been no determination of liability.

Neither you nor I can know for sure what went on, but either way, there’s a lesson here about billing compliance.

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]]> https://blog.weisspc.com/pain-doc-likely-in-pain-after-settling-allegations-that-billed-procedures-werent-performed/feed/ 0 34118 14 Month Prison Term in “Doctor Chasing” Scam https://blog.weisspc.com/14-month-prison-term-in-doctor-chasing-scam/ https://blog.weisspc.com/14-month-prison-term-in-doctor-chasing-scam/#respond Mon, 02 Jun 2025 16:01:27 +0000 https://blog.weisspc.com/?p=33751 There’s huge danger in any arrangement in which you put your prescribing imprimatur on any script or order for any item, especially those reimbursed by Medicare.

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]]> https://blog.weisspc.com/14-month-prison-term-in-doctor-chasing-scam/feed/ 0 33751 DOJ to Focus on Criminal Healthcare Fraud and Prosecuting the Individuals Involved https://blog.weisspc.com/doj-to-focus-on-prosecuting-individuals/ https://blog.weisspc.com/doj-to-focus-on-prosecuting-individuals/#respond Mon, 19 May 2025 15:49:03 +0000 https://blog.weisspc.com/?p=32750 In real life healthcare compliance, there's no get out of jail free card.

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]]> https://blog.weisspc.com/doj-to-focus-on-prosecuting-individuals/feed/ 0 32750 How Medical Group Collaboration Creeps into Fraud—Pass-Through Billing https://blog.weisspc.com/medical-group-collaboration-pass-through-billing/ https://blog.weisspc.com/medical-group-collaboration-pass-through-billing/#respond Mon, 28 Apr 2025 15:39:40 +0000 https://blog.weisspc.com/?p=32084 Hospital-based medical groups, notably anesthesiology and radiology groups, are increasingly turning to creative means to provide coverage and to improve collections.

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]]> https://blog.weisspc.com/medical-group-collaboration-pass-through-billing/feed/ 0 32084 Did They Sell Their Seoul? The $62+ Million Settlement https://blog.weisspc.com/62-million-fca-settlement/ https://blog.weisspc.com/62-million-fca-settlement/#respond Mon, 21 Apr 2025 16:59:54 +0000 https://blog.weisspc.com/?p=31818 There’s a reason why Medicare Advantage is fertile ground for fraud enforcement.

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]]> https://blog.weisspc.com/62-million-fca-settlement/feed/ 0 31818 When Teenagers Mix $15 Creams Sold for $16,000: A Lesson in Arrogance, Greed—and Consequences https://blog.weisspc.com/pharmacy-kickback-schemes-healthcare/ https://blog.weisspc.com/pharmacy-kickback-schemes-healthcare/#respond Fri, 18 Apr 2025 11:49:00 +0000 https://blog.weisspc.com/?p=31812 Imagine a pharmacy operation so brazen that it paid doctors millions in kickbacks to prescribe compound creams mixed in the backroom by untrained teenagers—then billed the government as much as $16,000 per tube.

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]]> https://blog.weisspc.com/pharmacy-kickback-schemes-healthcare/feed/ 0 31812 The $4 Million Pee Test Scam: How One Lab Owner Flushed His Future https://blog.weisspc.com/the-4-million-pee-test-scam/ https://blog.weisspc.com/the-4-million-pee-test-scam/#respond Mon, 17 Mar 2025 15:41:27 +0000 https://blog.weisspc.com/?p=31642 There are dumb crimes, and then there are crimes so dumb they come with a built-in paper trail leading straight to prison.

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]]> https://blog.weisspc.com/the-4-million-pee-test-scam/feed/ 0 31642 Aetna Health v. Radiology Partners and the Danger of Pass-Through Billing https://blog.weisspc.com/aetna-health-v-radiology-partners-and-the-danger-of-pass-through-billing/ https://blog.weisspc.com/aetna-health-v-radiology-partners-and-the-danger-of-pass-through-billing/#respond Mon, 13 Jan 2025 19:18:22 +0000 https://blog.weisspc.com/?p=31541 There are, depending upon the particular arrangement, potential end runs around contractual pass-through billing prohibitions, but they are highly fact specific and technical.

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]]> https://blog.weisspc.com/aetna-health-v-radiology-partners-and-the-danger-of-pass-through-billing/feed/ 0 31541 Lesson from McKinsey – Avoiding Consultants from Hell https://blog.weisspc.com/lesson-from-mckinsey/ https://blog.weisspc.com/lesson-from-mckinsey/#respond Mon, 30 Dec 2024 17:00:55 +0000 https://blog.weisspc.com/?p=31514 Are you sure those consultants are helping to improve your business? Or are they potentially sending you to jail?

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]]> https://blog.weisspc.com/lesson-from-mckinsey/feed/ 0 31514 Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House – Medical Group Minute https://blog.weisspc.com/conviction-for-70-million-in-fake-claims-video/ https://blog.weisspc.com/conviction-for-70-million-in-fake-claims-video/#respond Wed, 31 Jul 2024 08:24:00 +0000 https://blog.weisspc.com/?p=31214 Although health care fraud doesn’t require the involvement of telemedicine, with advances in telemedicine come “advances” in criminal schemes.

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]]> https://blog.weisspc.com/conviction-for-70-million-in-fake-claims-video/feed/ 0 31214 Snoop Doc Takes The Rap For HIPAA Hop – Faces 5 Years in Pen For Illegally Accessing Medical Records – Podcast https://blog.weisspc.com/snoop-doc-takes-the-rap-for-hipaa-illegal-access-audio/ https://blog.weisspc.com/snoop-doc-takes-the-rap-for-hipaa-illegal-access-audio/#respond Thu, 25 Jul 2024 08:04:00 +0000 https://blog.weisspc.com/?p=31241 You’re signed in to the hospital’s electronic medical record system. What’s the harm in just typing in the name of a friend to see what pops up?

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]]> https://blog.weisspc.com/snoop-doc-takes-the-rap-for-hipaa-illegal-access-audio/feed/ 0 31241 “Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Medical Group Minute https://blog.weisspc.com/loco-tenens-agency-pay-false-claims-video/ https://blog.weisspc.com/loco-tenens-agency-pay-false-claims-video/#respond Wed, 17 Jul 2024 09:31:00 +0000 https://blog.weisspc.com/?p=31131 With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.

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]]> https://blog.weisspc.com/loco-tenens-agency-pay-false-claims-video/feed/ 0 31131 Snoop Doc Takes The Rap For HIPAA Hop – Faces 5 Years in Pen For Illegally Accessing Medical Records https://blog.weisspc.com/snoop-doc-takes-the-rap-for-hipaa-illegal-access/ https://blog.weisspc.com/snoop-doc-takes-the-rap-for-hipaa-illegal-access/#respond Mon, 15 Jul 2024 15:07:07 +0000 https://blog.weisspc.com/?p=31196 You’re signed in to the hospital’s electronic medical record system. What’s the harm in just typing in the name of a friend to see what pops up?

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]]> https://blog.weisspc.com/snoop-doc-takes-the-rap-for-hipaa-illegal-access/feed/ 0 31196 Supreme Court Declares Chevron Out of Gas – Better or Worse for You? https://blog.weisspc.com/supreme-court-declares-chevron-out-of-gas-better-or-worse-for-you/ https://blog.weisspc.com/supreme-court-declares-chevron-out-of-gas-better-or-worse-for-you/#respond Mon, 08 Jul 2024 15:59:59 +0000 https://blog.weisspc.com/?p=31178 You’d think there’d be far and wide celebration over freedom from the yoke of administrative tyranny, but it turns out that more than a few don’t want to be free...

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]]> https://blog.weisspc.com/supreme-court-declares-chevron-out-of-gas-better-or-worse-for-you/feed/ 0 31178 “Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Podcast https://blog.weisspc.com/loco-tenens-agency-pay-false-claims-audio/ https://blog.weisspc.com/loco-tenens-agency-pay-false-claims-audio/#respond Thu, 27 Jun 2024 10:25:00 +0000 https://blog.weisspc.com/?p=31145 With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.

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]]> https://blog.weisspc.com/loco-tenens-agency-pay-false-claims-audio/feed/ 0 31145 Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House https://blog.weisspc.com/conviction-for-70-million-in-fake-claims/ https://blog.weisspc.com/conviction-for-70-million-in-fake-claims/#respond Mon, 03 Jun 2024 14:44:00 +0000 https://blog.weisspc.com/?p=31051 Although health care fraud doesn’t require the involvement of telemedicine, with advances in telemedicine come “advances” in criminal schemes.

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]]> https://blog.weisspc.com/conviction-for-70-million-in-fake-claims/feed/ 0 31051 The Use of Banned Messaging Apps Cost Wall Street Banks Close to $2 Billion. What Will it Cost Your Medical Group or Facility? – Medical Group Minute https://blog.weisspc.com/the-use-of-banned-messaging-apps-video/ https://blog.weisspc.com/the-use-of-banned-messaging-apps-video/#respond Wed, 15 May 2024 08:06:00 +0000 https://blog.weisspc.com/?p=30930 Banks, brokerages, and your medical group or facility’s potential violation of HIPAA?

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]]> https://blog.weisspc.com/the-use-of-banned-messaging-apps-video/feed/ 0 30930 The Use of Banned Messaging Apps Cost Wall Street Banks Close to $2 Billion. What Will it Cost Your Medical Group or Facility? – Podcast https://blog.weisspc.com/the-use-of-banned-messaging-apps-audio/ https://blog.weisspc.com/the-use-of-banned-messaging-apps-audio/#respond Thu, 09 May 2024 08:00:00 +0000 https://blog.weisspc.com/?p=30950 Banks, brokerages, and your medical group or facility’s potential violation of HIPAA?

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]]> https://blog.weisspc.com/the-use-of-banned-messaging-apps-audio/feed/ 0 30950 Does Selling to Private Equity Increase Your Risk of Liability For Healthcare Fraud? – Podcast https://blog.weisspc.com/physician-risk-selling-private-equity-audio/ https://blog.weisspc.com/physician-risk-selling-private-equity-audio/#respond Thu, 02 May 2024 08:03:00 +0000 https://blog.weisspc.com/?p=30846 The first purchase price is the one that the seller receives. The second purchase price is the one that the seller pays by having sold to the wrong buyer.

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]]> https://blog.weisspc.com/physician-risk-selling-private-equity-audio/feed/ 0 30846 She Said, He Heard – A Lesson From Insider Trading to Prevent Your HIPAA Violation – Podcast https://blog.weisspc.com/prevent-hipaa-violations-working-remotely-audio/ https://blog.weisspc.com/prevent-hipaa-violations-working-remotely-audio/#respond Thu, 25 Apr 2024 08:16:00 +0000 https://blog.weisspc.com/?p=30814 What policies does your group have? How are they enforced . . . or even, how can they be enforced?

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]]> https://blog.weisspc.com/prevent-hipaa-violations-working-remotely-audio/feed/ 0 30814 Does Selling to Private Equity Increase Your Risk of Liability For Healthcare Fraud? – Medical Group Minute https://blog.weisspc.com/physician-risk-selling-private-equity-video/ https://blog.weisspc.com/physician-risk-selling-private-equity-video/#respond Wed, 17 Apr 2024 08:18:00 +0000 https://blog.weisspc.com/?p=30816 The first purchase price is the one that the seller receives. The second purchase price is the one that the seller pays by having sold to the wrong buyer.

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]]> https://blog.weisspc.com/physician-risk-selling-private-equity-video/feed/ 0 30816 For Rent – One Slightly Used DEA Number – Success in Motion https://blog.weisspc.com/for-rent-one-slightly-used-dea-number-sim/ https://blog.weisspc.com/for-rent-one-slightly-used-dea-number-sim/#respond Tue, 16 Apr 2024 10:40:00 +0000 https://blog.weisspc.com/?p=30854 Ride along with Mark for a cautionary tale.

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]]> https://blog.weisspc.com/for-rent-one-slightly-used-dea-number-sim/feed/ 0 30854 She Said, He Heard – A Lesson From Insider Trading to Prevent Your HIPAA Violation – Medical Group Minute https://blog.weisspc.com/prevent-hipaa-violations-working-remotely-video/ https://blog.weisspc.com/prevent-hipaa-violations-working-remotely-video/#respond Wed, 10 Apr 2024 07:57:00 +0000 https://blog.weisspc.com/?p=30843 What policies does your group have? How are they enforced . . . or even, how can they be enforced?

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]]> https://blog.weisspc.com/prevent-hipaa-violations-working-remotely-video/feed/ 0 30843 “Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme https://blog.weisspc.com/loco-tenens-agency-pay-false-claims/ https://blog.weisspc.com/loco-tenens-agency-pay-false-claims/#respond Mon, 25 Mar 2024 16:31:55 +0000 https://blog.weisspc.com/?p=30809 With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.

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]]> https://blog.weisspc.com/loco-tenens-agency-pay-false-claims/feed/ 0 30809 Fake Patients and Oxy Send Doc and Partner to Prison – Success in Motion https://blog.weisspc.com/fake-patients-and-oxy-send-doc-to-prison-sim/ https://blog.weisspc.com/fake-patients-and-oxy-send-doc-to-prison-sim/#respond Tue, 19 Mar 2024 11:40:00 +0000 https://blog.weisspc.com/?p=30574 Ride along with Mark while he discusses a “Dr. Drug Dealer” heading to prison.

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]]> https://blog.weisspc.com/fake-patients-and-oxy-send-doc-to-prison-sim/feed/ 0 30574 Does Selling to Private Equity Increase Your Risk of Liability For Healthcare Fraud? https://blog.weisspc.com/physician-risk-selling-private-equity/ https://blog.weisspc.com/physician-risk-selling-private-equity/#respond Mon, 04 Mar 2024 16:09:16 +0000 https://blog.weisspc.com/?p=30747 The first purchase price is the one that the seller receives. The second purchase price is the one that the seller pays by having sold to the wrong buyer.

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]]> https://blog.weisspc.com/physician-risk-selling-private-equity/feed/ 0 30747 She Said, He Heard – A Lesson From Insider Trading to Prevent Your HIPAA Violation https://blog.weisspc.com/prevent-hipaa-violations-working-remotely/ https://blog.weisspc.com/prevent-hipaa-violations-working-remotely/#respond Mon, 26 Feb 2024 16:11:07 +0000 https://blog.weisspc.com/?p=30726 What policies does your group have? How are they enforced . . . or even, how can they be enforced?

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]]> https://blog.weisspc.com/prevent-hipaa-violations-working-remotely/feed/ 0 30726 Physician Behind Bars for Referrals: Kickbacks, Bribes, and Mail Fraud – Podcast https://blog.weisspc.com/physician-kickback-mail-fraud-case-audio/ https://blog.weisspc.com/physician-kickback-mail-fraud-case-audio/#respond Thu, 08 Feb 2024 12:29:00 +0000 https://blog.weisspc.com/?p=30638 Every new, and every existing, financial relationship with anyone or any entity with which physicians and other healthcare providers do business must be vetted or re-vetted in light of today’s enforcement reality.

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]]> https://blog.weisspc.com/physician-kickback-mail-fraud-case-audio/feed/ 0 30638 Jury Convicts Chief Compliance Officer For $50 Million Medicare Fraud Scheme – Medical Group Minute https://blog.weisspc.com/compliance-officer-health-fraud-risk-video/ https://blog.weisspc.com/compliance-officer-health-fraud-risk-video/#respond Wed, 17 Jan 2024 12:00:00 +0000 https://blog.weisspc.com/?p=30186 We all know the expression “life imitating art”, but hardly anyone talks about “crimes imitating compliance”. That is, until today.

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]]> https://blog.weisspc.com/compliance-officer-health-fraud-risk-video/feed/ 0 30186 The Use of Banned Messaging Apps Cost Wall Street Banks Close to $2 Billion. What Will it Cost Your Medical Group or Facility? https://blog.weisspc.com/the-use-of-banned-messaging-apps/ https://blog.weisspc.com/the-use-of-banned-messaging-apps/#respond Mon, 01 Jan 2024 12:36:00 +0000 https://blog.weisspc.com/?p=30500 Banks, brokerages, and your medical group or facility’s potential violation of HIPAA?

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]]> https://blog.weisspc.com/the-use-of-banned-messaging-apps/feed/ 0 30500 Is Your Compliance Plan Bad for Compliance? https://blog.weisspc.com/is-your-compliance-plan-bad-for-compliance/ https://blog.weisspc.com/is-your-compliance-plan-bad-for-compliance/#respond Mon, 04 Dec 2023 20:52:00 +0000 https://blog.weisspc.com/?p=29995 Compliance isn’t the purchase of a plan or even the adoption of a plan; compliance is an ongoing process, not a document or even a set point in time.

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]]> https://blog.weisspc.com/is-your-compliance-plan-bad-for-compliance/feed/ 0 29995 Jury Convicts Chief Compliance Officer For $50 Million Medicare Fraud Scheme – Podcast https://blog.weisspc.com/compliance-officer-health-fraud-risk-audio/ https://blog.weisspc.com/compliance-officer-health-fraud-risk-audio/#respond Thu, 30 Nov 2023 10:57:00 +0000 https://blog.weisspc.com/?p=30196 We all know the expression “life imitating art”, but hardly anyone talks about “crimes imitating compliance”. That is, until today.

The post Jury Convicts Chief Compliance Officer For $50 Million Medicare Fraud Scheme – Podcast appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/compliance-officer-health-fraud-risk-audio/feed/ 0 30196 Repurposing a Failing or Closed Hospital – Medical Group Minute https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital-video/ https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital-video/#respond Wed, 11 Oct 2023 08:26:00 +0000 https://blog.weisspc.com/?p=30365 Listen while Mark as he discusses converting a closed or failing hospital into a surgery center or other outpatient facility.

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]]> https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital-video/feed/ 0 30365 Get Sure That You’re Insured – Podcast https://blog.weisspc.com/get-sure-youre-insured-audio/ https://blog.weisspc.com/get-sure-youre-insured-audio/#respond Thu, 27 Jul 2023 08:51:00 +0000 https://blog.weisspc.com/?p=29942 What if you’re sued for an event that one of your own members didn’t cause? To your dismay, you find out that you’re not covered for that.

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]]> https://blog.weisspc.com/get-sure-youre-insured-audio/feed/ 0 29942 How Much Should You Charge to Respond to That RFP? – Podcast https://blog.weisspc.com/how-much-should-you-charge-for-rfp-audio/ https://blog.weisspc.com/how-much-should-you-charge-for-rfp-audio/#respond Thu, 29 Jun 2023 08:52:00 +0000 https://blog.weisspc.com/?p=29884 Responding to any RFP takes considerable time and requires significant investment. So how much should your group charge to provide its proposal?

The post How Much Should You Charge to Respond to That RFP? – Podcast appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/how-much-should-you-charge-for-rfp-audio/feed/ 0 29884 Physician Found Guilty on All Charges Stemming From Re-Use of Single-Use Medical Devices – Medical Group Minute https://blog.weisspc.com/physician-found-guilty-on-all-charges-stemming-from-re-use-of-single-use-medical-devices-medical-group-minute/ https://blog.weisspc.com/physician-found-guilty-on-all-charges-stemming-from-re-use-of-single-use-medical-devices-medical-group-minute/#respond Wed, 21 Jun 2023 09:25:00 +0000 https://blog.weisspc.com/?p=29859 Don’t set yourself up to go to prison by thinking you are setting the government up to overpay you.

The post Physician Found Guilty on All Charges Stemming From Re-Use of Single-Use Medical Devices – Medical Group Minute appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/physician-found-guilty-on-all-charges-stemming-from-re-use-of-single-use-medical-devices-medical-group-minute/feed/ 0 29859 A Bitter Pill: Pharmacy Settles FCA Claim. Physicians Can Suffer Side Effects https://blog.weisspc.com/a-bitter-pill-pharmacy-settles-fca-claim-physicians-can-suffer-side-effects/ https://blog.weisspc.com/a-bitter-pill-pharmacy-settles-fca-claim-physicians-can-suffer-side-effects/#respond Mon, 19 Jun 2023 15:59:41 +0000 https://blog.weisspc.com/?p=29876 Although you might stay miles away from anything related to compounded medication, the waiver of co-pay issue haunts many medical groups and other providers.

The post A Bitter Pill: Pharmacy Settles FCA Claim. Physicians Can Suffer Side Effects appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/a-bitter-pill-pharmacy-settles-fca-claim-physicians-can-suffer-side-effects/feed/ 0 29876 Jury Convicts Chief Compliance Officer For $50 Million Medicare Fraud Scheme https://blog.weisspc.com/compliance-officer-health-fraud-risk/ https://blog.weisspc.com/compliance-officer-health-fraud-risk/#respond Mon, 12 Jun 2023 15:32:59 +0000 https://blog.weisspc.com/?p=29862 We all know the expression “life imitating art”, but hardly anyone talks about “crimes imitating compliance”. That is, until today.

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]]> https://blog.weisspc.com/compliance-officer-health-fraud-risk/feed/ 0 29862 $580 Million in Medicare Overpayments. No Jail Time, No Repayment. – Success in Motion https://blog.weisspc.com/580-million-in-medicare-overpayments-no-jail-time-success-in-motion/ https://blog.weisspc.com/580-million-in-medicare-overpayments-no-jail-time-success-in-motion/#respond Tue, 16 May 2023 11:37:00 +0000 https://blog.weisspc.com/?p=29796 Ride along with Mark as he discusses $580 million in Medicare overpayments that no one has been asked to pay back.

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]]> https://blog.weisspc.com/580-million-in-medicare-overpayments-no-jail-time-success-in-motion/feed/ 0 29796 Fined for Actual and Potential HIPAA Violations! – Podcast https://blog.weisspc.com/hipaa-violations-federal-fines-audio/ https://blog.weisspc.com/hipaa-violations-federal-fines-audio/#respond Thu, 09 Feb 2023 12:00:00 +0000 https://blog.weisspc.com/?p=28499 Listen in as we discuss a recent settlement of an actual HIPAA violation. And even more troubling, learn about another HIPAA breach settlement that didn’t even involve am actual HIPAA breach . . . only a potential one.

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]]> https://blog.weisspc.com/hipaa-violations-federal-fines-audio/feed/ 0 28499 Physician Found Guilty on All Charges Stemming From Re-Use of Single-Use Medical Devices https://blog.weisspc.com/physician-found-guilty-on-all-charges-stemming-from-re-use-of-single-use-medical-devices/ https://blog.weisspc.com/physician-found-guilty-on-all-charges-stemming-from-re-use-of-single-use-medical-devices/#respond Mon, 06 Feb 2023 16:29:30 +0000 https://blog.weisspc.com/?p=28501 Don’t set yourself up to go to prison by thinking you are setting the government up to overpay you.

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]]> https://blog.weisspc.com/physician-found-guilty-on-all-charges-stemming-from-re-use-of-single-use-medical-devices/feed/ 0 28501 A Simple Rule For Compliance: Clinical Need Not Fiscal Greed https://blog.weisspc.com/billing-clinical-need-compliance/ https://blog.weisspc.com/billing-clinical-need-compliance/#respond Mon, 16 Jan 2023 16:30:25 +0000 https://blog.weisspc.com/?p=28418 OK, it’s a softball question: When is it improper to bill for a case?

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]]> https://blog.weisspc.com/billing-clinical-need-compliance/feed/ 0 28418 Here’s a Tip About Physician Compensation – Podcast https://blog.weisspc.com/physician-staff-compensation-tips-audio/ https://blog.weisspc.com/physician-staff-compensation-tips-audio/#respond Thu, 12 Jan 2023 12:00:00 +0000 https://blog.weisspc.com/?p=28409 In the U.S., it seems that lots of people expect a tip, from the person who simply hands you your coffee at Starbucks to, I’d expect, hospital administrators (but only at for-profit facilities). Okay, just kidding, but you get the idea.

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]]> https://blog.weisspc.com/physician-staff-compensation-tips-audio/feed/ 0 28409 Conflicts of Interest – Do You Have One? – Success in Motion https://blog.weisspc.com/conflicts-of-interest-medical-groups-sim/ https://blog.weisspc.com/conflicts-of-interest-medical-groups-sim/#respond Tue, 06 Dec 2022 12:00:00 +0000 https://blog.weisspc.com/?p=28306 Conflict of interest” is a lot like “greed” and “fair share:” a label used to gain the upper hand.

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]]> https://blog.weisspc.com/conflicts-of-interest-medical-groups-sim/feed/ 0 28306 FMV Is No More Anti-Kickback Compliance Than Ground Pepper Is Pot Roast – Medical Group Minute https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-video/ https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-video/#respond Wed, 26 Oct 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27871 Structuring a payment or a transaction such that the deal is at fair market value is not the be-all and end-all of AKS compliance.

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]]> https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-video/feed/ 0 27871 Don’t Be Surprised By the No Surprises Act Notice and Good Faith Estimate Requirements – Medical Group Minute https://blog.weisspc.com/dont-be-surprised-by-the-no-surprises-act-video/ https://blog.weisspc.com/dont-be-surprised-by-the-no-surprises-act-video/#respond Wed, 12 Oct 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27869 These regulations require that patients be given a notice of rights and, should they so request, a good faith estimate of charges.

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]]> https://blog.weisspc.com/dont-be-surprised-by-the-no-surprises-act-video/feed/ 0 27869 Government’s Financial Return Fuels Compliance Investigations – Success in Motion https://blog.weisspc.com/governments-financial-return-fuels-compliance-investigations-success-in-motion/ https://blog.weisspc.com/governments-financial-return-fuels-compliance-investigations-success-in-motion/#respond Tue, 11 Oct 2022 17:34:02 +0000 https://blog.weisspc.com/?p=28128 Ride along with Mark as he discusses the more than 420% financial return to the government that’s fueling healthcare compliance investigations . . . and convictions.

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]]> https://blog.weisspc.com/governments-financial-return-fuels-compliance-investigations-success-in-motion/feed/ 0 28128 If At First You Commit Fraud, Try, Try Again: Podiatrist Headed to Prison https://blog.weisspc.com/repeat-healthcare-fraud-podiatrist-case/ https://blog.weisspc.com/repeat-healthcare-fraud-podiatrist-case/#respond Mon, 26 Sep 2022 11:37:00 +0000 https://blog.weisspc.com/?p=28084 “If you could kick the person in the pants responsible for most of your trouble, you wouldn't sit for a month.” - Teddy Roosevelt

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]]> https://blog.weisspc.com/repeat-healthcare-fraud-podiatrist-case/feed/ 0 28084 Inviting the OIG Into Your Facility – Success in Motion https://blog.weisspc.com/inviting-the-oig-into-your-facility-sim/ https://blog.weisspc.com/inviting-the-oig-into-your-facility-sim/#respond Tue, 20 Sep 2022 11:00:00 +0000 https://blog.weisspc.com/?p=28068 Ride along with Mark as he discusses why you must take the things you hear with a grain of salt.

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]]> https://blog.weisspc.com/inviting-the-oig-into-your-facility-sim/feed/ 0 28068 Amazon Turns its Inventory of Healthcare Ventures – What it Means for You https://blog.weisspc.com/amazon-healthcare-ventures-impact/ https://blog.weisspc.com/amazon-healthcare-ventures-impact/#respond Mon, 29 Aug 2022 17:05:12 +0000 https://blog.weisspc.com/?p=28001 Unlike most medical groups and even most hospital systems, Amazon is bursting with dollars and with the energy to aim for the fences and to keep swinging away.

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]]> https://blog.weisspc.com/amazon-healthcare-ventures-impact/feed/ 0 28001 Got an Extra $1 Billion? What Wall Street Fines Signal For HIPAA Compliance. https://blog.weisspc.com/got-an-extra-1-billion-what-wall-street-fines-signal-for-hipaa-compliance/ https://blog.weisspc.com/got-an-extra-1-billion-what-wall-street-fines-signal-for-hipaa-compliance/#respond Mon, 22 Aug 2022 15:32:11 +0000 https://blog.weisspc.com/?p=27978 What prohibitions have you put in place to monitor your staff’s use of both personal devices and apps which fly beneath the radar of privacy and security law compliance?

The post Got an Extra $1 Billion? What Wall Street Fines Signal For HIPAA Compliance. appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/got-an-extra-1-billion-what-wall-street-fines-signal-for-hipaa-compliance/feed/ 0 27978 FMV Is No More Anti-Kickback Compliance Than Ground Pepper Is Pot Roast – Podcast https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-audio/ https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-audio/#respond Thu, 11 Aug 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27884 Structuring a payment or a transaction such that the deal is at fair market value is not the be-all and end-all of AKS compliance.

The post FMV Is No More Anti-Kickback Compliance Than Ground Pepper Is Pot Roast – Podcast appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-audio/feed/ 0 27884 “But Everyone’s Doing It!!” Not a Great Defense to Compliance Violations – Podcast https://blog.weisspc.com/compliance-not-a-defense-sim-audio/ https://blog.weisspc.com/compliance-not-a-defense-sim-audio/#respond Thu, 28 Jul 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27910 The speed limit’s 70 mph. I’m not going to tell you how fast I’m going, but I’m going with the flow of traffic, which is traveling at a lot more than the speed limit. Would a defense of, "but everyone is speeding" actually work?

The post “But Everyone’s Doing It!!” Not a Great Defense to Compliance Violations – Podcast appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/compliance-not-a-defense-sim-audio/feed/ 0 27910 Don’t Be Surprised By the No Surprises Act Notice and Good Faith Estimate Requirements – Podcast https://blog.weisspc.com/dont-be-surprised-by-the-no-surprises-act-audio/ https://blog.weisspc.com/dont-be-surprised-by-the-no-surprises-act-audio/#respond Thu, 21 Jul 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27880 These regulations require that patients be given a notice of rights and, should they so request, a good faith estimate of charges.

The post Don’t Be Surprised By the No Surprises Act Notice and Good Faith Estimate Requirements – Podcast appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/dont-be-surprised-by-the-no-surprises-act-audio/feed/ 0 27880 Hiring the Shunned: Failure to Check Exclusion Status Drives Psychiatrist Crazy to the Tune of $310,874 – Medical Group Minute https://blog.weisspc.com/oig-exclusion-risk-for-physician-groups-video/ https://blog.weisspc.com/oig-exclusion-risk-for-physician-groups-video/#respond Wed, 22 Jun 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27488 Some say that you’re the composite of the five people with whom you spend the most time.

The post Hiring the Shunned: Failure to Check Exclusion Status Drives Psychiatrist Crazy to the Tune of $310,874 – Medical Group Minute appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/oig-exclusion-risk-for-physician-groups-video/feed/ 0 27488 Whether or Not Balloon Sinuplasty Indictment is Hot Air, its Lessons Apply to You – Medical Group Minute https://blog.weisspc.com/balloon-sinuplasty-fraud-lessons-video/ https://blog.weisspc.com/balloon-sinuplasty-fraud-lessons-video/#respond Wed, 25 May 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27482 Don’t set yourself up to go to prison by thinking you are setting the government up to overpay you.

The post Whether or Not Balloon Sinuplasty Indictment is Hot Air, its Lessons Apply to You – Medical Group Minute appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/balloon-sinuplasty-fraud-lessons-video/feed/ 0 27482 FMV is no More Anti-Kickback Compliance than Ground Pepper is Pot Roast https://blog.weisspc.com/fmv-anti-kickback-compliance-myth/ https://blog.weisspc.com/fmv-anti-kickback-compliance-myth/#respond Mon, 09 May 2022 15:23:24 +0000 https://blog.weisspc.com/?p=27644 Structuring a payment or a transaction such that the deal is at fair market value is not the be-all and end-all of AKS compliance.

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]]> https://blog.weisspc.com/fmv-anti-kickback-compliance-myth/feed/ 0 27644 Whether or Not Balloon Sinuplasty Indictment is Hot Air, its Lessons Apply to You – Podcast https://blog.weisspc.com/balloon-sinuplasty-fraud-lessons-audio/ https://blog.weisspc.com/balloon-sinuplasty-fraud-lessons-audio/#respond Thu, 05 May 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27535 Don’t set yourself up to go to prison by thinking you are setting the government up to overpay you.

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]]> https://blog.weisspc.com/balloon-sinuplasty-fraud-lessons-audio/feed/ 0 27535 Hiring the Shunned: Failure to Check Exclusion Status Drives Psychiatrist Crazy to the Tune of $310,874 – Podcast https://blog.weisspc.com/oig-exclusion-risk-for-physician-groups-audio/ https://blog.weisspc.com/oig-exclusion-risk-for-physician-groups-audio/#respond Thu, 28 Apr 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27533 Some say that you’re the composite of the five people with whom you spend the most time.

The post Hiring the Shunned: Failure to Check Exclusion Status Drives Psychiatrist Crazy to the Tune of $310,874 – Podcast appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/oig-exclusion-risk-for-physician-groups-audio/feed/ 0 27533 Beware of Vicarious Liability and the 60-day Rule for Returning Medicare/Medicaid Overpayments – Success in Motion https://blog.weisspc.com/beware-of-vicarious-liability-sim/ https://blog.weisspc.com/beware-of-vicarious-liability-sim/#respond Tue, 19 Apr 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27471 Ride along with Mark as he shares a false claims story that you must be aware of.

The post Beware of Vicarious Liability and the 60-day Rule for Returning Medicare/Medicaid Overpayments – Success in Motion appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/beware-of-vicarious-liability-sim/feed/ 0 27471 Don’t Be Surprised By the No Surprises Act Notice and Good Faith Estimate Requirements https://blog.weisspc.com/dont-be-surprised-by-the-no-surprises-act/ https://blog.weisspc.com/dont-be-surprised-by-the-no-surprises-act/#respond Mon, 11 Apr 2022 16:36:40 +0000 https://blog.weisspc.com/?p=27550 These regulations require that patients be given a notice of rights and, should they so request, a good faith estimate of charges.

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]]> https://blog.weisspc.com/dont-be-surprised-by-the-no-surprises-act/feed/ 0 27550 Termination Notice – Medical Group Minute https://blog.weisspc.com/termination-notice-medical-group-minute/ https://blog.weisspc.com/termination-notice-medical-group-minute/#respond Wed, 09 Mar 2022 12:00:00 +0000 https://blog.weisspc.com/?p=27300 Termination provisions and provisions governing what happens upon termination are taking on larger importance in any medical group deal.

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]]> https://blog.weisspc.com/termination-notice-medical-group-minute/feed/ 0 27300 It’s Not Just My Opinion, the OIG Changes the Rules on Opinions – Success in Motion https://blog.weisspc.com/oig-changes-the-rules-on-opinions-sim/ https://blog.weisspc.com/oig-changes-the-rules-on-opinions-sim/#respond Tue, 08 Mar 2022 12:00:00 +0000 https://blog.weisspc.com/?p=27355 Ride along with Mark as he shares his opinion on the OIG’s revised rules for opinions.

The post It’s Not Just My Opinion, the OIG Changes the Rules on Opinions – Success in Motion appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/oig-changes-the-rules-on-opinions-sim/feed/ 0 27355 Hiring the Shunned: Failure to Check Exclusion Status Drives Psychiatrist Crazy to the Tune of $310,874 https://blog.weisspc.com/oig-exclusion-risk-for-physician-groups/ https://blog.weisspc.com/oig-exclusion-risk-for-physician-groups/#respond Mon, 07 Mar 2022 17:38:23 +0000 https://blog.weisspc.com/?p=27431 Some say that you’re the composite of the five people with whom you spend the most time.

The post Hiring the Shunned: Failure to Check Exclusion Status Drives Psychiatrist Crazy to the Tune of $310,874 appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/oig-exclusion-risk-for-physician-groups/feed/ 0 27431 Get More Sure That You’re Insured – Success in Motion Series https://blog.weisspc.com/get-more-sure-that-youre-insured-sim/ https://blog.weisspc.com/get-more-sure-that-youre-insured-sim/#respond Tue, 08 Feb 2022 12:00:00 +0000 https://blog.weisspc.com/?p=27267 You say that your medical group is insured - is it really?

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]]> https://blog.weisspc.com/get-more-sure-that-youre-insured-sim/feed/ 0 27267 Termination Notice – Podcast https://blog.weisspc.com/termination-notice-podcast-rebroadcast/ https://blog.weisspc.com/termination-notice-podcast-rebroadcast/#respond Thu, 20 Jan 2022 12:00:00 +0000 https://blog.weisspc.com/?p=27308 "Bob, we've got to give you your two weeks notice. Here's a check for the next two weeks' compensation. Just pack your personal belongings and Jerry, here, will see you to the door."

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]]> https://blog.weisspc.com/termination-notice-podcast-rebroadcast/feed/ 0 27308 Repurposing a Failing or Closed Hospital – Podcast https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital-audio/ https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital-audio/#respond Thu, 13 Jan 2022 12:00:00 +0000 https://blog.weisspc.com/?p=27280 Listen while Mark as he discusses converting a closed or failing hospital into a surgery center or other outpatient facility.

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]]> https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital-audio/feed/ 0 27280 Whether or Not Balloon Sinuplasty Indictment is Hot Air, its Lessons Apply to You https://blog.weisspc.com/balloon-sinuplasty-fraud-lessons/ https://blog.weisspc.com/balloon-sinuplasty-fraud-lessons/#respond Mon, 10 Jan 2022 17:45:59 +0000 https://blog.weisspc.com/?p=27269 Don’t set yourself up to go to prison by thinking you are setting the government up to overpay you.

The post Whether or Not Balloon Sinuplasty Indictment is Hot Air, its Lessons Apply to You appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/balloon-sinuplasty-fraud-lessons/feed/ 0 27269 Confidentiality Provisions and Attacking RFPs – Success in Motion https://blog.weisspc.com/confidentiality-provisions-and-attacking-rfps-sim/ https://blog.weisspc.com/confidentiality-provisions-and-attacking-rfps-sim/#respond Tue, 21 Dec 2021 15:57:23 +0000 https://blog.weisspc.com/?p=27226 This is important for hospital-based physician groups with exclusive contracts, as well as for office-based practices with hospital contracts.

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]]> https://blog.weisspc.com/confidentiality-provisions-and-attacking-rfps-sim/feed/ 0 27226 Are Compliance Plans Bad for Compliance? https://blog.weisspc.com/are-compliance-plans-bad-for-compliance/ https://blog.weisspc.com/are-compliance-plans-bad-for-compliance/#respond Mon, 29 Nov 2021 17:38:16 +0000 https://blog.weisspc.com/?p=27173 Compliance isn't the purchase of a plan or even the adoption of a plan; compliance is an ongoing process.

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]]> https://blog.weisspc.com/are-compliance-plans-bad-for-compliance/feed/ 0 27173 Why You Must Understand False Claims Act Math https://blog.weisspc.com/why-you-must-understand-false-claims-act-math/ https://blog.weisspc.com/why-you-must-understand-false-claims-act-math/#respond Mon, 22 Nov 2021 17:02:31 +0000 https://blog.weisspc.com/?p=27164 As the law’s developed over time, it now impacts a wide range of equally unscrupulous behavior in a wide range of government contracting, including the filing of fictitious and overstated claims for health care services under federal health care programs.

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]]> https://blog.weisspc.com/why-you-must-understand-false-claims-act-math/feed/ 0 27164 Taken the Wrong Job? – Podcast https://blog.weisspc.com/taken-the-wrong-job-audio/ https://blog.weisspc.com/taken-the-wrong-job-audio/#respond Thu, 11 Nov 2021 12:00:00 +0000 https://blog.weisspc.com/?p=27039 I knew that I had taken the wrong job after my first day at the firm.

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]]> https://blog.weisspc.com/taken-the-wrong-job-audio/feed/ 0 27039 CMS Opines That Stark Isn’t That Stark – Advisory Opinion Guidance on a Parent-Subsidiary Practice Model That’s Still a Single Group Practice – Medical Group Minute https://blog.weisspc.com/stark-law-parent-subsidiary-flexibility-video/ https://blog.weisspc.com/stark-law-parent-subsidiary-flexibility-video/#respond Wed, 20 Oct 2021 11:00:00 +0000 https://blog.weisspc.com/?p=26035 Under the regulations a group practice must consist of a single legal entity operating primarily for the purpose of being a physician group practice.

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]]> https://blog.weisspc.com/stark-law-parent-subsidiary-flexibility-video/feed/ 0 26035 CMS Revises Your Compensation Plan – Success in Motion https://blog.weisspc.com/cms-revises-your-compensation-plan-success-in-motion/ https://blog.weisspc.com/cms-revises-your-compensation-plan-success-in-motion/#respond Tue, 12 Oct 2021 11:00:00 +0000 https://blog.weisspc.com/?p=27014 Take a seat, relax, and learn why the updated STARK regs might affect your compensation.

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]]> https://blog.weisspc.com/cms-revises-your-compensation-plan-success-in-motion/feed/ 0 27014 $871.9 Million Dollar Pill Proves Hard to Swallow https://blog.weisspc.com/871-9-million-dollar-pill-proves-hard-to-swallow/ https://blog.weisspc.com/871-9-million-dollar-pill-proves-hard-to-swallow/#respond Mon, 11 Oct 2021 16:24:00 +0000 https://blog.weisspc.com/?p=27016 But what about the rising price of settling allegations of pharmaceutical price-fixing?

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]]> https://blog.weisspc.com/871-9-million-dollar-pill-proves-hard-to-swallow/feed/ 0 27016 “Covid Ate My Homework” Won’t Keep You Out of Jail – Podcast https://blog.weisspc.com/covid-excuse-healthcare-compliance-risk-audio/ https://blog.weisspc.com/covid-excuse-healthcare-compliance-risk-audio/#respond Thu, 07 Oct 2021 11:00:00 +0000 https://blog.weisspc.com/?p=26103 Billing for unnecessary tests and procedures, even on a small scale, is particularly egregious because of the risk inherent to the victim patients, let alone the financial fraud on payors.

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]]> https://blog.weisspc.com/covid-excuse-healthcare-compliance-risk-audio/feed/ 0 26103 CMS Opines That Stark Isn’t That Stark – Advisory Opinion Guidance on a Parent-Subsidiary Practice Model That’s Still a Single Group Practice – Podcast https://blog.weisspc.com/stark-law-parent-subsidiary-flexibility-audio/ https://blog.weisspc.com/stark-law-parent-subsidiary-flexibility-audio/#respond Thu, 23 Sep 2021 11:00:00 +0000 https://blog.weisspc.com/?p=26096 Under the regulations a group practice must consist of a single legal entity operating primarily for the purpose of being a physician group practice.

The post CMS Opines That Stark Isn’t That Stark – Advisory Opinion Guidance on a Parent-Subsidiary Practice Model That’s Still a Single Group Practice – Podcast appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/stark-law-parent-subsidiary-flexibility-audio/feed/ 0 26096 “Covid Ate My Homework” Won’t Keep You Out of Jail – Medical Group Minute https://blog.weisspc.com/covid-excuse-healthcare-compliance-risk-video/ https://blog.weisspc.com/covid-excuse-healthcare-compliance-risk-video/#respond Wed, 15 Sep 2021 11:00:00 +0000 https://blog.weisspc.com/?p=26026 Billing for unnecessary tests and procedures, even on a small scale, is particularly egregious because of the risk inherent to the victim patients, let alone the financial fraud on payors.

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]]> https://blog.weisspc.com/covid-excuse-healthcare-compliance-risk-video/feed/ 0 26026 When’s It a Violation of the Law? https://blog.weisspc.com/whens-it-a-violation-of-the-law/ https://blog.weisspc.com/whens-it-a-violation-of-the-law/#respond Mon, 13 Sep 2021 16:43:49 +0000 https://blog.weisspc.com/?p=26221 For example, when is a payment or a lease or some service a kickback?

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]]> https://blog.weisspc.com/whens-it-a-violation-of-the-law/feed/ 0 26221 “Covid Ate My Homework” Won’t Keep You Out of Jail https://blog.weisspc.com/covid-excuse-healthcare-compliance-risk/ https://blog.weisspc.com/covid-excuse-healthcare-compliance-risk/#respond Mon, 09 Aug 2021 19:25:08 +0000 https://blog.weisspc.com/?p=24741 Billing for unnecessary tests and procedures, even on a small scale, is particularly egregious because of the risk inherent to the victim patients, let alone the financial fraud on payors.

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]]> https://blog.weisspc.com/covid-excuse-healthcare-compliance-risk/feed/ 0 24741 CMS Opines That Stark Isn’t That Stark – Advisory Opinion Guidance on a Parent-Subsidiary Practice Model That’s Still a Single Group Practice https://blog.weisspc.com/stark-law-parent-subsidiary-flexibility/ https://blog.weisspc.com/stark-law-parent-subsidiary-flexibility/#respond Mon, 19 Jul 2021 16:15:08 +0000 https://blog.weisspc.com/?p=24704 Under the regulations a group practice must consist of a single legal entity operating primarily for the purpose of being a physician group practice.

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]]> https://blog.weisspc.com/stark-law-parent-subsidiary-flexibility/feed/ 0 24704 Surgeon Gets Just Desserts for Healthcare Fraud – Medical Group Minute https://blog.weisspc.com/surgeon-gets-just-deserts-for-healthcare-fraud-video/ https://blog.weisspc.com/surgeon-gets-just-deserts-for-healthcare-fraud-video/#respond Wed, 02 Jun 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24376 What is your favorite dessert, something that goes well with barbecue?Whether it's pie or vanilla ice cream (or both!), it's probably not 10 years in federal prison.

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]]> https://blog.weisspc.com/surgeon-gets-just-deserts-for-healthcare-fraud-video/feed/ 0 24376 Surgeon Gets Just Desserts for Healthcare Fraud – Podcast https://blog.weisspc.com/surgeon-gets-just-deserts-for-healthcare-fraud-audio/ https://blog.weisspc.com/surgeon-gets-just-deserts-for-healthcare-fraud-audio/#respond Thu, 27 May 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24390 What is your favorite dessert, something that goes well with barbecue? Whether it's pie or vanilla ice cream (or both!), it's probably not 10 years in federal prison.

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]]> https://blog.weisspc.com/surgeon-gets-just-deserts-for-healthcare-fraud-audio/feed/ 0 24390 Don’t Do the Crime if You Can’t Do the Time as Hospital CEO – Podcast https://blog.weisspc.com/hospital-ceo-compliance-ethics-audio/ https://blog.weisspc.com/hospital-ceo-compliance-ethics-audio/#respond Thu, 13 May 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24219 Over the years, I have dealt with many hospital CEOs that I thought were criminals. In fact, I have dealt with some who were indicted, and, in at least one case, a CEO who later became a long-term “guest” in the Gray Bar Hotel.

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]]> https://blog.weisspc.com/hospital-ceo-compliance-ethics-audio/feed/ 0 24219 Don’t Do the Crime if You Can’t Do the Time as Hospital CEO – Medical Group Minute https://blog.weisspc.com/hospital-ceo-compliance-ethics-video/ https://blog.weisspc.com/hospital-ceo-compliance-ethics-video/#respond Wed, 28 Apr 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24213 Watch as Mark discusses the penalties hospital CEOs face for compliance failures. Learn from real cases to protect your leadership and organization.

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]]> https://blog.weisspc.com/hospital-ceo-compliance-ethics-video/feed/ 0 24213 Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Podcast https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-audio/ https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-audio/#respond Thu, 15 Apr 2021 11:00:00 +0000 https://blog.weisspc.com/?p=23996 In a move reminiscent of prohibition-era crime fighter Eliot Ness, the U.S. Department of Justice recently announced a coordinated enforcement action against 345 alleged healthcare criminals...

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]]> https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-audio/feed/ 0 23996 Does More Financial Pressure on Hospitals Signal the Return of Questionable Medical Directorships? – Medical Group Minute https://blog.weisspc.com/hospital-medical-directorship-compliance-video/ https://blog.weisspc.com/hospital-medical-directorship-compliance-video/#respond Wed, 31 Mar 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24144 Does More Financial Pressure on Hospitals Signal the Return of Questionable Medical Directorships?

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]]> https://blog.weisspc.com/hospital-medical-directorship-compliance-video/feed/ 0 24144 Felon of the American College Of . . . – Success in Motion https://blog.weisspc.com/felon-of-american-college-sim/ https://blog.weisspc.com/felon-of-american-college-sim/#respond Tue, 30 Mar 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24154 Do you know a felon of the American College of . . . ?
Ride along with Mark and find out about some who are headed toward the big house.

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]]> https://blog.weisspc.com/felon-of-american-college-sim/feed/ 0 24154 “But Everyone Is Doing It!” Is Not a Great Defense to a Compliance Violation https://blog.weisspc.com/compliance-not-a-defense/ https://blog.weisspc.com/compliance-not-a-defense/#respond Mon, 29 Mar 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24187 The speed limit’s 70 mph. I’m not going to tell you how fast I’m going, but I’m going with the flow of traffic, which is traveling at a lot more than the speed limit. Would a defense of, "but everyone is speeding" actually work?

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]]> https://blog.weisspc.com/compliance-not-a-defense/feed/ 0 24187 Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Medical Group Minute https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-video/ https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-video/#respond Wed, 17 Mar 2021 11:00:00 +0000 https://blog.weisspc.com/?p=23998 In a move reminiscent of prohibition-era crime fighter Eliot Ness, the U.S. Department of Justice recently announced a coordinated enforcement action against 345 alleged healthcare criminals, including over 100 physicians and other licensed (for now) healthcare professionals, in 51 judicial districts.

The post Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Medical Group Minute appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-video/feed/ 0 23998 Surgeon Gets Just Desserts For Healthcare Fraud https://blog.weisspc.com/surgeon-gets-just-deserts-for-healthcare-fraud/ https://blog.weisspc.com/surgeon-gets-just-deserts-for-healthcare-fraud/#respond Mon, 15 Mar 2021 15:15:10 +0000 https://blog.weisspc.com/?p=24096 What's your favorite dessert, something that goes well with barbecue? Whether it's pie or vanilla ice cream (or both!), it's probably not 10 years in federal prison.

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]]> https://blog.weisspc.com/surgeon-gets-just-deserts-for-healthcare-fraud/feed/ 0 24096 Compound King Breaks Bad, Gets Creamed https://blog.weisspc.com/compound-king-breaks-bad-gets-creamed/ https://blog.weisspc.com/compound-king-breaks-bad-gets-creamed/#respond Mon, 08 Mar 2021 16:15:49 +0000 https://blog.weisspc.com/?p=24068 Explore the shocking story of compound cream fraud involving pharmacist George Tompkins and a massive illegal billing scheme.

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]]> https://blog.weisspc.com/compound-king-breaks-bad-gets-creamed/feed/ 0 24068 “A Laptop! A Laptop! My Kingdom for a Laptop!” – Podcast https://blog.weisspc.com/healthcare-compliance-digital-access-audio/ https://blog.weisspc.com/healthcare-compliance-digital-access-audio/#respond Thu, 19 Nov 2020 12:00:00 +0000 https://blog.weisspc.com/?p=19435 What’s a laptop cost? How about $1,040,000? Nope, it’s not the world’s first quantum computing MacBook. It’s just a regular old one. Heck, it’s even used! Listen to Mark explain the costs of unsecured devices.

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]]> https://blog.weisspc.com/healthcare-compliance-digital-access-audio/feed/ 0 19435 Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud/ https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud/#respond Mon, 12 Oct 2020 13:00:00 +0000 https://blog.weisspc.com/?p=19536 In a move reminiscent of prohibition era crime fighter Eliot Ness, the U.S. Department of Justice recently announced a coordinated enforcement action against 345 alleged healthcare criminals, including over 100 physicians and other licensed (for now) healthcare professionals, in 51 judicial districts.

The post Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud/feed/ 0 19536 “A Laptop! A Laptop! My Kingdom For a Laptop!” – Medical Group Minute https://blog.weisspc.com/healthcare-compliance-digital-access-video/ https://blog.weisspc.com/healthcare-compliance-digital-access-video/#respond Wed, 30 Sep 2020 11:00:00 +0000 https://blog.weisspc.com/?p=19401 Mobile devices, from laptops to cell phones, are stolen every day. Cars containing those devices, even ones locked “securely,” or so we think, in their trunks, are broken into or themselves stolen every day. Other such devices are simply misplaced. How secure is your data?

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]]> https://blog.weisspc.com/healthcare-compliance-digital-access-video/feed/ 0 19401 How to Avoid a $46 Million Plus Compliance Mistake – Podcast https://blog.weisspc.com/avoiding-compliance-mistakes-medical-groups-audio/ https://blog.weisspc.com/avoiding-compliance-mistakes-medical-groups-audio/#respond Thu, 03 Sep 2020 11:00:00 +0000 https://blog.weisspc.com/?p=19127 Listen to Mark discuss a recent lawsuit which resulted in a $500,000 plus settlement by Sac Cardio and a $30 million plus settlement by Sutter in regard to their relationship.

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]]> https://blog.weisspc.com/avoiding-compliance-mistakes-medical-groups-audio/feed/ 0 19127 Physician Issues Standing Orders for Fraud – Success in Motion https://blog.weisspc.com/physician-issues-standing-orders-for-fraud-sim/ https://blog.weisspc.com/physician-issues-standing-orders-for-fraud-sim/#respond Tue, 25 Aug 2020 11:00:00 +0000 https://blog.weisspc.com/?p=19193 Ride along with Mark while he discusses the story of a physician charged in an $681 million fraudulent billing scheme.

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]]> https://blog.weisspc.com/physician-issues-standing-orders-for-fraud-sim/feed/ 0 19193 How to Avoid a $46 Million Plus Compliance Mistake – Medical Group Minute https://blog.weisspc.com/avoiding-compliance-mistakes-medical-groups-video/ https://blog.weisspc.com/avoiding-compliance-mistakes-medical-groups-video/#respond Wed, 05 Aug 2020 11:00:00 +0000 https://blog.weisspc.com/?p=19095 Of the various claims made, that lawsuit resulted in a $500,000 plus settlement by Sac Cardio and a $30 million plus settlement by Sutter in regard to their relationship.

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]]> https://blog.weisspc.com/avoiding-compliance-mistakes-medical-groups-video/feed/ 0 19095 “A Laptop! A Laptop! My Kingdom For a Laptop!” https://blog.weisspc.com/healthcare-compliance-digital-access/ https://blog.weisspc.com/healthcare-compliance-digital-access/#respond Mon, 03 Aug 2020 13:00:00 +0000 https://blog.weisspc.com/?p=19077 What’s a laptop cost? How about $1,040,000? Nope, it’s not the world’s first quantum computing MacBook. It’s just a regular old one. Heck, it’s even used!

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]]> https://blog.weisspc.com/healthcare-compliance-digital-access/feed/ 0 19077 Compound King Breaks Bad, Gets Creamed – Success in Motion https://blog.weisspc.com/compound-king-breaks-bad-gets-creamed-sim/ https://blog.weisspc.com/compound-king-breaks-bad-gets-creamed-sim/#respond Tue, 21 Jul 2020 11:00:00 +0000 https://blog.weisspc.com/?p=19039 Take a ride with Mark as he discusses the latest compound medicine kickback scheme to result in prison time.

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]]> https://blog.weisspc.com/compound-king-breaks-bad-gets-creamed-sim/feed/ 0 19039 I Can See Clearly Now. Ophthalmology Group Settles Fraud Claim – Podcast https://blog.weisspc.com/ophthalmology-fraud-settlement-lessons-audio/ https://blog.weisspc.com/ophthalmology-fraud-settlement-lessons-audio/#respond Thu, 21 May 2020 11:00:00 +0000 https://blog.weisspc.com/?p=16388 Arguably, a Southern California ophthalmology group should have had its compliance eyes checked a few years ago.

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]]> https://blog.weisspc.com/ophthalmology-fraud-settlement-lessons-audio/feed/ 0 16388 A Not So Love Triangle: When PE Met AKS Who Met Stark – Medical Group Minute https://blog.weisspc.com/private-equity-aks-stark-compliance-risks-video/ https://blog.weisspc.com/private-equity-aks-stark-compliance-risks-video/#respond Wed, 15 Apr 2020 11:00:00 +0000 https://blog.weisspc.com/?p=16363 There are many factors that make your practice an attractive candidate for private equity investment, but that’s not what this post focuses on.

The post A Not So Love Triangle: When PE Met AKS Who Met Stark – Medical Group Minute appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/private-equity-aks-stark-compliance-risks-video/feed/ 0 16363 I Can See Clearly Now. Ophthalmology Group Settles Fraud Claim – Medical Group Minute https://blog.weisspc.com/ophthalmology-fraud-settlement-lessons-video/ https://blog.weisspc.com/ophthalmology-fraud-settlement-lessons-video/#respond Wed, 08 Apr 2020 11:00:00 +0000 https://blog.weisspc.com/?p=16376 Arguably, a Southern California ophthalmology group should have had its compliance eyes checked a few years ago.

The post I Can See Clearly Now. Ophthalmology Group Settles Fraud Claim – Medical Group Minute appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/ophthalmology-fraud-settlement-lessons-video/feed/ 0 16376 A Not So Love Triangle: When PE Met AKS Who Met Stark – Podcast https://blog.weisspc.com/private-equity-aks-stark-compliance-risks-audio/ https://blog.weisspc.com/private-equity-aks-stark-compliance-risks-audio/#respond Thu, 02 Apr 2020 11:00:36 +0000 https://blog.weisspc.com/?p=16403 There are many factors that make your practice an attractive candidate for private equity investment, but that’s not what this post focuses on.

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]]> https://blog.weisspc.com/private-equity-aks-stark-compliance-risks-audio/feed/ 0 16403 2020 New Year’s Un­-Resolutions https://blog.weisspc.com/2020-new-years-unresolutions/ https://blog.weisspc.com/2020-new-years-unresolutions/#respond Mon, 30 Dec 2019 12:00:00 +0000 https://blog.weisspc.com/?p=15615 We all make New Year’s resolutions. "I’ll do this or that!” Then January 5th rolls around and, well, you get the idea.

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]]> https://blog.weisspc.com/2020-new-years-unresolutions/feed/ 0 15615 Fined for a Potential HIPAA Violation! – Success in Motion https://blog.weisspc.com/fined-for-potential-hipaa-violation-sim/ https://blog.weisspc.com/fined-for-potential-hipaa-violation-sim/#respond Tue, 03 Dec 2019 12:00:00 +0000 https://blog.weisspc.com/?p=15591 HIPAA fines aren't just given for breaches of HIPAA policy but for potential violations as well.

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]]> https://blog.weisspc.com/fined-for-potential-hipaa-violation-sim/feed/ 0 15591 How to Avoid a $46 Million-Plus Compliance Mistake https://blog.weisspc.com/avoiding-compliance-mistakes-medical-groups/ https://blog.weisspc.com/avoiding-compliance-mistakes-medical-groups/#respond Mon, 25 Nov 2019 14:00:00 +0000 https://blog.weisspc.com/?p=15512 What do you get when you cross a compliance officer with a whistleblower?

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]]> https://blog.weisspc.com/avoiding-compliance-mistakes-medical-groups/feed/ 0 15512 Tenet to Pay $66-Plus Million to Settle FCA Suit Involving Company Model of Anesthesia Services https://blog.weisspc.com/tenet-66m-fca-anesthesia-company-model/ https://blog.weisspc.com/tenet-66m-fca-anesthesia-company-model/#respond Mon, 11 Nov 2019 15:42:03 +0000 https://blog.weisspc.com/?p=15461 Tenet Healthcare Corporation’s most recent quarterly report indicates that it's reached an agreement in principle with the United States Department of Justice to settle a whistleblower suit.

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]]> https://blog.weisspc.com/tenet-66m-fca-anesthesia-company-model/feed/ 0 15461 Repurposing a Failing Or Closed Hospital https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital/ https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital/#respond Mon, 04 Nov 2019 12:00:43 +0000 https://blog.weisspc.com/?p=15310 Almost every day, the story repeats itself. Another bankrupt or closed or closing hospital. Often the infected facility is rural. But sometimes it's not.

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]]> https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital/feed/ 0 15310 I Can See Clearly Now. Ophthalmology Group Settles Fraud Claim. https://blog.weisspc.com/ophthalmology-fraud-settlement-lessons/ https://blog.weisspc.com/ophthalmology-fraud-settlement-lessons/#respond Mon, 14 Oct 2019 13:00:54 +0000 https://blog.weisspc.com/?p=11056 Ah, hindsight. It's always 20/20.

Arguably, a Southern California ophthalmology group should have had its compliance eyes checked a few years ago.

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]]> https://blog.weisspc.com/ophthalmology-fraud-settlement-lessons/feed/ 0 11056 Tastes Like Chicken. Smells Like Fraud – Podcast https://blog.weisspc.com/tastes-like-chicken-smells-like-fraud-audio/ https://blog.weisspc.com/tastes-like-chicken-smells-like-fraud-audio/#respond Thu, 26 Sep 2019 16:57:13 +0000 https://blog.weisspc.com/?p=11014 What appears to the unknowing and unsuspecting to be a normal day-to-day business transaction is really something quite different.

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]]> https://blog.weisspc.com/tastes-like-chicken-smells-like-fraud-audio/feed/ 0 11014 Conflicts of Interest: Do You Have One? – Medical Group Minute https://blog.weisspc.com/conflicts-of-interest-medical-groups-video/ https://blog.weisspc.com/conflicts-of-interest-medical-groups-video/#respond Wed, 25 Sep 2019 16:55:33 +0000 https://blog.weisspc.com/?p=11012 Everyone’s talking about them. They’re apparently bad. Or are they?

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]]> https://blog.weisspc.com/conflicts-of-interest-medical-groups-video/feed/ 0 11012 A Not So Love Triangle: When PE Met AKS Who Met Stark https://blog.weisspc.com/private-equity-aks-stark-compliance-risks/ https://blog.weisspc.com/private-equity-aks-stark-compliance-risks/#respond Mon, 09 Sep 2019 17:51:20 +0000 https://blog.weisspc.com/?p=10997 It’s not quite when Harry Met Sally. As you certainly know, there’s been a flood of investor money, notably private equity money, it into many medical specialties over the last decade. Depending on what specialty you’re in, private equity investment is just beginning to ramp up. For example, I’m seeing an uptick in deals in...

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]]> https://blog.weisspc.com/private-equity-aks-stark-compliance-risks/feed/ 0 10997 Tastes Like Chicken. Smells Like Fraud. – Medical Group Minute https://blog.weisspc.com/tastes-like-chicken-smells-like-fraud-video/ https://blog.weisspc.com/tastes-like-chicken-smells-like-fraud-video/#respond Wed, 28 Aug 2019 17:04:30 +0000 https://blog.weisspc.com/?p=10974 What appears to the unknowing and unsuspecting to be a normal day-to-day business transaction is really something quite different.

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]]> https://blog.weisspc.com/tastes-like-chicken-smells-like-fraud-video/feed/ 0 10974 Does More Financial Pressure on Hospitals Signal the Return of Questionable Medical Directorships? – Podcast https://blog.weisspc.com/hospital-medical-directorship-compliance-audio/ https://blog.weisspc.com/hospital-medical-directorship-compliance-audio/#respond Thu, 08 Aug 2019 15:34:57 +0000 https://blog.weisspc.com/?p=10947 In the Wild West days of the 1980s and 90s, it wasn’t uncommon to see as many medical directors receiving stipends from a hospital as there are aspirins in a Costco-size bottle.

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]]> https://blog.weisspc.com/hospital-medical-directorship-compliance-audio/feed/ 0 10947 What You Need to Know About the High Cost of 15 Minutes of Fame, HIPAA Edition – Medical Group Minute https://blog.weisspc.com/hipaa-violation-reputation-risk-video/ https://blog.weisspc.com/hipaa-violation-reputation-risk-video/#respond Wed, 31 Jul 2019 16:07:59 +0000 https://blog.weisspc.com/?p=10940 A little bit more than 15 minutes of fame, just cost three Boston area hospitals, Boston Medical Center, Brigham and Women’s Hospital, and Massachusetts General Hospital, a collective $999,000.

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]]> https://blog.weisspc.com/hipaa-violation-reputation-risk-video/feed/ 0 10940 “But Everyone’s Doing It!!” Not a Great Defense to Compliance Violations – Medical Group Minute https://blog.weisspc.com/compliance-not-a-defense-video/ https://blog.weisspc.com/compliance-not-a-defense-video/#respond Wed, 17 Jul 2019 17:16:08 +0000 https://blog.weisspc.com/?p=10923 There are tremendous opportunities in the market, opportunities that you can exploit.

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]]> https://blog.weisspc.com/compliance-not-a-defense-video/feed/ 0 10923 Conflicts of Interest: Do You Have One? – Podcast https://blog.weisspc.com/conflicts-of-interest-medical-groups-audio/ https://blog.weisspc.com/conflicts-of-interest-medical-groups-audio/#respond Thu, 04 Jul 2019 16:41:44 +0000 https://blog.weisspc.com/?p=10904 Conflicts of interest. Everyone’s talking about them. Do you have one? They’re apparently bad. Or are they?

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]]> https://blog.weisspc.com/conflicts-of-interest-medical-groups-audio/feed/ 0 10904 Tastes Like Chicken. Smells Like Fraud. https://blog.weisspc.com/tastes-like-chicken-smells-like-fraud/ https://blog.weisspc.com/tastes-like-chicken-smells-like-fraud/#respond Mon, 24 Jun 2019 19:07:26 +0000 https://blog.weisspc.com/?p=10901 When most people think of kickback schemes in the healthcare context, they immediately go to notions of payments to physicians for referrals. Now, that’s not an unwarranted assumption because, unfortunately, much of the history of the application of the federal Anti-Kickback Statute involves physician-referral issues. Within large medical groups, and similarly within physician-owned facilities such...

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]]> https://blog.weisspc.com/tastes-like-chicken-smells-like-fraud/feed/ 0 10901 Another Hospital System Settles Whistleblower Allegations That Outpatients Were “Turned Into” Inpatients – Podcast https://blog.weisspc.com/hospital-whistleblower-inpatient-outpatient-settlement-audio/ https://blog.weisspc.com/hospital-whistleblower-inpatient-outpatient-settlement-audio/#respond Thu, 25 Apr 2019 17:21:08 +0000 https://blog.weisspc.com/?p=10652 Alchemists struggled without success for centuries attempting to turn lead into gold.

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]]> https://blog.weisspc.com/hospital-whistleblower-inpatient-outpatient-settlement-audio/feed/ 0 10652 Another Hospital System Settles Whistleblower Allegations That Outpatients Were “Turned Into” Inpatients – Medical Group Minute https://blog.weisspc.com/hospital-whistleblower-inpatient-outpatient-settlement-video/ https://blog.weisspc.com/hospital-whistleblower-inpatient-outpatient-settlement-video/#respond Wed, 03 Apr 2019 17:39:15 +0000 https://blog.weisspc.com/?p=10678 Alchemists struggled without success for centuries attempting to turn lead into gold.

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]]> https://blog.weisspc.com/hospital-whistleblower-inpatient-outpatient-settlement-video/feed/ 0 10678 Don’t Shoot the Messenger! Reduce False Claims Act Liability – Success in Motion https://blog.weisspc.com/dont-shoot-the-messenger-false-claims-act-liability-sim/ https://blog.weisspc.com/dont-shoot-the-messenger-false-claims-act-liability-sim/#respond Tue, 02 Apr 2019 17:40:15 +0000 https://blog.weisspc.com/?p=10680 Ride along with Mark as he discusses why medical groups shoot themselves in the compliance foot by shooting the messenger.

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]]> https://blog.weisspc.com/dont-shoot-the-messenger-false-claims-act-liability-sim/feed/ 0 10680 Allegations of Underpaid Debt Lands Big Healthcare Players in Whistleblower Hell – Podcast https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness-audio/ https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness-audio/#respond Thu, 28 Feb 2019 12:00:03 +0000 https://blog.weisspc.com/?p=10552 When physicians think about allegations of kickbacks in the context of large insurers, it’s generally related to how a carrier’s internal “claims cops” have alleged that some physician or other provider engaged in a kickback scheme...

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]]> https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness-audio/feed/ 0 10552 Another Hospital System Settles Whistleblower Allegations That Outpatients Were “Turned Into” Inpatients https://blog.weisspc.com/hospital-whistleblower-inpatient-outpatient-settlement/ https://blog.weisspc.com/hospital-whistleblower-inpatient-outpatient-settlement/#respond Mon, 25 Feb 2019 12:00:12 +0000 https://blog.weisspc.com/?p=10575 Alchemists struggled without success for centuries attempting to turn lead into gold. Will hospitals struggle that long in their quest to turn outpatients into inpatients? Prime Healthcare Services, Inc. (“Prime”), headquartered in Ontario, California, and Prime’s Founder and Chief Executive Officer, Dr. Prem Reddy. On February 14, 2019, the Department of Justice announced that Prime...

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]]> https://blog.weisspc.com/hospital-whistleblower-inpatient-outpatient-settlement/feed/ 0 10575 What You Need to Know About the High Cost of 15 Minutes of Fame, HIPAA Edition – Podcast https://blog.weisspc.com/hipaa-violation-reputation-risk-audio/ https://blog.weisspc.com/hipaa-violation-reputation-risk-audio/#respond Thu, 14 Feb 2019 16:30:00 +0000 https://blog.weisspc.com/?p=10546 A little bit more than 15 minutes of fame, just cost three Boston area hospitals, Boston Medical Center, Brigham and Women's Hospital, and Massachusetts General Hospital, a collective $999,000.

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]]> https://blog.weisspc.com/hipaa-violation-reputation-risk-audio/feed/ 0 10546 How Many Felonies Have You Committed Today? – Medical Group Minute https://blog.weisspc.com/unwitting-compliance-violations-healthcare-video/ https://blog.weisspc.com/unwitting-compliance-violations-healthcare-video/#respond Wed, 30 Jan 2019 17:30:34 +0000 https://blog.weisspc.com/?p=10460 How many compliance related crimes have you or your colleagues or employees committed today?

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]]> https://blog.weisspc.com/unwitting-compliance-violations-healthcare-video/feed/ 0 10460 Far Too “Friendly Physician” Pleads Guilty in $60 Million Healthcare Fraud – Medical Group Minute https://blog.weisspc.com/far-too-friendly-physician-to-plead-guilty-video/ https://blog.weisspc.com/far-too-friendly-physician-to-plead-guilty-video/#respond Wed, 23 Jan 2019 17:30:07 +0000 https://blog.weisspc.com/?p=10458 What’s your medical license worth?

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]]> https://blog.weisspc.com/far-too-friendly-physician-to-plead-guilty-video/feed/ 0 10458 Conflicts of Interest: Do You Have One? https://blog.weisspc.com/conflicts-of-interest-medical-groups/ https://blog.weisspc.com/conflicts-of-interest-medical-groups/#respond Mon, 07 Jan 2019 16:00:51 +0000 https://blog.weisspc.com/?p=10442 Conflicts of interest. Everyone’s talking about them. Do you have one? They’re apparently bad. Or are they? But what in the heck does “conflict of interest” even mean? When you think about it, “conflict of interest” is a term of a type similar to those other PC favorites, “greed” and “fair share” (which, by the...

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]]> https://blog.weisspc.com/conflicts-of-interest-medical-groups/feed/ 0 10442 One Giant Leap Toward Success: Avoid One Simple Misstep for “Fraud-kind” – Podcast https://blog.weisspc.com/fraud-risk-healthcare-billing-misstep-audio/ https://blog.weisspc.com/fraud-risk-healthcare-billing-misstep-audio/#respond Thu, 27 Dec 2018 17:30:20 +0000 https://blog.weisspc.com/?p=10169 If you're a physician, it's all too likely that you're uncertain about the future, feel the pressure of an all too real governmentally imposed ceiling on your income, and have even less control than ever over your time.

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]]> https://blog.weisspc.com/fraud-risk-healthcare-billing-misstep-audio/feed/ 0 10169 How Many Felonies Have You Committed Today? – Podcast https://blog.weisspc.com/unwitting-compliance-violations-healthcare-audio/ https://blog.weisspc.com/unwitting-compliance-violations-healthcare-audio/#respond Thu, 06 Dec 2018 17:30:54 +0000 https://blog.weisspc.com/?p=10162 How many compliance related crimes have you or your colleagues or employees committed today, whether purposefully or, completely inadvertently?

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]]> https://blog.weisspc.com/unwitting-compliance-violations-healthcare-audio/feed/ 0 10162 Record Bust: 601 Defendants, Including 165 Doctors, Nurses and Other Licensees Charged With Over $2 Billion in Fraud – Medical Group Minute https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants-video/ https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants-video/#respond Wed, 05 Dec 2018 17:30:03 +0000 https://blog.weisspc.com/?p=10188 DOJ and HHS announced the largest ever health care fraud enforcement action. It resulted in charges against 601 defendants across 58 federal districts, including 165 doctors, nurses and other licensed medical professionals.

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]]> https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants-video/feed/ 0 10188 Clueless and Dangerous: “Your Medical Records Are Safe Because They’re Entered into Our System” – Podcast https://blog.weisspc.com/false-security-medical-record-safety-claims-audio/ https://blog.weisspc.com/false-security-medical-record-safety-claims-audio/#respond Thu, 08 Nov 2018 17:00:44 +0000 https://blog.weisspc.com/?p=10058 Listen in to the story of the “safety” of PHI at Holland Eye Surgery and Laser Center, which discovered that a hacker began accessing their electronic records in 2016 and, that over time, more than 42,000 patients’ PHI was exposed.

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]]> https://blog.weisspc.com/false-security-medical-record-safety-claims-audio/feed/ 0 10058 Dr. Drug Dealers Chill Legitimate Pain Medicine Practice – Success in Motion https://blog.weisspc.com/dr-drug-dealers-chill-legitimate-pain-medicine-practice-sim/ https://blog.weisspc.com/dr-drug-dealers-chill-legitimate-pain-medicine-practice-sim/#respond Wed, 31 Oct 2018 17:36:37 +0000 https://blog.weisspc.com/?p=10087 Ride along with Mark as he discusses the recent indictment of a slew of doctors and pharmacists for pushing millions of oxycodone pills.

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]]> https://blog.weisspc.com/dr-drug-dealers-chill-legitimate-pain-medicine-practice-sim/feed/ 0 10087 One Giant Leap Toward Success: Avoid One Simple Misstep for “Fraud-kind” https://blog.weisspc.com/fraud-risk-healthcare-billing-misstep/ https://blog.weisspc.com/fraud-risk-healthcare-billing-misstep/#respond Mon, 22 Oct 2018 18:32:53 +0000 https://blog.weisspc.com/?p=10072 If you’re a physician, it’s all too likely that you’re uncertain about the future, feel the pressure of an all too real governmentally imposed ceiling on your income, and have even less control than ever over your time. It’s also likely that you seek a bigger and better future in which you have increased opportunities...

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]]> https://blog.weisspc.com/fraud-risk-healthcare-billing-misstep/feed/ 0 10072 $2.6 Billion Collected by Feds From Compliance Cheats. ROI Makes Warren Buffett Look Like an Amateur. – Podcast https://blog.weisspc.com/2-6-billion-collected-by-feds-from-compliance-cheats-audio/ https://blog.weisspc.com/2-6-billion-collected-by-feds-from-compliance-cheats-audio/#respond Thu, 18 Oct 2018 16:00:29 +0000 https://blog.weisspc.com/?p=10045 Listen to Mark discuss how a coordinated DHS and DOJ healthcare anti-fraud operation collected $2.6 Billion from 2015 to 2017.

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]]> https://blog.weisspc.com/2-6-billion-collected-by-feds-from-compliance-cheats-audio/feed/ 0 10045 Alchemist Can’t Turn Outpatients into Inpatients for Less Than $18.3 Million – Podcast https://blog.weisspc.com/outpatient-inpatient-fraud-risk-audio/ https://blog.weisspc.com/outpatient-inpatient-fraud-risk-audio/#respond Thu, 04 Oct 2018 16:00:48 +0000 https://blog.weisspc.com/?p=9960 You know that I strongly believe that the future of hospitals isn’t hospitals, it’s outpatient facilities.

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]]> https://blog.weisspc.com/outpatient-inpatient-fraud-risk-audio/feed/ 0 9960 Allegations of Underpaid Debt Lands Big Healthcare Players in Whistleblower Hell – Medical Group Minute https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness-video/ https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness-video/#respond Wed, 03 Oct 2018 16:00:57 +0000 https://blog.weisspc.com/?p=9953 When physicians think about allegations of kickbacks in the context of large insurers, it’s generally related to how a carrier's internal “claims cops” have alleged that some physician or other provider engaged in a kickback...

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]]> https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness-video/feed/ 0 9953 Hospital Chain Paying More Than a Quarter BILLION Dollars to Resolve False Billing and Kickback Allegations https://blog.weisspc.com/hospital-chain-paying-more-than-a-quarter-billion-dollars-to-resolve-false-billing-and-kickback-allegations/ https://blog.weisspc.com/hospital-chain-paying-more-than-a-quarter-billion-dollars-to-resolve-false-billing-and-kickback-allegations/#respond Mon, 01 Oct 2018 14:52:56 +0000 https://blog.weisspc.com/?p=9989 HMA will pay over $260 million to resolve fraud claims involving unnecessary admissions, kickbacks and inflated ER fees.

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]]> https://blog.weisspc.com/hospital-chain-paying-more-than-a-quarter-billion-dollars-to-resolve-false-billing-and-kickback-allegations/feed/ 0 9989 What You Need to Know About the High Cost of 15 Minutes of Fame, HIPAA Edition https://blog.weisspc.com/hipaa-violation-reputation-risk/ https://blog.weisspc.com/hipaa-violation-reputation-risk/#respond Mon, 24 Sep 2018 15:00:51 +0000 https://blog.weisspc.com/?p=9970 Hey, we all like publicity, but “free” publicity that costs you close to $1 million isn’t free, is it?

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]]> https://blog.weisspc.com/hipaa-violation-reputation-risk/feed/ 0 9970 Far Too “Friendly Physician” to Plead Guilty in $60 Million Healthcare Fraud. Will Murder Charges Follow? https://blog.weisspc.com/far-too-friendly-physician-to-plead-guilty/ https://blog.weisspc.com/far-too-friendly-physician-to-plead-guilty/#respond Mon, 27 Aug 2018 15:00:13 +0000 https://blog.weisspc.com/?p=9897 In what’s being reported in the popular press as a $60 million healthcare fraud scheme, a Texas physician, Charles R. Leach, M.D., has agreed to plead guilty to one count of conspiracy to commit healthcare fraud. The feds charged 16 people in the overall scheme. Leach is the fourth defendant to plead guilty. The scheme...

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]]> https://blog.weisspc.com/far-too-friendly-physician-to-plead-guilty/feed/ 0 9897 Allegations of Underpaid Debt Lands Big Healthcare Players in Whistleblower Hell https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness/ https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness/#respond Mon, 20 Aug 2018 14:20:04 +0000 https://blog.weisspc.com/?p=9886 A whistleblower lawsuit accuses Roche and Humana of using debt write-offs as kickbacks to keep diabetes products on formularies.

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]]> https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness/feed/ 0 9886 Clueless and Dangerous: “Your Medical Records Are Safe Because They’re Entered Into Our System” – Medical Group Minute https://blog.weisspc.com/false-security-medical-record-safety-claims-video/ https://blog.weisspc.com/false-security-medical-record-safety-claims-video/#respond Wed, 08 Aug 2018 16:00:14 +0000 https://blog.weisspc.com/?p=9861 It’s 2:45. Do you know where your medical records are?

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]]> https://blog.weisspc.com/false-security-medical-record-safety-claims-video/feed/ 0 9861 Does More Financial Pressure on Hospitals Signal the Return of Questionable Medical Directorships? https://blog.weisspc.com/hospital-medical-directorship-compliance/ https://blog.weisspc.com/hospital-medical-directorship-compliance/#respond Mon, 06 Aug 2018 15:00:04 +0000 https://blog.weisspc.com/?p=9871 Today, and tomorrow, as more and more surgical procedures leave the hospital setting for ASCs and other outpatient facilities, query whether hospital administrators will revisit medical directorships with renewed fervor as they seek ties that bind.

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]]> https://blog.weisspc.com/hospital-medical-directorship-compliance/feed/ 0 9871 Alchemist Can’t Turn Outpatients Into Inpatients for Less Than $18.3 Million – Medical Group Minute https://blog.weisspc.com/outpatient-inpatient-fraud-risk-video/ https://blog.weisspc.com/outpatient-inpatient-fraud-risk-video/#respond Wed, 01 Aug 2018 18:10:35 +0000 https://blog.weisspc.com/?p=9859 You know that I strongly believe that the future of hospitals isn’t hospitals, it’s outpatient facilities.

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]]> https://blog.weisspc.com/outpatient-inpatient-fraud-risk-video/feed/ 0 9859 Physician Behind Bars for Referrals: Kickbacks, Bribes, and Mail Fraud https://blog.weisspc.com/physician-kickback-mail-fraud-case/ https://blog.weisspc.com/physician-kickback-mail-fraud-case/#respond Mon, 09 Jul 2018 15:00:44 +0000 https://blog.weisspc.com/?p=9780 Every new, and every existing, financial relationship with anyone or any entity with which physicians and other healthcare providers do business must be vetted or re-vetted in light of today’s enforcement reality.

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]]> https://blog.weisspc.com/physician-kickback-mail-fraud-case/feed/ 0 9780 Record Bust: 601 Defendants, Including 165 Doctors, Nurses and Other Licensees Charged With Over $2 Billion in Fraud https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants/ https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants/#respond Mon, 02 Jul 2018 13:00:59 +0000 https://blog.weisspc.com/?p=9775 On Thursday, June 28th, the DOJ and HHS announced the largest ever health care fraud enforcement action.

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]]> https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants/feed/ 0 9775 Repurposing a Failing or Closed Hospital – Success in Motion https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital-sim/ https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital-sim/#respond Tue, 12 Jun 2018 16:00:37 +0000 https://blog.weisspc.com/?p=9717 Ride along with Mark as he discusses converting a closed or failing hospital into a surgery center or other outpatient facility.

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]]> https://blog.weisspc.com/repurposing-a-failing-or-closed-hospital-sim/feed/ 0 9717 Clueless and Dangerous: “Your Medical Records Are Safe Because They’re Entered into Our System” https://blog.weisspc.com/false-security-medical-record-safety-claims/ https://blog.weisspc.com/false-security-medical-record-safety-claims/#respond Mon, 11 Jun 2018 15:00:23 +0000 https://blog.weisspc.com/?p=9710 It’s 2:45. Do you know where your medical records are? A week or so ago, I filled in endless new-patient paperwork. When I handed the clipboard and forms back, I noticed that other patients’ forms were spread across the counter, easy for anyone to read. I asked about their process to assure the safety of...

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]]> https://blog.weisspc.com/false-security-medical-record-safety-claims/feed/ 0 9710 There’s an App for That HIPAA Violation https://blog.weisspc.com/theres-an-app-for-that-hipaa-violation/ https://blog.weisspc.com/theres-an-app-for-that-hipaa-violation/#respond Mon, 21 May 2018 15:00:06 +0000 https://blog.weisspc.com/?p=9674 I recently read a post on someone’s blog in which the author addressed the question of using Amazon’s Alexa in an operating room. I used to think that there was no such thing as a stupid question, but now I have to reconsider. On the other hand, are you already carrying a little spy into...

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]]> https://blog.weisspc.com/theres-an-app-for-that-hipaa-violation/feed/ 0 9674 $2.6 Billion Collected by Feds From Compliance Cheats. ROI Makes Warren Buffett Look Like an Amateur. – Medical Group Minute https://blog.weisspc.com/2-6-billion-collected-by-feds-from-compliance-cheats-video/ https://blog.weisspc.com/2-6-billion-collected-by-feds-from-compliance-cheats-video/#respond Wed, 16 May 2018 16:00:40 +0000 https://blog.weisspc.com/?p=9556 Watch Mark discuss how the Feds collected $2.6 Billion from 2015 to 2017 as a result of coordinated Department of Health and Human Services and Department of Justice healthcare anti-fraud operations.

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]]> https://blog.weisspc.com/2-6-billion-collected-by-feds-from-compliance-cheats-video/feed/ 0 9556 How Many Felonies Have You Committed Today? https://blog.weisspc.com/unwitting-compliance-violations-healthcare/ https://blog.weisspc.com/unwitting-compliance-violations-healthcare/#respond Mon, 07 May 2018 15:00:25 +0000 https://blog.weisspc.com/?p=9573 A friend, a former federal prosecutor, recently told me about a book called Three Felonies a Day - almost everyone unknowingly commits a number of acts each day that could be charged as federal crimes by overzealous prosecutors.

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]]> https://blog.weisspc.com/unwitting-compliance-violations-healthcare/feed/ 0 9573 Alchemist Can’t Turn Outpatients Into Inpatients for Less Than $18.3 Million https://blog.weisspc.com/outpatient-inpatient-fraud-risk/ https://blog.weisspc.com/outpatient-inpatient-fraud-risk/#respond Mon, 23 Apr 2018 15:00:21 +0000 https://blog.weisspc.com/?p=9257 As a frequent reader of the blog, you know that I strongly believe that the future of hospitals isn’t hospitals, it’s outpatient facilities. (In fact, if you haven’t already, grab a free copy of my book, The Impending Death of Hospitals, here.) I’m not sure whether the folks at Banner Health read my book and...

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]]> https://blog.weisspc.com/outpatient-inpatient-fraud-risk/feed/ 0 9257 $2.6 Billion Collected by Feds From Compliance Cheats. ROI Makes Warren Buffett Look Like an Amateur. https://blog.weisspc.com/2-6-billion-collected-by-feds-from-compliance-cheats/ https://blog.weisspc.com/2-6-billion-collected-by-feds-from-compliance-cheats/#respond Mon, 16 Apr 2018 15:00:41 +0000 https://blog.weisspc.com/?p=9224 Federal government collects $2.6 Billion stemming from compliance violations in 967 criminal healthcare fraud investigations from 2015-2017.

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]]> https://blog.weisspc.com/2-6-billion-collected-by-feds-from-compliance-cheats/feed/ 0 9224 Don’t Do the Crime if You Can’t Do the Time as Hospital CEO https://blog.weisspc.com/hospital-ceo-compliance-ethics/ https://blog.weisspc.com/hospital-ceo-compliance-ethics/#respond Mon, 05 Feb 2018 16:00:38 +0000 https://blog.weisspc.com/?p=9014 Explore the controversial appointment of a criminally indicted CEO at Broward Health and its implications for leadership ethics.

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]]> https://blog.weisspc.com/hospital-ceo-compliance-ethics/feed/ 0 9014 Are Compliance Plans Bad for Compliance? – Success in Motion https://blog.weisspc.com/compliance-plans-bad-compliance-sim/ https://blog.weisspc.com/compliance-plans-bad-compliance-sim/#respond Tue, 09 Jan 2018 17:00:16 +0000 https://blog.weisspc.com/?p=8854 Ride along while Mark talks about the downside of compliance "plans." Are they actually hindering compliance?

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]]> https://blog.weisspc.com/compliance-plans-bad-compliance-sim/feed/ 0 8854 Healthcare Freedom of Choice: Doughnuts and Doing Time https://blog.weisspc.com/healthcare-freedom-choice-doughnuts-time/ https://blog.weisspc.com/healthcare-freedom-choice-doughnuts-time/#respond Mon, 13 Nov 2017 16:00:50 +0000 https://blog.weisspc.com/?p=8714 Discover why physicians must make real choice before they lose control of their practice, patients, and future.

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]]> https://blog.weisspc.com/healthcare-freedom-choice-doughnuts-time/feed/ 0 8714 Extrapolation: How the Government Turns One Alleged Bad Claim Into Thousands of Violations – Medical Group Minute https://blog.weisspc.com/government-extrapolation-healthcare-fraud-claims-video/ https://blog.weisspc.com/government-extrapolation-healthcare-fraud-claims-video/#respond Wed, 04 Oct 2017 16:00:25 +0000 https://blog.weisspc.com/?p=8562 Compliance – it’s the multi-zillion dollar reason why your medical group’s or healthcare business venture’s efforts must constantly be tested, reviewed, and returned.

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]]> https://blog.weisspc.com/government-extrapolation-healthcare-fraud-claims-video/feed/ 0 8562 Structure and Compensation, the Genetic Defect in Medical Groups – Medical Group Minute https://blog.weisspc.com/structure-and-compensation-the-genetic-defect-in-medical-groups-video/ https://blog.weisspc.com/structure-and-compensation-the-genetic-defect-in-medical-groups-video/#respond Wed, 13 Sep 2017 17:46:06 +0000 https://blog.weisspc.com/?p=8539 The long term success of your group relies on a governance structure that enhances the strength of the entire group rather than rewarding a few individuals.

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]]> https://blog.weisspc.com/structure-and-compensation-the-genetic-defect-in-medical-groups-video/feed/ 0 8539 Extrapolation: How the Government Turns One Alleged Bad Claim Into Thousands of Violations – Podcast https://blog.weisspc.com/government-extrapolation-healthcare-fraud-claims-audio/ https://blog.weisspc.com/government-extrapolation-healthcare-fraud-claims-audio/#respond Thu, 24 Aug 2017 16:00:05 +0000 https://blog.weisspc.com/?p=8391 Compliance - it’s the multi-zillion dollar reason why your medical group’s or healthcare business venture’s efforts must constantly be tested, reviewed, and returned.

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]]> https://blog.weisspc.com/government-extrapolation-healthcare-fraud-claims-audio/feed/ 0 8391 Extrapolation: How the Government Turns One Alleged Bad Claim Into Thousands of Violations https://blog.weisspc.com/government-extrapolation-healthcare-fraud-claims/ https://blog.weisspc.com/government-extrapolation-healthcare-fraud-claims/#respond Mon, 15 May 2017 15:00:17 +0000 https://blog.weisspc.com/?p=8123 Compliance. Ah, what a funny world we live in. Government regulators at the SEC force those offering investment opportunities to issue disclaimers that past performance is not indicative of future results. Extrapolation is bad. Yet a few miles away, other government regulators at the OIG alchemize a handful of discovered violations into thousands more. Extrapolation...

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]]> https://blog.weisspc.com/government-extrapolation-healthcare-fraud-claims/feed/ 0 8123 Fined for Actual and Potential HIPAA Violations! https://blog.weisspc.com/hipaa-violations-federal-fines/ https://blog.weisspc.com/hipaa-violations-federal-fines/#respond Mon, 10 Apr 2017 17:01:49 +0000 https://blog.weisspc.com/?p=7998 Discover the consequences of HIPAA violations and the importance of safeguarding PHI.

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]]> https://blog.weisspc.com/hipaa-violations-federal-fines/feed/ 0 7998 Get Sure That You’re Insured https://blog.weisspc.com/get-sure-youre-insured/ https://blog.weisspc.com/get-sure-youre-insured/#respond Tue, 21 Feb 2017 19:32:59 +0000 https://blog.weisspc.com/?p=7870 Discover how group insurance coverage can shield your medical practice from the risks associated with malpractice claims.

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]]> https://blog.weisspc.com/get-sure-youre-insured/feed/ 0 7870 Avoid the Clenching Tentacles of “Compliance” – Success in Motion Series https://blog.weisspc.com/avoid-clenching-tentacles-compliance-sim/ https://blog.weisspc.com/avoid-clenching-tentacles-compliance-sim/#respond Tue, 24 Jan 2017 17:00:05 +0000 https://blog.weisspc.com/?p=7772 Hitch a ride with Mark and learn about the federal government's growing push to penalize noncompliance with healthcare regulations including their attempt to federalize alleged violations of purely state law.

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]]> https://blog.weisspc.com/avoid-clenching-tentacles-compliance-sim/feed/ 0 7772 The Damage Caused by Disruptive Physicians – Success in Motion https://blog.weisspc.com/damage-caused-disruptive-physicians-sim/ https://blog.weisspc.com/damage-caused-disruptive-physicians-sim/#respond Tue, 27 Sep 2016 16:00:04 +0000 https://blog.weisspc.com/?p=7443 Take a drive with Mark as he helps you avoid the accident called a "disruptive physician.”

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]]> https://blog.weisspc.com/damage-caused-disruptive-physicians-sim/feed/ 0 7443 Why You Must Kill the Notion of a “Compliance Plan” https://blog.weisspc.com/compliance-plan-vs-compliance-reality/ https://blog.weisspc.com/compliance-plan-vs-compliance-reality/#respond Mon, 21 Mar 2016 13:02:08 +0000 https://blog.weisspc.com/?p=6947 You might not think that you are your brother’s keeper, but in the context of a medical group in which you’re an owner, you certainly are. I’m talking in terms of liability for billing errors.

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]]> https://blog.weisspc.com/compliance-plan-vs-compliance-reality/feed/ 0 6947 Hospitals at the Tech Tipping Point https://blog.weisspc.com/hospitals-at-the-tech-tipping-point/ https://blog.weisspc.com/hospitals-at-the-tech-tipping-point/#respond Mon, 26 Oct 2015 15:05:44 +0000 https://blog.weisspc.com/?p=6575 We’re at a very interesting tipping point in respect of healthcare technology. And, it’s not tipping in the hospitals’ direction.

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]]> https://blog.weisspc.com/hospitals-at-the-tech-tipping-point/feed/ 0 6575 Jurassic Park and PHI – Leaks Are Inevitable – Medical Group Minute https://blog.weisspc.com/compliance-system-phi-leaks-video/ https://blog.weisspc.com/compliance-system-phi-leaks-video/#respond Wed, 23 Sep 2015 16:00:03 +0000 https://blog.weisspc.com/?p=6451 Your compliance system has a leak.

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]]> https://blog.weisspc.com/compliance-system-phi-leaks-video/feed/ 0 6451 Here’s a Tip About Physician Compensation – Medical Group Minute https://blog.weisspc.com/physician-staff-compensation-tips-video/ https://blog.weisspc.com/physician-staff-compensation-tips-video/#respond Wed, 15 Jul 2015 13:00:21 +0000 https://blog.weisspc.com/?p=6230 In the U.S., it seems that lots of people expect a tip, from the person who simply hands you your coffee at Starbucks to, I’d expect, hospital administrators (but only at for-profit facilities). Okay, just kidding, but you get the idea.

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]]> https://blog.weisspc.com/physician-staff-compensation-tips-video/feed/ 0 6230 Here’s a Tip About Physician Compensation https://blog.weisspc.com/physician-staff-compensation-tips/ https://blog.weisspc.com/physician-staff-compensation-tips/#respond Mon, 06 Apr 2015 15:00:31 +0000 https://blog.weisspc.com/?p=6032 In the U.S., it seems that lots of people expect a tip, from the person who simply hands you your coffee at Starbucks to, I’d expect, hospital administrators (but only at for-profit facilities). Okay, just kidding, but you get the idea.

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]]> https://blog.weisspc.com/physician-staff-compensation-tips/feed/ 0 6032 An Antitrust Exemption for Physicians? https://blog.weisspc.com/antitrust-exemption-physicians/ https://blog.weisspc.com/antitrust-exemption-physicians/#respond Mon, 23 Mar 2015 15:00:26 +0000 https://blog.weisspc.com/?p=6017 Health insurers have an antitrust exemption in respect of coordinated gathering of data for ratemaking. The playing field isn’t particularly level. Physicians can’t share pricing information or collectively bargain for payment rates.

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]]> https://blog.weisspc.com/antitrust-exemption-physicians/feed/ 0 6017 Would You Sign This? – Medical Group Minute https://blog.weisspc.com/physician-contract-risk-assessment-video/ https://blog.weisspc.com/physician-contract-risk-assessment-video/#respond Wed, 26 Nov 2014 14:00:31 +0000 https://blog.weisspc.com/?p=5736 "Sign this please. Right there. Yeah, there, on the last line. Next to the date."

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]]> https://blog.weisspc.com/physician-contract-risk-assessment-video/feed/ 0 5736 Structure and Compensation: The Genetic Defect in Medical Groups https://blog.weisspc.com/structure-and-compensation-the-genetic-defect-in-medical-groups/ https://blog.weisspc.com/structure-and-compensation-the-genetic-defect-in-medical-groups/#respond Mon, 29 Sep 2014 15:00:33 +0000 https://blog.weisspc.com/?p=5593 It’s one thing to understand that playing to self-interest motivates. Harnessing that self-interest advances the business’ own interests.

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]]> https://blog.weisspc.com/structure-and-compensation-the-genetic-defect-in-medical-groups/feed/ 0 5593 How to Cure Paralysis Over Your Future https://blog.weisspc.com/how-to-cure-paralysis-over-your-future/ https://blog.weisspc.com/how-to-cure-paralysis-over-your-future/#respond Mon, 16 Jun 2014 15:00:22 +0000 https://blog.weisspc.com/?p=5151 Many medical group leaders bemoan their group’s circumstances: caught in the hard place between increasing commoditization, what they believe to be the limitations of independent structure.

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]]> https://blog.weisspc.com/how-to-cure-paralysis-over-your-future/feed/ 0 5151 Would You Sign This? – Podcast https://blog.weisspc.com/physician-contract-risk-assessment-audio/ https://blog.weisspc.com/physician-contract-risk-assessment-audio/#respond Fri, 13 Jun 2014 13:00:47 +0000 https://blog.weisspc.com/?p=4885 "Sign this please. Right there. Yeah, there, on the last line. Next to the date."

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]]> https://blog.weisspc.com/physician-contract-risk-assessment-audio/feed/ 0 4885 Physician Goes to Jail in Referral Scheme https://blog.weisspc.com/physician-goes-to-jail-in-referral-scheme/ https://blog.weisspc.com/physician-goes-to-jail-in-referral-scheme/#respond Thu, 12 Jun 2014 15:00:38 +0000 https://blog.weisspc.com/?p=5138 From cash kickbacks to the company model to phony leases, deals between referring physicians and those physicians and facilities receiving referrals are subject to increasing scrutiny.

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]]> https://blog.weisspc.com/physician-goes-to-jail-in-referral-scheme/feed/ 0 5138 Just Showing Up Is Never Enough. Many Don’t Even Do That. https://blog.weisspc.com/healthcare-leadership-accountability-consistency/ https://blog.weisspc.com/healthcare-leadership-accountability-consistency/#respond Thu, 27 Feb 2014 17:30:38 +0000 https://blog.weisspc.com/?p=4541 I once read in some advice column that you should show up late to a party as if you’ve just come from another one, and that you should leave the party early as if you’re headed out to the next. Maybe that’s good advice for your social life, I’m not really sure. But it’s terrible...

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]]> https://blog.weisspc.com/healthcare-leadership-accountability-consistency/feed/ 0 4541 Termination Notice https://blog.weisspc.com/termination-notice/ https://blog.weisspc.com/termination-notice/#respond Mon, 30 Dec 2013 16:00:03 +0000 https://blog.weisspc.com/?p=4389 “Bob, we’ve got to give you your two weeks notice. Here’s a check for the next two weeks’ compensation. Just pack your personal belongings and Jerry, here, will see you to the door.” Of course, if your medical group has a contract with a facility, say an exclusive contract, it can’t technically be “fired.” But...

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]]> https://blog.weisspc.com/termination-notice/feed/ 0 4389 Would You Sign This? https://blog.weisspc.com/physician-contract-risk-assessment/ https://blog.weisspc.com/physician-contract-risk-assessment/#respond Wed, 06 Nov 2013 16:00:41 +0000 https://blog.weisspc.com/?p=4231 Ask yourself, “why should I sign it?” What am I getting in return?

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]]> https://blog.weisspc.com/physician-contract-risk-assessment/feed/ 0 4231 The Bars Slammed Shut Behind the Doctor https://blog.weisspc.com/physician-barriers-to-leadership/ https://blog.weisspc.com/physician-barriers-to-leadership/#respond Mon, 12 Aug 2013 16:00:11 +0000 https://blog.weisspc.com/?p=3914 The bars slammed shut behind the doctor. All he did was order an implantable device for his patient — the device came from a physician owned distributorship, or “POD,” in which he held an ownership interest.

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]]> https://blog.weisspc.com/physician-barriers-to-leadership/feed/ 0 3914 Technology, Rules and Compliance – Podcast https://blog.weisspc.com/technology-rules-and-compliance-audio/ https://blog.weisspc.com/technology-rules-and-compliance-audio/#respond Fri, 12 Apr 2013 17:00:08 +0000 https://blog.weisspc.com/?p=2958 The indiscriminate use technology, is akin to the adoption and enforcement of rules.

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]]> https://blog.weisspc.com/technology-rules-and-compliance-audio/feed/ 0 2958 Technology, Rules and Compliance https://blog.weisspc.com/technology-rules-and-compliance/ https://blog.weisspc.com/technology-rules-and-compliance/#respond Mon, 11 Feb 2013 17:00:31 +0000 https://blog.weisspc.com/?p=2933 Technology is neither inherently good nor inherently bad. It’s good only if it does something beneficial – makes things faster, easier, cheaper, or better. And then, of course, the question is faster, easier, cheaper or better for whom? I recently went with my son to a trendy burger place in Westwood, adjacent to UCLA. For...

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]]> https://blog.weisspc.com/technology-rules-and-compliance/feed/ 0 2933 New Years UnResolutions for 2013 https://blog.weisspc.com/medical-group-unresolutions/ https://blog.weisspc.com/medical-group-unresolutions/#respond Mon, 31 Dec 2012 17:00:41 +0000 https://blog.weisspc.com/?p=2707 I’ve sometimes wondered about the amount of importance attached to the arbitrary selection of the date we call January 1, New Years Day, as the date on which to make resolutions about our future behavior.

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]]> https://blog.weisspc.com/medical-group-unresolutions/feed/ 0 2707 Wringing Profit From Physician Group Compliance: Operational Compliance – Podcast https://blog.weisspc.com/physician-group-compliance-profitability-audio/ https://blog.weisspc.com/physician-group-compliance-profitability-audio/#respond Fri, 16 Nov 2012 17:00:44 +0000 https://blog.weisspc.com/?p=2427 Physician groups can profit from their compliance efforts.

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]]> https://blog.weisspc.com/physician-group-compliance-profitability-audio/feed/ 0 2427 Jurassic Park and PHI – Leaks Are Inevitable https://blog.weisspc.com/compliance-system-phi-leaks/ https://blog.weisspc.com/compliance-system-phi-leaks/#respond Wed, 25 Jul 2012 16:00:58 +0000 https://blog.weisspc.com/?p=1958 In the book, Jurassic Park, and in the movie of the same name, it quickly becomes obvious that despite absolute belief and assurance that the system is closed, there is always the chance of a leak. Shift from dinosaurs on an island to your patients’ protected health information, or “PHI,” which you probably believe to...

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]]> https://blog.weisspc.com/compliance-system-phi-leaks/feed/ 0 1958 Jurassic Park and PHI – Leaks Are Inevitable – Podcast https://blog.weisspc.com/compliance-system-phi-leaks-audio/ https://blog.weisspc.com/compliance-system-phi-leaks-audio/#respond Fri, 18 May 2012 16:00:22 +0000 https://blog.weisspc.com/?p=1643 Your compliance system has a leak.

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]]> https://blog.weisspc.com/compliance-system-phi-leaks-audio/feed/ 0 1643