Showing 11 posts in Individual Health Care Providers.
In October of 2018, the National Practitioner Data Bank (NPDB) published an updated NPDB Guidebook that revises the requirements for reporting changes in a practitioner’s clinical privileges, licensure, and malpractice. Read More ›
The long-awaited 2019 Hospital Outpatient Prospective Payment System (OPPS) final rule has arrived – and it came with at least one surprise. The Centers for Medicare and Medicaid Services (CMS) elected NOT to finalize the rule pertaining to the “clinical family of services” at Provider Based Departments (PBD). Read More ›
Co-Author: Joseph Brammer
The Office of the Inspector General's (OIG) audit dissected telehealth reimbursement under Medicare, finding multiple complications. Medicaid reimbursement is next up. Read More ›
Depending on the state in which a nurse practitioner or physician assistant practices, he or she can likely prescribe controlled and non-controlled substances to patients, within the parameters of the applicable state’s regulatory scheme. Nurse practitioners and physician assistants, referred to here as “midlevel providers,” continue to provide excellent care to their patients and move in greater numbers into the role of primary care providers for Americans. Nurse practitioners currently account for one in four providers in U.S. rural practices, a significant 43.2 percent increase over the past 10 years according to research just published in Health Affairs. Understanding the qualifications and responsibilities of midlevel providers in the context of prescribing is, therefore, essential. Read More ›
This is the third article in a three-part series designed to inform physicians and other health care providers about proactive steps that can be taken to avoid licensure discipline by the Department of Health. Read More ›
This is the second article in a three-part series designed to inform physicians and other health care providers about proactive steps that can be taken to avoid licensure discipline by their respective state Department of Health. Read More ›
This is the first article in a three-part series designed to inform physicians and other health care providers about proactive steps that can be taken to avoid licensure discipline by their respective state Department of Health. Read More ›
The Office of the Inspector General (OIG) of the U.S. Department of Health & Human Services maintains a list of healthcare providers who are excluded from participating in Medicare, Medicaid and all other federal health care programs. Read More ›
In many states, an investigation into a healthcare provider’s license by the Department of Health may begin with a phone call, letter, or in-person meeting between a healthcare provider and a Department of Health investigator. While all individuals have a right to have an attorney present at an interview with a Department of Health investigator, most individuals may not realize they have this right until after the interview has passed. Which may leave you asking: what now? Read More ›
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Thomas D. Anthony is Chair of FBT's Health Care Industry Practice. He focuses on counseling health care entities on corporate transactions, regulatory compliance and joint ventures.