request – MD Update

Revisiting Federal Physician Compensation Restrictions

November 1, 2018December 28, 2018 Jamie Wilhite Dittert alternative payment model, Anti-Kickback, Anti-Kickback statute, arrangement, aspect of the stark law, care coordination, compensation, coordinated care, designated health service, exception, exist exception, federal physician compensation restriction, federal physician self-referral law, health care provider 's ability, HHS, incentive, issue guidance, law 's specific exception, liability standard, Medicaid, Medicare, obligation, ongoing initiative, patient choice, patient referral, physician, physician 's immediate family member, physician compensation, physician compensation arrangement, physician self-referral law, potential unnecessary obstacle, prohibited referral, provider, public comment, recent request, referral, regulation, regulatory sprint, remuneration, request, safe harbor, self-referral, signal potential significant change, stark law, statute, strict liability standard, value-based, value-based system

Change is in the air for federal laws that restrict physician compensation. Recent requests for information from the Department of

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Watch Out MCOs

April 1, 2017 Lisa Hinkle administrative hear, administrative review, appeal, appeal process, available long-awaited relief, beneficiary, calendar, calendar day, care organization, denial, denied Medicaid managed-care claim, department of insurance 's policy of review claim, determination, DMS, DRM, DRM request, enrollee, external review process, find of overpayment, firm 's Lexington office, Franklin circuit court, health care provider face denied claim, healthcare, healthcare provider, insurance 's policy, Kentucky, Kentucky 's department, Kentucky 's Medicaid, Kentucky Medicaid, Kentucky Medicaid business, Kentucky provider, KRS §205.646, Lexington office, long-awaited relief, managed-care, McBrayer, MCO, MCO payment denial, MCOs, Medicaid, Medicaid managed-care claim, Medicaid MCO, Medicaid MCO 's final decision, Medicaid MCOs, Medicaid overpayment determination, Medicaid service, misrepresentation, negligent misrepresentation, new process, overpayment, overpayment determination, payment, prompt payment, provider, recoupment, regulation, reimbursement, reimbursement issue, reported revenue, request, review claim, review process, Senate Bill 20, statute, subject of a new action, third-party review, third-party review of denied Medicaid managed-care claim, time frame, WellCare

With reported revenues in the billions of dollars and net profits not far behind, insurance companies providing a Medicaid Managed

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Ex Parte Communications

September 1, 2015 Jamie W. Dittert, Esq 2014-SC-000390-MR, adoption of the health insurance portability, attorney, C.F.R., Caldwell, Caldwell court, Caldwell plaintiff, Caldwell v., case 's claim, Chauvin, confidential communication, court order, decision of Caldwell v., disclosure, disclosure of phi, E., ethical duty, ex Parte communication, ex_parte communication, ex_parte interview, ex_parte interview of medical provider, exist provider procedure, handle request, health information, HIPAA, Kentucky, Kentucky attorney, Kentucky law, Kentucky supreme court, key tool attorney use, litigation, medical ethics, medical negligence allegation, medical provider, phi, physician, physician-patient, physician-patient privilege, plaintiff, procedural requirement, protected health information, provide notification, provider, provider procedure, request, requirement, subpoena, surgeon, v., witness interview

Witness interviews are one of the key tools attorneys use to investigate cases. These are performed “ex parte,” which means

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