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Medigap PHO Discount Program Receives OIG Approval

OIG Releases Yet Another Advisory Opinion 15-08 Medigap Arrangment Involving PHO Discounts Someone must be busy at the Office of Inspector General’s Office. Last week they released two new advisory...

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CMS Comments On ACO Participation Agreement Requirements

MSSP ACO Agreement Requirements CMS Comment Describing Provider Agreement Requirements for Participation In the Medicare Shared Savings Program  Section 1899(b)(2)(B) of the Act requires participating...

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Clinical Integration Readiness Analysis CINs

 Are You Ready for Clinical Integration? When we take on a new clinical integration project, one of the first activities we advise is the performance of a snapshot clinical integration readiness...

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Challenging Physician Payment Sunshine Act Disclosures

The Affordable Care Act added the Physician Payment Sunshine Act (Sunshine Act) as section 1128G to the Social Security Act. The Sunshine Act requires applicable manufacturers of drugs, devices,...

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Health Law Firm Opens Green Bay Office

Green Bay Health Care Lawyer – Opening Office in Green Bay Wisconsin I just wanted to let readers of our health care blog know that Ruder Ware will be opening a Green Bay office and that three Green...

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When is a Referral Mandate for Employed Physicians Permitted under the Stark...

When Employed Physicians be Required to Make Referrals for Designated Health Services The Stark Law Regulations include a provision that dictates the conditions under which an employer of a physician...

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