Health Care Law

PPACA and the In-Office Ancillary Exception

October 15, 2010, 10:00 AM

The Patient Protection and Affordable Care Act (PPACA) has added a new requirement to the in-office ancillary exception to the Stark Law for those practitioners using the exception to refer patients for certain diagnostic imaging services. Under this new requirement, which will become effective as of January 1, 2011, a physician who refers a patient for MRI, CT or PET services, must inform the patient in writing at the time that the referral is made that the patient may obtain the MRI, CT or PET services from an alternate provide other than the referring physician or the referring physicians group practice. In addition, the new rule requires that the referring physician provide the patient with a list of alternate providers from which the patient may receive the MRI, CT or PET services.

Self-Referral Disclosure Protocol

October 13, 2010, 2:34 PM

The Patient Protection and Affordable Care Act (PPACA) includes a few revisions to the Stark Law and related regulations. One such change is to grant the secretary of Heath and Human Services (the Secretary) the authority to consider reduced sanctions for providers and suppliers who self disclose violations of the Stark Law. Prior to the PPACA there was no provision allowing for providers and suppliers to self disclose such violations.

Patient Protection & Afforable Care Act - Part III

October 7, 2010, 4:16 PM

After reading The Virginian Pilot's recent article on the Patient Protection and Affordable Care Act ("PPACA"), it is apparent that most Americans do not know what new changes are included in the PPACA. For the next several months, our posts will cover the various aspects of PPACA, among other topics, so that you have a better understanding of the new law.

Patient Protection & Affordable Care Act - Part II

October 5, 2010, 3:56 PM

As a follow up to the previous post, I will discuss key contractual protections that are must haves in transaction documents involving the sale of a private medical practice to a hospital-system medical group. These key contractual protections are as follows:

Patient Protection & Affordable Care Act

October 4, 2010, 2:38 PM

This is the first in a series of blog posts that will look at the impact of the Patient Protection and Affordable Care Act (PPACA) on our local providers and employers. In light of the gloomy forecast for our physician clients, many of them are considering selling their medical practices to a hospital system. Thispost outlines the pros and cons of the sale of a physicians practice to a hospital system.

Welcome to K&Cs Health Care Law Blog

September 16, 2010, 11:24 AM

Kaufman & Canoles Health Care Practice Group provides high quality, cost effective and outcome oriented services to its clients. As the health care industry continues to get more and more complex, Kaufman & Canoles Health Care Practice Group and its dedicated and experienced attorneys continue to stay abreast of the most recent developments and always maintain the requisite level of knowledge and skill to effectively advocate for clients and ensure that clients continue to comply with both state and federal regulatory issues. The Health Care Practice Group boasts a strong group of both transactional attorneys and litigation specialists who are, through their combined efforts, able to provide comprehensive legal services to clients. On the transactional side, our Health Care Practice Group represents individual physicians and physician groups, hospitals, health care joint ventures, health maintenance organizations, preferred provider organizations, nursing homes, hospices and home health agencies, and also provides advice and counsel to freestanding laboratories, adult homes, continuing care retirement communities, durable medical equipment companies, physical therapy practices and companies, and physician practice management companies. The Heath Care Practice Groups team of experienced litigators has for many years been successfully defending medical malpractice actions and actions by state licensing boards, and also has significant experience and expertise in litigating criminal and civil cases relating to, among other things, Medicare fraud and abuse, reimbursement disputes and representation of medical staffs. No matter what your legal needs may be in the health care context, the Kaufman & Canoles Heath Care Practice Group stands ready and able to assist you in reaching your ultimate goals. The purpose of this blog will be to provide interested participants with relevant updates in the law with regard to health care initiatives and programs, and to provide timely commentary on the various legal issues arising in health care. It is our sincere hope that all readers of this blog will gain useful knowledge about the health care industry itself, as the landscape continues to evolve. We hope that this blog will capture your attention and we encourage your active participation with the blog. We invite you to check out all of the new postings on a weekly basis and hope that this blog will prove to be a valuable resource and a mechanism for an interactive exchange of ideas. --T. Braxton McKee