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Raising the Effectiveness of Your Compliance Program

By Art Kalantar |

Complying with the myriad state and federal laws and regulations that govern healthcare practices can seem like an overwhelming chore. However, establishing effective compliance programs really works to the benefit of your practice. Compliance programs aim to promote the prevention of criminal conduct and enforce governmental rules and regulations without impeding quality and efficient… Read More »

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How to Avoid Unintentional Medicare Fraud

By Art Kalantar |

Charges of Medicare fraud can create serious legal headaches including massive fines, loss of healthcare licenses, and even prison time. Even mere allegations of healthcare fraud can significantly damage the professional reputation of your healthcare business. Medicare fraud (or perceived fraud) is not always intentional, however, and it can occur as a result of… Read More »

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Protect Your Healthcare Practice Against Lawsuit

By Art Kalantar |

As a medical professional, your first priority is likely to provide the best quality of care for your patients. Healthcare practices are, unfortunately, also businesses, and with business comes concerns regarding compliance with laws and regulations, dealings with contractors and other entities, and employee relations. If you are not constantly vigilant on the business… Read More »

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Healthcare professionals meeting in conference room

How to Pick the Proper Legal Structure for Your Healthcare Practice

By Art Kalantar |

When establishing any business, it is important to understand the different types of legal entities available. Healthcare is no different. Depending on the size and nature of your practice, you may want to choose one business model and legal structure over another. Choosing the best legal structure available will have long-lasting effects on your… Read More »

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Why Choose Alternative Dispute Resolution Instead of Litigation in California Healthcare Disputes?

By Art Kalantar |

Healthcare disputes can easily become complex, drawn-out lawsuits. In many cases, these claims involve both the primary cause of the lawsuit, such as an employment dispute, as well as technical evidence, such as whether a doctor followed best practices in their field. These factors can multiply the time and expense of a trial, especially… Read More »

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Health Insurance Fraud Warning Sign

What is Healthcare Fraud?

By Art Kalantar |

Healthcare fraud is a broad-brush term for fraud committed in the healthcare industry, typically committed by overbilling patients, private insurers, or government insurers such as Medicare. Healthcare fraud can be committed by actual healthcare providers who bill for fake or unnecessary services, or by other individuals who fake or otherwise illegally obtain physician credentials… Read More »

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Ways to Avoid Healthcare Fraud

By Art Kalantar |

Providers face different and complicated healthcare fraud and abuse laws at the local, state, and federal level, and compliance with all of these various regulations can be difficult. Even when healthcare providers have the best of intentions, they may have policies or practices in place that can leave them in hot water with healthcare… Read More »

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Healthcare law

Do I Need a Healthcare Attorney?

By Art Kalantar |

Health law, broadly speaking, is the body of law that regulates the provision of healthcare services. Healthcare law governs the relationship between people who provide healthcare, such as doctors, nurses, hospitals, and nursing homes, and the patients who receive healthcare. A healthcare law attorney is someone who specializes in the laws and regulations that… Read More »

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Quality based healthcare over quantity

Value-Based Healthcare Models Are Shifting, Hopefully for the Better

By Art Kalantar |

There is a new trend in healthcare provider payments that veers away from the traditional approach to service reimbursement. Healthcare providers historically have operated by providing services, and then insurance companies pay retrospectively based on bill charges or annual fee schedules. The system tends to reward providers who provide more services, often meaning simply… Read More »

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What is the False Claims Act in Healthcare?

By Art Kalantar |

Doctors, hospitals and health care providers can find themselves facing lawsuits under the False Claims Act due to billing or coding errors that result in overbilling to or overpayment from Medicare. Often the person behind the lawsuit is an employee of the clinic or facility in the billing department who discovers the error or… Read More »

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