New Direct Primary Care Models for Florida

The new Direct Primary Care (DPC) model law will take effect July 1, 2018. DPC practice models eliminate the fee-for-service payment structure and instead accept one monthly flat fee intended to cover all of the comprehensive primary care needs of the patient for the month. Advocates of the DPC practice model tout the model as […]

US Department of Justice Publishes ‘The Guidance’ to Help Set Standards for Corporate Compliance Programs

Earlier this year, the Fraud Section of the US Department of Justice (DOJ) published its Evaluation of Corporate Compliance Programs (the “Guidance”).  The Guidance set out important standards for corporate compliance plans.  The Guidance also provides a checklist for corporations’ compliance programs.  The DOJ recognizes that compliance plans are not a “one size fits all” […]

Florida Votes: Update on Amendment 2 and Medical Marijuana

Medical marijuana continues its pace as a hot topic in Florida since its defeat via a ballot measure in 2014 and subsequent approval in this unpredictable 2106 election.  In 2014 the ballot measure failed with 58 percent approval, just shy of the 60 percent required for a constitutional amendment.  This year, in an decisive result, […]

Medicare Overpayment Rule Finalized: Key Points for Healthcare Providers

Medicare’s long awaited final rule regarding the overpayment of Medicare Part A and Part B payments is finally here.  The scope, requirements, and impact of Section 6402(d) of the Affordable Care Act has been in question since its inception. Section 6402(a) of the Affordable Care Act requires a person who has received an overpayment to […]

Changes in Opting Out of Medicare Procedure

Opting out of Medicare became much easier this summer for physicians looking to make a big change in their practice structure.  Additionally, physicians already opted out of Medicare can cross one more piece of paperwork off their list. Pursuant to the original opt-out rules, opted-out physicians were required to continually opt out of Medicare at […]