Telemedicine & Corporate Practice of Medicine 2012 ATA Annual Meeting

Slides:

Advertisements

Similar presentations

Chapter 2 - Working in Health Care McGraw-Hill © 2010 by The McGraw-Hill Companies, Inc. All rights reserved 2-1.

Advertisements

MEDICAL HOME 1/2009 Mary Goldman, D.O., President of MAOFP.

The Health Insurance Portability and Accountability Act of 1996– charged the Department of Health and Human Services (DHHS) with creating health information.

CHAPTER © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 2 The Use of Health Information Technology in Physician Practices.

HIPAA THE PRIVACY RULE Reviewed December HISTORY In 2000, many patients that were newly diagnosed with depression received free samples of anti-

HIPAA HIPAA Health Insurance Portability and Accountability Act of 1996.

Performing a Fiduciary Review of Trust Administration FIRMA April 2009 Independent Fiduciary Services ® Independent Fiduciary Services, Inc.  th.

Nurses Registered Nurses - real nurses LPN - licensed practical nurses Nurse Practitioners non-licensed caregivers.

2 The Use of Health Information Technology in Physician Practices.

V ENDOR M ANAGEMENT Troy Kyle President / CEO Vendor Credentialing Service

Susan Lawson, NCI School Health Nurse Consultant Inspector.

STEMFuse-HIM Unit 4 Education and Career Information.

1 VUMC Confidentiality Policy and HIPAA Implications for Clinical Research General Clinical Research Center Skills Workshop March 2, 2007 Gaye Smith Privacy.

Professionalism and the CRNA

The Use of Health Information Technology in Physician Practices

Legal Issues in Hospital- Hospice (and Other) Partnerships Brooke Bumpers, Esq. Hogan & Hartson, LLP Washington, D.C. October 12, 2002.

1 A Primer on Employment Agreements for Physicians MMA First Fridays Presentation April 4, 2014 Gordon H. Smith, Esq.

ACCOUNTING FOR HEALTHCARE Pertemuan 8-12 Matakuliah: A1042/Accounting Software Package for Services Tahun: 2010.

Creating and Maintaining a Successful Health Clinic under the Affordable Care Act What the Affordable Care Act means for health clinics and how to plan.

Because your patients come first. Regulatory and Practice Management Services Daniel L. Johnson, CPC, CPC-H.

HIPAA THE PRIVACY RULE. 2 HISTORY In 2000, many patients that were newly diagnosed with depression received free samples of anti- depressant medications.

OHCAs, ACEs and Hybrid Entities Paul Smith Davis Wright Tremaine LLP One Embarcadero Center Suite 600 San Francisco, CA (415)

HIPAA LAWS.  Under the privacy rule, the patient must give consent to use his or her Protected Health Information.  Examples in which consent must be.

Health Insurance portability and Accountability Act (HIPAA)‏

Component 3-Terminology in Healthcare and Public Health Settings Unit 14-What is Health Information Management and Technology? This material was developed.

Welcome….!!! CORPORATE COMPLIANCE PROGRAM Presented by The Office of Corporate Integrity 1.

Paul Kelly Facility Research Compliance Officer for the Ralph H. Johnson VA Medical Center.

Trailblazing… with the MI Volunteer Registry.

HIPAA THE PRIVACY RULE Reviewed December HISTORY In 2000, many patients that were newly diagnosed with depression received free samples of anti-

Boston Medical Center Provider Onboarding Overview Boston Medical Center Provider Onboarding Overview Bob DeMayo Director, Medical Staff Affairs & Credentialing.

New Hire HIPAA Orientation. HIPAA Overview HIPAA is an acronym that stands for the Health Insurance Portability and Accountability Act of HIPAA.

Physician Credentialing and Progress Check David E. Kolva, MD SJHHC FMRP Practice Management.

THE EPIDEMIOLOGY OF U.S. IMMUNIZATION LAW: Translating CDC Immunization Guidelines into Practice State Laws Related to the Use of Standing Orders Covering.

Virtual Medicine And the Role of Entrepreneurs. Presented to The Entrepreneurs Breakfast Forum April 21, 2016.

Bennett Bigelow & Leedom Washington Managed Imaging Strategy for the Future.

Chapter 4 The Legal and Regulatory Environment of Health Care.

© 2016 McGraw-Hill Education. All rights reserved. Ch 3 Working in Health Care.

HIPAA Privacy Rule Training

Draft - Enterprise Risk Management Risk Universe

HOSPITAL ACCREDITATION & RETAINING QUALITY

Medical Records and Managed Care

UNDERSTANDING WHAT HIPAA IS AND IS NOT

HIPAA THE PRIVACY RULE Reviewed December 2012.

Government Affairs Update

Telehealth Overview What Do You Need to Know?.

Health Information Management Technology: An Applied Approach

HSA Course Experience Tradition / hsa515mentor.com

10 Patient Confidentiality and HIPAA

GUKEYEH GUK’EH GU’SANI Kaska Dena Good Governance Act

What is HIPAA? HIPAA stands for “Health Insurance Portability & Accountability Act” It was an Act of Congress passed into law in HEALTH INSURANCE.

Electronic Health Records (EHR)

San Francisco County OBOT Pilot: Pharmacy Aspects

Nathaniel Lacktman, Legal and Business Issues in Telehealth: Offering Services in Michigan and Beyond Nathaniel Lacktman,

AIBT Nassau Conference Bootcamp Family Offices

Actuarial Support For Healthcare Providers

CF Canada Financial Group

Legal, Regulatory & Compliance

Disability Services Agencies Briefing On HIPAA

Ch 3 Working in Health Care.

Legal Impediments to the Practice of Telemedicine

HealthTechNet 5/18/2018

1 Medical Assisting: The Profession Lesson 2:

Company Overview.

Issues in HIPAA Research Compliance

1 Introduction to Professional Billing and Coding Careers.

همايش توجيهي بازاریابی در ورزش قهرماني

3 Understanding Managed Care: Medical Contracts and Ethics.

Module 1: Introduction to health care finance Student notes

Presentation transcript:

Telemedicine & Corporate Practice of Medicine 2012 ATA Annual Meeting Alexis S. Gilroy, J.D. April 30, 2012

On-Going Legal Hurdles for Telemedicine Licensure Prescribing medication without in-person exam FDA/Medical Device Credentialing and Privileging Privacy and Data Security (HIPAA & HITECH) Intellectual Property (Who owns the data?) Reimbursement Coverage Malpractice/Supervision…….AND

Corporate Practice of Medicine & Splitting Fees with Professionals One without a license by the medical board has no professional rights, privileges or powers and therefore may not engage in the practice of medicine directly or indirectly by employing licensed professionals. Some States prohibit fee-splitting or revenue-sharing with physicians. Long-standing exemptions in most States include hospitals.

Where do the States Stand? Around 30 States have some form of CPOM or fee-splitting prohibitions Some States are notably active with enforcing CPOM requirements—NY, CA, NC, TX

Protecting a Licensed Professional's Integrity for Decision-Making So, What's the Big Deal? Free-Trade & generation of better business economics within delivery of Healthcare Protecting a Licensed Professional's Integrity for Decision-Making Vs. So, can we let professionals focus on healthcare while others handle business issues

Potential Corporate Relationship with Professional Entity* -Professional Services -Oversight for Professional Staff -All Clinical Decisions Management Company -Equipment -Administrative -Scheduling -Contract Negotiation -Billing Coordination Professional Entity Documentation must carefully maintain corporate separateness and each party's responsibilities in an arms-length manner. *Corporate Practice of Medicine evolves and states differ widely in enforcement and doctrine. This slide is for demonstration purposes only.

Practical Issue to Consider Corporate Structure Contractual Relationships Reimbursement/Payor Enrollment Bank accounts Insurance Coverage Employer/Contractor of Professionals (including Nurses & NPs) Medical Records

Contact for Additional Information Alexis S. Gilroy Nelson Mullins Riley & Scarborough 101 Constitution Ave., NW Washington, DC 20001 (202) 712-2893 Alexis.gilroy@nelsonmullins.com Twitter: EHealthLaw