{"title":"The Anti-Kickback Statute and hospital-physician financial arrangements.","authors":"G L Imperato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospital-physician financial arrangements often involve transactions that could be construed by the government as illegal remuneration under the federal \"anti-kickback\" statute. This article discusses some of the questionable types of relationships that arise and explores the government's reaction to these arrangements as manifested by a recent Office of Inspector General management advisory report and proposed and final safe harbor regulations.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 2","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20988592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The COBRA patient anti-dumping law: Part II--Impact on physician liability.","authors":"J L Hall, M R Meyers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is the second part of a two-part article examining the federal patient anti-dumping statute, under which physicians are required to treat a hospital's emergency patients, including women in labor, and to comply with certain requirements that dictate when it is appropriate to transfer a patient. Part I discussed in detail the provisions of the statute. Part II analyzes various court interpretations of the law and its potential impact on physician liability.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 3","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20991515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"Insider-out\": private inurement and the medical staff physician.","authors":"M W Peregrine, B M Broccolo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 3","pages":"73-80"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20991520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality assurance to continuous quality improvement: challenges for the medical staff.","authors":"J Zusman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospital medical staffs will have to make a major transition over the next few years from quality assurance to continuous quality improvement. As this article discusses, many elements of the change are new to health care, as yet untested, and should be approached carefully.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 4","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20994491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical staff contracting: legal structures and reimbursement opportunities.","authors":"N B Caesar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article is the first in a series analyzing the physician/hospital contracting process, including hospital-based physician arrangements and management, service, and venture contracts. This article begins the series with a general exploration of the opportunities available to physicians when entering into relationships with hospitals.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 4","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20994494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The COBRA Patient Anti-Dumping Law: Part I--Requirements under the statute.","authors":"J L Hall, M R Meyers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Under the federal patient anti-dumping statute, physicians are required to treat a hospital's emergency patients, including women in labor, and must comply with detailed statutory provisions that govern when it is appropriate to transfer a patient to another facility. A thorough understanding of this law is necessary to minimize the risk of liability to the physician and the hospital. This article, the first of two parts, discusses the requirements under the statute. Part II, which will appear in a future issue, will discuss court interpretations of the statute and its impact on medical malpractice claims.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 2","pages":"49-56"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20988419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Employee v. independent contractor: tax and other considerations for group practices.","authors":"A S Gassman, T F Conetta, L C LeCouris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The classification of physicians and associated health care professionals as employees or independent contractors in a group practice context is an important and frequently misunderstood issue, with many traps for the unwary. This article discusses the effect of classification on a group's responsibilities, the factors to consider in determining whether a health care professional should be classified as an employee of the group or an independent contractor, and the practical considerations involved in reclassification of an improperly classified worker.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 2","pages":"39-48"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20991285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical staff and hospital: a delicate relationship.","authors":"E A Snelson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The relationship between hospitals and medical staffs has become increasingly delicate over the last several years. The interests of the hospital and the medical staff are diverging and may conflict. It is important to acknowledge these differing interests before solutions can be reached and a stronger relationship built.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 3","pages":"21-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20991514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advance directives and health care proxies: recent developments in the law.","authors":"R S Mandl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The last few years have brought rapid developments in the law regarding advance directives--both statutory and case law. This article provides an overview of these changes, including the recent amendments to the Medicare and Medicaid laws requiring hospitals and other institutional health care providers to inform adult patients and educate staff and the community about the availability and use of advance directives and the New York and Massachusetts statutes providing for the appointment of health care agents by proxy.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 1","pages":"49-59"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Medicare and Medicaid anti-kickback law: charting your safe harbors.","authors":"R J Saner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Medicare and Medicaid fraud and abuse provisions create many potential pitfalls for physicians; navigating around these problem areas can be tricky. This article discusses recently published federal regulations providing \"safe harbors\" from the anti-kickback provisions of Medicare and Medicaid law, with particular emphasis on the more common relationships between physicians and hospitals. Those safe harbors that are most and least useful to the physician are highlighted, and advice is offered for evaluating the relative risks involved where no safe harbor is available or fully applicable.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 1","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}