Protecting Medical Practices from Physicians’ Sanctions
August 10, 2020 | Rivkin Rounds Staff | Employer/Employee | Litigation | Private InsurersA recent article in Part B News, “How to craft provider contracts that deal with board sanctions — and protect the practice,” discussed how physician practices can protect themselves against instances in which their doctors get sanctioned by the state medical board. Rivkin Radler’s Chris Kutner was quoted in the article.
Chris pointed out that if a physician is placed on probation due to some type of misconduct, there may be a negative impact on the practice’s revenue even if he or she still has a license and remains able to treat patients. He also pointed out that managed care contracts “provide that it’s the practice’s duty to make sure every provider rendering services to members of the managed care organization is fully qualified, credentialed and in good standing. Often, especially in larger practices, they don’t keep tabs on this stuff — they don’t make sure the physician profile is up to date, that they’re current on CME,” and other necessary details. Failure to comply with these requirements could give an insurer an excuse to remove the practice from its panel of providers, since “nowadays, managed care companies are looking to shrink their networks so they have more reimbursement leverage,” Chris cautioned.
MORE NEWS ON Employer/Employee
Eric Fader, Jeff Kaiser, Chris Kutner, Ada Kozicz and Ben Malerba are authors of the newly released book, “The Federal...
Read MoreManufacturers of activity trackers and smartwatches have been fighting over the “serious” healthcare market for several years. Companies such as...
Read MoreAfter a teaser on Twitter and a verbal preview during a press conference, President Trump has signed an executive order...
Read More- ACOs
- Affordable Care Act
- Antitrust
- Behavioral Health
- Cannabis
- COVID-19
- Cybersecurity
- Electronic Health Records
- Employer/Employee
- False Claims Act
- FDA
- Fraud and Abuse
- HIPAA
- Home Health
- Hospitals
- Legislation and Public Policy
- Litigation
- Medical Devices and Wearables
- Medicare and Medicaid
- Nursing Homes
- Pharmaceuticals
- Private Insurers
- Tax/IRS
- Telehealth
December 2020 November 2020 October 2020 September 2020 August 2020 July 2020 June 2020 May 2020 April 2020 March 2020 February 2020 January 2020 December 2019 November 2019 October 2019 September 2019 August 2019 July 2019 June 2019 May 2019 April 2019 March 2019 February 2019 January 2019 December 2018 November 2018 October 2018
- ACOs
- Affordable Care Act
- Antitrust
- Behavioral Health
- Cannabis
- COVID-19
- Cybersecurity
- Electronic Health Records
- Employer/Employee
- False Claims Act
- FDA
- Fraud and Abuse
- HIPAA
- Home Health
- Hospitals
- Legislation and Public Policy
- Litigation
- Medical Devices and Wearables
- Medicare and Medicaid
- Nursing Homes
- Pharmaceuticals
- Private Insurers
- Tax/IRS
- Telehealth
- Jennifer Abreu
- Brian R. Ade
- Ashley Algazi
- Mary Aperance
- Krystal B. Armstrong
- Khoren Bandazian
- Brian L. Bank
- Brandon Barbaruolo
- Dion K. Bass
- Jill F. Bechtold
- Joshua Beckham
- Andrew Berks
- Yonatan Bernstein
- Christina M. Bezas
- Samantha T. Bibbo
- Jason M. Biegel
- Merril S. Biscone
- Alexander Blisko
- Patricia Bober
- Stuart M. Bodoff
- Lindsay M. Brocki
- Jonathan B. Bruno
- Jordan Bryant
- Jacqueline (Mecchella) Bushwack
- Curtis Campbell
- Michael C. Cannata
- David Cano
- Caitlin S. Cash
- Michele Chavez
- Kathryn Schulz Ches
- Kaitlyn B. Connor
- Sal Coppolino
- William Cornachio
- E.K. Cottrell
- Wayne M. Cox
- James P. Cronin
- Alexandra Cusano
- Melissa A. Dearing
- Nancy A. Del Pizzo
- Catalina E. De La Hoz
- Janice J. DiGennaro
- Christine DiGregorio
- John K. Diviney
- AbiDemi M. Donovan
- Amanda B. Drantch
- Alan C. Eagle
- Glenn H. Egor
- Jeffrey Ehrhardt
- Daniel Ehrlich
- Scott A. Eisenmesser
- Karen Eng
- Joanne M. Engeldrum
- Harvey S. Epstein
- Eric D. Fader
- Brian L. Feld
- Scott L. Feuer
- John Ficarra
- Gary Fields
- James R. Finn
- Kaitlyn E. Flynn
- Richard A. Frankel
- Daniel E. Furshpan
- Avigael C. Fyman
- Jenna Z. Gabay
- Max Gershenoff
- Caitlyn Gibbons
- Laura (Mulholland) Gindele
- Maureen A. Glackin
- Erez Glambosky
- Ryan Goldberg
- Tim Gonzalez
- Stuart I. Gordon
- Paul Gorfinkel
- Sean Gorton
- Wallis L. Granat
- Joel M. Greenberg
- Jeffrey S. Greener
- David M. Grill
- Amanda Griner
- Keith S. Grover
- Walter J. Gumersell
- Lawrence S. Han
- Mohammed Haque
- Tamika N. Hardy
- Rosemary Harnisher
- Anthony Hawkins
- Nicole Hecker
- Jean A. Hegler
- Amanda Hegyes
- Sarah Hejazi
- Michael J. Heller
- Justin Henderson
- Steven T. Henesy
- Peter Henninger
- Katherine A. Heptig
- Jennifer F. Hillman
- Brandi Holton
- Claudia Honan (Hinrichsen)
- Jeremy B. Honig
- Ryan T. Hyde
- Michael N. Impellizeri
- Deborah M. Isaacson
- Robert H. Iseman
- Frank P. Izzo
- B. Edward Jaffe
- Ada Janocinska
- Katherine Jenkins
- Jamie Johnson
- Michael J. Jones
- Atara Kahn
- Geoffrey R. Kaiser
- Priscilla D. Kam
- Gene Y. Kang
- Bernadette Kasnicki
- Jay D. Kenigsberg
- Elan Kirshenbaum
- Michelle (Bholan) Klein
- Cheryl F. Korman
- Yaron J. Kornblum
- Michael A. Kotula
- Drew Krieger
- Evan H. Krinick
- Christopher J. Kutner
- Joseph T. La Ferlita
- Katie Lachter
- Katherine Lalor
- Matthew A. Lampert
- Marie A. Landsman
- Carol A. Lastorino
- Jessica Lefebvre
- Stella Lellos
- Alexander Lev
- Barry I. Levy
- Lawrence A. Levy
- Cari Lewis
- David Lobl
- Jessica Flores Lynch
- Paul V. Majkowski
- Edwin A. Maldonado
- Benjamin P. Malerba
- Robert A. Maloney
- Christopher Mango
- Greg E. Mann
- Harini Maragh
- Patricia C. Marcin
- John Marino
- Henry M. Mascia
- Rebecca Matthews
- John M. McFaul
- Lauren I. Mechaly
- Douglas E. Menikheim
- Silvana Merlino
- Jamie (Eliassaint) Milfort
- Gregory D. Miller
- Morgan Miller
- Frank M. Misiti
- Morgan Moceyunas
- Nicholas G. Moneta
- Rebecca Morrison
- Dylan Mruczinski
- John P. Mulvaney
- Kenneth C. Murphy
- Anne M. Murray
- E. Christopher Murray
- Philip P. Nash
- James E. Nelson
- Mirielle Nezamy
- Kenneth A. Novikoff
- Moise A. Ogé
- Chloe Orta
- Thomas Paddock
- John Panagopoulos
- Michael F. Panayotou
- Alexander G. Pappas
- Ana Parikh
- Felicia Pasculli
- Justin S. Penchuk
- Domenick J. Pesce
- Albert W. Petraglia
- Jenna M. Pettograsso
- Joseph Pidel
- Eric J. Ploumis
- Ashley Prinz
- Sheila Pugliese
- John F. Queenan
- Evan Rabinowitz
- Frank Raia
- Paul C. Repper, Jr.
- Gisella Rivera
- Pia E. Riverso
- Ryan Roberts
- Joanna B. Rosenblatt
- Burton R. Ross
- Alex R. Rukab
- Lauren E. Russo
- Jeffrey P. Rust
- Alan S. Rutkin
- Andrea C. Sacks
- Catherine Salerno
- Eric Santos
- Mariann Sarraf
- William M. Savino
- Catherine Savio
- Evan R. Schieber
- William Schleifer
- Brian S. Schlosser
- Michael Schnepper
- Thomas P. Schulz
- Paul Schwabe
- Garin Scollan
- Spencer Serling
- Steven Shapiro
- Sahil Sharma
- Zan Sheikh
- Wendy Hoey Sheinberg
- Syma Shulman Levine
- Amy L. Silver
- Sean N. Simensky
- Avi Sinensky
- Harpreet K. Singh
- Michael A. Sirignano
- Joshua D. Smith
- Ariane Smith
- Joseph N. Salomon
- Karen E. Sosler
- Matthew V. Spero
- Eric S. Strober
- James Suozzo
- Elizabeth S. Sy
- Joshua M. Tare
- Stanley J. Tartaglia, Jr.
- Jonathan Tilles
- Frank P. Tiscione
- Alexandria E. (Tomanelli) Vath
- Norton L. Travis
- Michael A. Troisi
- Lindsey R. Trowell
- Robert Tugander
- Nadia Udeshi
- Marc S. Ullman
- Frank A. Valverde
- Michael Vanunu
- Christine S. Varghese
- Michael P. Versichelli
- Louis Vlahos
- Jenson Wang
- Michael P. Welch
- Kristen L. Wenger
- Kyle W. White
- Amy S. Wiedmann
- David S. Wilck
- Andrew L. Williams
- Jessica J. Williams
- Benjamin J. Wisher
- Alexandra Wolff
- Rebecca Yin
- Stephanie C. Zaferiou
- Matthew J. Zangwill
- Aaron E. Zerykier
- Victoria Zorovich
- Steven M. Zuckermann
- Rivkin Rounds Staff
- Author Test