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Physician Organizations

 
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The Physician Organization Practice Group addresses a broad range of issues related to physicians and physician practices, including reimbursement and coverage of physician services, clinical integration and other contractual arrangements between physicians and other providers, physician group practice issues including Stark Law and Anti-Kickback Law compliance, HIPAA privacy and security, employment of physicians by hospitals and other entities, and alternative payment models for physician services.

Benefits of Membership - Physician Organizations Practice Group

 
 
Summaries of the Office of Inspector General (OIG) Advisory Opinions are provided by the Advisory Opinions Task Force of the Fraud and Abuse Practice Group. The Task Force aids Practice Group members in keeping abreast of new Advisory Opinions. For each new opinion issued by the OIG, a summary is released via an email alert and posted on several Practice Groups' websites.

​OIG Advisory Opinions

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You may access this content by joining AHLA and enrolling in Physician Organizations Practice Group.


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You may access this content by enrolling in Physician Organizations Practice Group.

You may access this content by Renewing your membership for Physician Organizations

You may access this content by joining AHLA and enrolling in Physician Organizations Practice Group.


Already a member? Sign in

You may access this content by enrolling in Physician Organizations Practice Group.

You may access this content by Renewing your membership for Physician Organizations

You may access this content by joining AHLA and enrolling in Physician Organizations Practice Group.


Already a member? Sign in

You may access this content by enrolling in Physician Organizations Practice Group.

You may access this content by Renewing your membership for Physician Organizations


You may access this content by joining AHLA and enrolling in Physician Organizations Practice Group.


Already a member? Sign in

You may access this content by enrolling in Physician Organizations Practice Group.

You may access this content by Renewing your membership for Physician Organizations

  • Physician Organizations PG Document Archive
    - Published on June 21, 2017
    The Physician Organizations Practice Group Document Archive contains a range of materials, including prior versions of Medicare enrollment forms, and prior versions of Medicare Internet-Only Manual chapters and older Centers for Medicare & Medicaid Services (CMS) transmittals, many of which are no longer available on CMS’ website. The Document Archive also includes links and citations for helpful materials, including Medicare Physician Fee Schedules, CMS transmittals and guidance, and lists of Medicare Contractor Medical Directors and their contact information. The Document Archive is intended to serve as a point of access for attorneys who represent physicians and who need access to copies of previously released, but now unavailable material, as well as a “one-stop shop” for older Physician Fee Schedule documents.

  • Diagnostic Testing Legal Issues Toolkit
    - Published on December 20, 2012
    This toolkit is designed to assist lawyers in advising clients on diagnostic testing matters and in structuring diagnostic testing arrangements.
​Achieving Compliance with MS.01.01.01
The materials contained in this resource were originally provided in support of an AHLA webinar series on achieving compliance with MS.01.01.01 (September-October 2010).
Centers for Medicare & Medicaid Services
U.S. Department of Health and Human Services

Upcoming

Past

Upcoming:

Past:

Upcoming:

Past:

February 9, 2016 12:00 PM-1:15 PM Eastern
February 9, 2016 12:00 PM-1:15 PM Eastern
July 1, 2015 12:30 PM-1:45 PM Eastern
June 29, 2015 12:30 PM-1:45 PM Eastern
June 29, 2015 12:30 PM-1:45 PM Eastern

Upcoming:

Past:

June 6, 2017 1:00 PM-1:30 PM Eastern
May 30, 2017 1:00 PM-1:30 PM Eastern

Task Forces

Task Forces are established for those health law topics that cross over several Practice Groups, and they provide collaborative, substantive resources for the benefit of the sponsoring Practice Groups members.
Please note: You must be a member of the Physician Organizations Practice Group or one of the other sponsoring Practice Groups to receive benefits produced by these Task Forces. 

  • Accountable Care Organization Task Force
    The mission of the ACO Task Force is to provide members with a wide array of information relating to accountable care organizations, integrated care models, and other initiatives designed to improve quality and lower costs, for better population health. The ACO Task Force analyzes the impact and trajectory of ACO and other integrated care developments nationwide, including commercial ACOs, Medicaid ACOs, and the Medicare ACO programs.

    The mission of the ACO Task Force includes informing members of any new or updated regulations, waivers, and guidance relating to the main federal ACO programs, including the Medicare Shared Savings Program and the Pioneer ACO program, as well as to provide information on a broader array of issues integral to ACOs, integrated care systems, population health, and payment models.

    The ACO Task Force provides webinars, written material, and sponsored in-person programming pertaining to the relationship between ACOs and population health, as well as other topics germane to ACO formation and development. Since the ACO Task Force mission is so broad, it often partners with other AHLA Practice Groups to provide deeper insight into the unique legal and policy considerations for ACOs.
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  • Behavioral Health Task Force
    The Behavioral Health (BH) Task Force is committed to advancing the understanding of laws impacting behavioral health, including the delivery of services to those living with mental illness, certain neurological conditions, substance use disorders or developmental disabilities, and reimbursement for such services. A complex framework of federal and state laws concerning privacy, information sharing and exchange, reimbursement, involuntary commitment, and other subjects provides unique challenges to health care providers and payers of behavioral health services. Scientific, legislative, and other developments, including health care reform, have presented new issues and opportunities in this area, including primary and behavioral health care integration initiatives, insurance coverage parity mandates, changes to Medicaid, and evolving public policy, to name a few. The BH Task Force monitors and evaluates these laws and developments through written materials, webinars, and in-person educational activities so that AHLA members are better equipped to advise clients on behavioral health topics. In addition, the work of the BH Task Force serves to raise awareness about how behavioral health laws influence health improvement efforts, and will include collaborative efforts with AHLA's Public Interest activities.

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LeadershipView Project Reports

Image of DavidLewis
David T. Lewis Chair Lewis Health Advisors Brentwood, TN (615) 283-3935 Email
Image of KathrynHickner
Kathryn E. Hickner Vice Chair - Publications Ulmer & Berne LLP Cleveland, OH (216) 583-7062 Email
Image of TamiHorton
Tami Reinglass Horton Vice Chair - Membership Cancer Treatment Centers of America Zion, IL 8477315800 Email
Image of AlysonLeone
Alyson M. Leone Vice Chair - Strategic Planning and Special Projects Wilentz Goldman & Spitzer PA Woodbridge, NJ (732) 726-7474 Email
Image of EthanRii
Ethan E. Rii Vice Chair - Research & Website Vedder Price Kaufman & Kammholz PC Chicago, IL (312) 609-7577 Email
Image of DanielShay
Daniel F. Shay Vice Chair - Educational Programs Alice G Gosfield & Associates PC Philadelphia, PA (215) 735-2384 Email
Image of PatrickSouter
Patrick D. Souter Social Media Coordinator Gray Reed & McGraw PC Dallas, TX (214) 954-4135 Email

 

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