Health Law

Arguably no other area of interdisciplinary law affects the daily lives of the general public and, in turn, your clients, more than health law. Moreover, healthcare has become big business with the rising cost of quality medical care, prescription drug coverage, and the need for long-term health care solutions for an aging population. Legal matters frequently arise from the denial of Social Security benefits to the maze of options available for small businesses that are required to provide healthcare insurance coverage to their employees. Click on the links below to also learn about how to better represent your clients seeking Medicare coverage or how to make your company’s health benefits work for its employees.

Law Library

Health Law Articles

Medicare + Choice

Railroad retirement beneficiaries, like social security beneficiaries, are being offered additional health care options under the new Medicare + Choice Program provided by the Balanced Budget Act of 1997. In addition to the traditional pay-per-visit ...
Read More »
Medicare Definition of Fraud

Fraud is the intentional deception or misrepresentation that an individual knows to be false or does not believe to be true and makes, knowing that the deception could result in some unauthorized benefit to himself/herself or some other person. The ...
Read More »
Medicare Fraud Tips

You should be suspicious if the provider tells you that: Hospital providers that bill Medicare for tests you received as an inpatient or within 72 hours of admission or ...
Read More »
Medicare Has More To Offer

Medicare, the nation's largest health insurance program, is run by the Health Care Financing Administration (HCFA), a Federal agency in the Department of Health and Human Services. The Medicare program serves more than 39 million Americans. Medicare ...
Read More »
Medicare Hospice Benefits

Hospice is a special way of caring for a person whose disease cannot be cured. It is available as a benefit under Medicare Hospital Insurance (Part A) to beneficiaries with a very limited life expectancy. A Medicare beneficiary who chooses hospice ...
Read More »
Medicare/Medicaid Condition of Participation Regarding Patients’ Rights

On Friday, July 2, 1999, the Health Care Financing Administration ("HCFA") published a rule introducing a new Patients' Rights Condition of Participation ("COP") that hospitals must meet to be approved for, or to continue participation in, the ...
Read More »
Medicare Overpayments and Income Tax Deductions

A person or entity is entitled to deduct from income for tax purposes a repayment of Medicare reimbursements to a Medicare carrier, intermediary or the Health Care Financing Administration ("HCFA"), whichever is applicable. For instance, if XYZ ...
Read More »
Medicare Revises Incident-to Rule

Medicare recently revised its rule pertaining to the provision of incident-to services (services and supplies that are furnished as an incidental part of a physician's personal professional services) to allow the provision of such services by leased ...
Read More »
Medicare’s New Fraud and Abuse Safe Harbors

A significant issue confronting all healthcare providers is the potential application of the Fraud and Abuse law to various transactions and arrangements. The law broadly prohibits the payment of remuneration in return for referrals. Unlike the ...
Read More »
Medicare Supplemental Insurance

GENERAL INFORMATION A Medicare supplement policy, also known as Medigap insurance, is a private insurance policy designed to help pay deductibles or coinsurance incurred by beneficiaries who are in the original Medicare plan (also called ...
Read More »