The Federal Anti-Kickback Act (AKS) is one of the prominent federal corruption and abuse bills in the United States. It merely applies to the wide-ranging dispute of interest fraud has on business affairs in the patient care, pharmaceutical, and medical device sectors. The AKS is an unlawful statute that prohibits contracts anticipated to facilitate or award referrals for items or services compensated under federal healthcare policies.
The Stark Law (“Stark”) prohibits patients’ self-referral by treating physicians those of certain services reimbursable by Medicare or Medicaid. …
Winston S. Churchill once said: “A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficulty.”
Opportunity plays a vital role in the American dream, and the option, in itself, comes from the founding principles of the nation. These principles American Constitution granted its constituents that make the U.S. a great nation, and because those ideals are neither Republican, Democratic, conservative, liberal, white, or black, everyone gets to benefit equally.
It’s not just the United States; our values serve the foundation of everything we do and live. Values guide our lives, and the same concepts…
A Controversial move despite needs for more Transparency, Accountability amid today’s Monopolized Healthcare system
A Prospective Payment System (PPS) is a reimbursement scheme through which Medicare makes payments according to predetermined, fixed rates. A given service is materialized founded on service classification such as diagnosis-related groups for inpatient hospital services.
The Hospital PPS payment system offers reimbursement on predetermined prices from Medicare. Payments typically follow specific codes delivered on the insurance claim, such as current Procedural terminology for outpatient, ambulatory payment classification for a hospital outpatient, and diagnosis-related groups for hospital inpatient claims.
The PPS was initially established by the…
It’s time for a genuinely unified electronic health record system that combines data from various medical providers controlled by the patient. That concept is a matter of practicality today. It’s a vision that can only be comprehended using fully interoperable and decentralized health-record technologies.
Today, hospitals and health systems control patient records, and the patient does not always have full access to their health history. When a patient goes from seeing a doctor who belongs to a health system to a specialist clinic run by an independent doctor, their health record does not always travel. That means that clinicians cannot…
According to the American medical association report, only 49.1% of its 3,500 national survey respondents worked in private practice as of fall 2020, dropping from the 54% reported in 2018. It is the most significant shift the AMA has observed since 2012. It’s also the first time the proportion has ever dropped below 50%. The results seem to be accelerating the existing physician drift since 2012 and possibly enhanced by the COVID-19 pandemic. That is so; even some physicians are leaving medical practice altogether.
“Peace of mind would come to all people through the universal respect for the basic human rights of everyone”