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The following “top ten” list sets forth a few of the key legal and compliance issues health care providers should be looking out for this year.

Jane Smith got home after a long day at work and played the message machine. The only message was from the school nurse at Acme Elementary School. "Mrs. Smith, this is Nurse Amanda at Acme Elementary. I am afraid we cannot let your daughter, Becky, return to school until her immunization chart is updated."

“Hi, I am calling to provide you our correct health insurance information for my wife’s visit last month,” the dutiful husband told the medical office receptionist over the phone. “I’m sorry, but HIPAA will not allow me to talk with you about that, your wife will have to call us,” the receptionist robotically responded.

The passage of the Affordable Care Act (ACA) in 2010 stimulated many things in health care including the looming 2014 mandate for health insurance coverage and state-by-state Medicaid expansion. In addition, the ACA hinted at changes to future payment models...

Health care providers do business in a risky regulatory environment, and the regulations are constantly being updated and enforced in fits and starts. Similar to practicing preventative medicine, a provider office should try to monitor changes and tweak their compliance efforts to keep their business healthy. The following are a few quick tips for the month to assist with that process.

“What do I do if a patient tells me I cannot bill their health plan for a cholesterol test and any prescription for cholesterol lowering medication?” the frustrated primary care physician asked. “Well, that depends,” the lawyerly health care lawyer responded.