The Illinois State Bar Association Health Care Section Council welcomed Brian Clauss, Director of The John Marshall Law School Veterans Clinic at its council meeting on November 18. The Veterans Legal Support Center & Clinic provides free legal assistance when a veteran has been improperly denied benefits by the Veterans Benefits Administration. Clauss shared how […]
Read more...Tag: Michael V. Favia & Associates
New Rules: CMS overhaul, must comply to participate in Medicare and Medicaid
There is big news in the overhaul for nursing home condition standards. Last month, “the Center for Medicare and Medicaid Services (CMS) published a final rule to revise the requirements that Long-Term Care facilities must meet to participate in the Medicare and Medicaid programs.[i]” The Law Firm of Michael V. Favia & Associates, P.C., works […]
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Dedicated Medicare Compliance Practice: The QPWB Advantage, Michael V. Favia, Of Counsel
Michael V. Favia and Michael V. Favia & Associates, P.C., are Of Counsel to Quintairos, Prieto, Wood & Boyer, P.A. (QPWB), the full-service business law firm with offices located in several U.S. states and overseas.[i] QPWB maintains a Dedicated Medicare Compliance Group and works with insurance carriers in connection with direct and indirect claims involving […]
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Advising and representing resident physicians facing discipline and program termination
Physicians must complete residency training, practicing medicine in a hospital or clinic under the supervision of an attending physician before being allowed to practice alone without direct or indirect immediate oversight. Many remember the television show, House M.D., staring Hugh Laurie, the attending physician who challenged resident doctors, some of whom, were terminated or simply […]
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Home health, the Illinois Elder Abuse and Neglect Act, reporting laws
One of the most difficult decisions we can face as adults is what to do when our parents can no longer take care of themselves and need professional healthcare and daily living assistance. In recent years, home healthcare is an option many pursue so mom or dad can stay home in the safety and comfort […]
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Illinois physicians and healthcare professionals: Are you prepared in the event of an OIG audit or review?
Not only do healthcare providers need to be concerned with federal compliance with government funded benefit programs like Medicare, there are state compliance agencies who oversee and audit physicians and healthcare systems to make sure there are no shortcomings in the state-funded benefit systems. In Illinois, the Office of the Inspector General (“OIG”) operates as […]
Read more...Telemedicine: Illinois licensing issues
Telemedicine and new telehealth options are available to an increasing number of patients. In addition to hospitals and health care organizations, direct health care service providers are adopting telemedicine into their medical practices to serve and an increased number of patients. Telemedicine utilizes mobile apps and software allowing doctors and patients to meet in a virtual setting for certain types of services. In other settings, when meeting with your regular doctor, you might use mobile health care technology to bring in a specialist who would otherwise not be available due to schedules and distances. Routine doctor-patient interactions, such as follow up visits and general maintenance can be conducted using telemedicine, saving time and resources for patients who would otherwise need to drive distances to see their doctor. As more people learn of the benefits of telemedicine, there may be a patient preference to see a doctor who can see them in person or by mobile health care technology. In light of the benefits of telemedicine, there are certain legal issues arising in mobile health care. Practitioners should be aware and mindful of licensing issues.
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Court rules hospital must disclose confidential physician credentialing records
The Illinois Supreme Court recently ruled that a physician’s application file and their data bank report information was subject to discovery in a plaintiff’s medical malpractice lawsuit alleging negligent credentialing. Hospitals have a duty to protect their patients against careless and incompetent physicians. Credentialing is the process through which a healthcare provider collects and verifies […]
Read more...Home health care fraud in Bloomingdale, bogus certifications lead to jail time
Home health care facilities can be hotbeds for fraud and prosecutors with their investigators recently put another fraud case in the news. The Bloomingdale-based Home Care Physicians Inc., part-owner and employee, Dr. Arthur Davida, 62, pleaded guilty and received a 2-year sentence in connection with home health care fraud. Physicians engaging in fraudulent activities are […]
Read more...Applying for confidential classification of prior professional disciplinary records.
The regulation and discipline of licensed professionals is important and necessary to protecting the public by ensuring licensed professionals comply with the rules and regulations covering the practice of their professions. Disciplinary records are available to the public, which can and does affect a consumer’s decision to seek professional services from even a well-referred professional. […]
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