Health care Law Mr. Sachdev presents more than 17 years of experience in Health care administration.
Compliance Programs: Mr. Sachdev is fully conversant with various regulatory compliance issues facing healthcare entities and has built a good portfolio of health care clients seeking compliance programs. Our firm will build a custom compliance program taking into account the Office of Inspector General (OIG) guidelines and your practice issues. A good compliance program features a comprehensive review of your healthcare entity. Click here for the OIG roadmap for physicians for avoiding Medicare and Medicaid Fraud and Abuse.
Managed Care: Call us for a review of your managed care contract especially the financial piece. Let us help you identify strategies to maximize your practice revenues based on your contracts. We also offer assistance in year-end settlements and analyses of utilization targets.
STARK Laws: STARK laws have had a great journey in their making, passage, interpretation and now implementation. These laws and subsequent regulations were enacted to prevent fraud and abuse of referrals. We can help you navigate through the complex set of rules STARK to ensure full compliance. Before you enter into any transaction, call us to ensure that there are no violations of these provisions.
Red Flag Rules: Red Flag Program Clarification Act of 2010, signed into law by President Obama on December 18, 2010, clarified that the Red Flags Rule would not be applicable to physicians generally. The American Medical Association (AMA) has issued guidelines laying out procedures for addressing red flags and maintaining compliance with HIPAA and other security issues. Click here to access the AMA issued guidance.
HIPAA & HITECH Privacy in Healthcare has long been espoused but more particularly so since the Health Insurance Portability and Accountability Act of 1996 (HIPAA). With the recent changes made via the Health Information Technology for Economic and Clinical Health Act (the HITECH Act) under American Recovery and Reinvestment Act (ARRA) of 2009, more needs to be done. We provide support for reviewing your business associate agreements (BAA) for non-covered entities to ensure proper incorporation of those provisions. We also conduct HIPAA audits to maintain full compliance.
ELECTRONIC HEALTH RECORDS (EHR) Implementation date for federal subsidies for electronic health records (EHRs) is coming fast. The funding for this was established by the American Recovery and Reinvestment Act of 2009 (ARRA). Both Medicare and Medicaid will offer financial incentives to physicians in their program (separately) for their “meaningful use” of EHR. On July 13, 2010, the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator (ONC) for Health Information Technology released the final rules. These rules provide guidance for electronic health record (EHR) rollouts over the next five years. CMS and ONC released final “meaningful use” requirements. These spell out how hospitals, physicians, and other medical professionals must use EHRs to improve care, in order to be eligible for Medicare and Medicaid financial incentives. ONC also released final rules governing standards that vendors of EHRs must meet and the process for certification of EHRs.
Call us today for a complete discussion on the specific measures and criteria set in this final release of the "meaningful use" requirements. The physicians must separately qualify for reimbursement from Medicare and Medicaid and if they do not, within a certain time frame, they would then face penalties for non-compliance.
Attorneys and Counselors
Law Offices of Jassi S. Sachdev, P.C. 39111 W. Six Mile Road, Suite 107 Livonia, Michigan 48152