by Michael R. Lowe, Esq., Brian Evander, Esq., and Jacob Lowe
February 03, 2025
By tahlia@tldsystems.com
0 Comments
Often, health care providers do not even realize how marketing arrangements can violate the Anti-Kickback Statute and other state marketing/brokering laws. It is completely natural for health care providers to market; they need to get business and establish referral relationships with other practitioners. With this, health care professionals often rely on marketing companies, MSOs (management services organization), pharmaceutical companies, or referral entities that represent that an agreement is compliant with such statutes a provider will not have checked by an attorney.
“I know things have changed a little for removal of retained hardware and I am seeking clarification for a scenario. A patient has previously had an Austin Akin bunionectomy. It healed uneventfully. Years later, she has developed pain at the retained screw in the metatarsal. There is a k-wire noted in the proximal phalanx. X-rays showed complete healing at the osteotomies. The patient would like to have both implants removed despite only one of them hurting today. How would the changes in CPT coding apply to this situation? Thank you for the help.”
PIH Health in California was hit with a ransomware attack which severely impacted its computer and telephone systems. The attack forced the hospital to activate their Downtime Contingency Plan. A downtime contingency plan are the procedures that are followed to maintain the ability to provide patient care in the event of a computer outage. This typically involved going back to recording patient information on paper for later entry into the computer systems when they are back online.