Author: Adrienne Hersh, JD, ICS Legal Counsel

Credit Card Payments for Physician Fees: A Regulatory Tapestry

Collections are a critical part of running a physician practice. The shift toward patient responsibility for higher co-payments and deductibles under today’s health plans has driven the need for physician offices to shore up collection methods. Whether a practice is insurance or cash-based, patient payments are making up an increasing share of revenue. Every business needs to make money to survive, but physicians must balance the need for profit with the responsibility to provide quality patient care. In addition, laws regarding ethics, licensing, and patient privacy are layered into the regulatory tapestry that governs physician collections.

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Medical and Professional Service Corporation

Did you know that a medical corporation, professional service corporation or limited liability company needs its own license to operate legally in Illinois? This means that owners of these entities must not only form the corporation through the Secretary of State, but they must also file for and obtain a professional license from the Illinois Department of Financial and Professional Regulation (IDFPR), even though all of the owners and practitioners possess individual licenses.

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Applying – Violent or Sexual Crime Prohibition

In 2011, a law was passed that prohibited the issuance of a license to any type of health care worker, including a physician, who: (1) has been convicted of a criminal act that requires registration under the Sex Offender Registration Act; (1.5) has been convicted of involuntary sexual servitude of a minor (human trafficking); (2) has been convicted of a criminal battery against any patient in the course of patient care or treatment, including any offense based on sexual conduct or sexual penetration; (3) has been convicted of a forcible felony; or (4) is required as a part of a criminal sentence to register under the Sex Offender Registration Act

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After Transition to Electronic Health Records (EHR): What to Do with Paper Files?

The use of electronic health records (EHR) in the physician office provides many benefits, including quick access to accurate, complete information about patients at the point of care; legible, complete documentation; reduction of medical errors; privacy and security of health information, secure sharing of electronic information; and streamlining of coding and billing. Without a doubt, the process of transitioning from paper records to EHR can be challenging and stressful, but the rewards are worthwhile.

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