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Author: Adrienne Hersh, JD, ICS Legal Counsel

Limited English Proficiency (LEP)

Limited English Proficiency (LEP)

The Civil Rights Act of 1964 prohibits discrimination based on national origin. Based on this law, the U.S. Department of Health and Human Services has determined that physicians and other providers who receive Medicare, Medicaid, and other federal health plan payments must take “reasonable steps to provide meaningful access” to services to persons with limited English proficiency (LEP), defined as persons who speak English less than “very well.”

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Financial Hardship Waivers

Financial Hardship Waivers

When it comes to fees, most physicians know at least these basic rules: they cannot offer discounts to patients as an inducement to use the physician’s services, nor can they solicit business by agreeing to waive copayments or deductibles. But what about offering a discount to a patient in need?

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Multiple Provider Practice Arrangements

Multiple Provider Practice Arrangements

Obtaining a license as a chiropractic physician is demanding enough, but the choice of where and how to practice can seem almost as daunting. One of the first issues a physician must confront is whether to operate as a solo practitioner or within a multi-physician setting. The array of available legal arrangements is vast, as is the number of considerations that affect the decision.

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