Articles Posted in Improving Your Practice

shutterstock_1440454943-scaled-1-300x200Our healthcare and business law firm works with many providers and medical practices to ensure compliance with state and federal laws, rules, and regulations for given procedures, treatments, and prescriptions.  A hot topic and sometimes controversial category of drug right now is weight loss drugs (also called weight management drugs).  A provider should generally prescribe a drug or treatment pursuant to a patient-provider relationship when the drug is medically necessary and appropriate, but some states have laws and rules specifically governing prescribing weight loss drugs.  If your state has rules or guidance on prescribing weight loss drugs, it’s important, of course, to follow that guidance.  Unlike our firm’s look into Florida’s weight loss statute, blog post available here, this blog post examines what to consider when a state does not have specific weight loss rules by using Georgia as an example.  If you need assistance understanding your state’s guidance on weight loss treatments or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@hamillittle.com. You may also learn more about our law firm by visiting www.hamillittle.com.

If your state has no specific weight loss statute, such as the statute we previously examined in Florida, where do you turn?  Below is an idea of where to start:

  1. Are There Relevant Statutes or Rules?

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understanding-physician-employment-contracts-e1677703586595-300x197Our healthcare and business law firm works with many providers and medical practices to ensure compliance with state and federal laws, rules, and regulations.  Mid-level providers, such as physician assistants (“PAs”) and nurse practitioners, are widely used, and they help expand the provision of medical care and services. States differ on the amount of oversight that is required for PAs to practice.  This blog post outlines possible requirements that may be present in your state for PAs to practice under physician supervision, using Georgia as an example.  If you need assistance understanding your state’s guidance on mid-level supervision and delegation requirements or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@hamillittle.com. You may also learn more about our law firm by visiting www.hamillittle.com.

In Georgia, the rules governing PAs and their supervising physician include the following:

First, the Supervisory Relationship Must be Established:

Under Georgia Rule 360-5-.03, in order to supervise a PA, a supervising physician must submit an application to the Board that must be approved by the Board before delegating tasks. On the flip side, upon termination of the supervisory relationship, the PA and physician must give notice and date of termination. Continue reading ›

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Our healthcare and business law firm works with many providers and medical practices to ensure compliance with state and federal laws, rules, and regulations for given procedures, treatments, and prescriptions.  Providers have differing opinions on the use and efficacy of certain treatments.  One such treatment is Ozone therapy.  This blog post outlines considerations prior to introducing Ozone therapy to your medical and wellness practices’ offerings.  If you need assistance understanding the full realm of considerations governing ozone therapy or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@hamillittle.com. You may also learn more about our law firm by visiting www.hamillittle.com.

  1. Consider the Food and Drug Administration’s Regulations

21 C.F.R. 801.415 is a regulation of the Food and Drug Administration (“FDA”), which provides: “Ozone is a toxic gas with no known useful medical application in specific adjunctive, or preventative therapy.”  Further on the regulation provides: “A number of devices currently on the market generate ozone by design or as a byproduct. Continue reading ›

nurse-practitioner-vs-primary-care-doctor-002-e1675797661360-300x141Our healthcare and business law firm assists many physicians and other healthcare professionals who are dealing with professionalism concerns.  Concerns can be identified by employers, licensing boards, professionalism societies, or even all three at once.  Over the years, our firm has helped providers deal with various professionalism concerns identified by their employers and/or licensing boards.  This post identifies some of the most common concerns we have seen.  The goal of this post is to provide useful information that healthcare professionals can use to make more informed professionalism decisions.  If you need assistance dealing with a professionalism concern or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@hamillittle.com. You may also learn more about our law firm by visiting www.hamillittle.com.

Social Media Use

Inappropriate social media use is a big problem for all professionals.  Given, however, the sensitive and confidential information surrounding all aspects of a healthcare professional’s job, all information shared online should be heavily vetted. Continue reading ›

1651676570_Transworld-May-Blog-Header950x460-e1686600049528-300x190Our healthcare and business law firm often assists physicians and other providers in obtaining and maintaining licensure.  Sometimes, either because of a complaint or other process, the medical board or other professional licensing board will request to meet with someone they license.  Usually, this is because the board has some concern about the licensee.  This post outlines three steps for preparing for such a meeting.  If you need assistance preparing for a meeting or interview with your licensing board or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@hamillittle.com. You may also learn more about our law firm by visiting www.hamillittle.com.

Step 1: Consult Your Health Law Attorney

There are many reasons for this.  Your health law attorney uses his or her experience with licensing boards to strategize your approach.  Your attorney can also work with the licensing board to gain further insight into what the board is concerned with.  This can be invaluable in helping you prepare.

Step 2: Take Steps to Alleviate the Board’s Concerns

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4-300x169Our healthcare and business law firm works with many physicians and other providers with their medical practices, including integrating telemedicine services into their practice and/or creating a full telemedicine practice.  The telemedicine laws and rules have gone through major changes since the COVID-19 Pandemic, and the laws and rules continue to be in a state of flux.  The federal rules govern prescribing controlled substances, but the majority of telemedicine rules are governed by state law.  Generally, before a provider can prescribe any drug, the provider must have an established patient-provider relationship.  An open question in many states we’ve researched is-Can you create a patient-provider relationship through telemedicine?  This post dives into this question, with a focus on Georgia rules.  If you need assistance integrating telemedicine into your practice or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@hamillittle.com. You may also learn more about our law firm by visiting www.hamillittle.com.

Each state is going to answer this question differently.  Let’s dive into the rules in Georgia as an example of how to think through this question. Continue reading ›

nurses-and-docs-e1681928313827Our healthcare and business law firm often represents medical practices, including primary care practices, specialty practices, and med spas, in the initial set up phase of their practice.  Whether a Management Services Organization (“MSO”) is necessary or advisable for your practice usually requires a detailed review of your business structure and state laws.  If an MSO is advisable for your practice based on the Corporate Practice of Medicine (“CPOM”) doctrine in your state, this post provides 3 key provisions that should be within your Management Services Agreement (“MSA”).  If you have medical practice set up or MSO questions or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@hamillittle.com. You may also learn more about our law firm by visiting www.hamillittle.com.

As discussed in previous blog posts, including 2 Facts About Management Services Organizations (MSOs) and Med Spas, Management Services Organizations can be useful in CPOM states to provide all non-medical functions of the business while contracting with the Physician Entity to provide all medical functions. The MSA that outlines this agreement is typically a lengthy and involved document, but here are three key provisions that should be contained within the agreement: Continue reading ›

HealthcareImage_062618-700x525-1-e1682709849274Our healthcare and business law firm often represents medical practices, including primary care practices, specialty practices, med spas, and IV hydration clinics, in the initial set up phase of the business.  Related to questions about the Corporate Practice of Medicine (“CPOM”), a common question we are asked is: “Do I need an MSO”?  This is not always an easy question to answer.  There are many reasons why an MSO may be a useful tool for your practice.  For instance, it may reduce the risk of violating your state’s CPOM doctrine, it may increase regulatory compliance, or it may assist you in exit planning.  This post specifically focuses on how MSOs may be useful in the context of the CPOM doctrine.  If you have medical practice set up or CPOM/MSO questions or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@hamillittle.com. You may also learn more about our law firm by visiting www.hamillittle.com.

Two facts about MSOs and Med Spas:

Fact 1:     Most med spas and IV hydration clinics offer services defined as the practice of medicine and, thus if there’s a CPOM doctrine in your state, it’s likely triggered.

If you own a med spa or IV hydration clinic, I can almost guarantee you are offering services that are considered the practice of medicine. Continue reading ›

nurses-and-docs-e1681928313827Our healthcare and business law firm often represents medical practices, including primary care practices, specialty practices, and med spas, in the initial set up phase of their practice.  A main question we are asked is: What’s the Corporate Practice of Medicine (CPOMs) Doctrine and does it mean I have to have an MSO?  This is not always an easy question to answer.  The CPOM doctrine essentially encapsulates the following sentiment: We don’t want non-physicians, including corporations, practicing medicine so non-physicians cannot own medical practices.  There is quite a bit of nuance to add to that explanation, but that’s the main idea behind the doctrine.  This post provides 3 initial questions to consider relating to the CPOM doctrine.   If you have medical practice set up or CPOM questions or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@hamillittle.com. You may also learn more about our law firm by visiting www.hamillittle.com.

Question 1: Am I practicing medicine?

This is not always an easy question to answer, even though common sense would say it should be.  Each state’s idea of what constitutes the practice of medicine is drastically different. Continue reading ›

1651676570_Transworld-May-Blog-Header950x460-e1686600049528Our healthcare and business law firm often represents medical practices, including primary care practices, specialty practices, and med spas, in employment matters.  At some point, each medical practice deals with the situation where an employee becomes unable to perform due to an injury or prolonged illness.  For instance, an esthetician breaks her hand and can no longer perform essential services of her position.  Or a staff member has a serious illness that requires them to stay home for three weeks.  Our medical practice clients are always sympathetic and want to take care of their employees, but they also have to balance that interest against the interest of running a business.  That leads them to ask us: What should I do?  This post provides four considerations for a medical practice if an employee is unable to perform due to an injury or illness.  If you have employment questions or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@hamillittle.com. You may also learn more about our law firm by visiting www.hamillittle.com.

  1. If the injury happened on the job, does your workers compensation policy provide a benefit? 

Workers’ compensation requirements differ state to state. Continue reading ›

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