Global Location

Federal Regulations

Federal Regulations

Affordable Care Act

Clinical Laboratory Improvement Amendments (CLIA)

False Claims Act (Auditors: MACs, RACs, ZPICs) & Stark Laws

Health Insurance Portability and Accountability Act (HIPAA)

Health Information Technology for Economic and Clinical Health (HITECH) Act

Medicare Opt Out Regulations

Occupational Safety & Health Administration (OSHA)

Patient Brokering (Fee Splitting & Corporate Practice of Medicine)

Pathology Services Restrictions (actually state law based)

Laboratory Client Billing Restrictions (typically state law based)

Sunshine Act

Health Maintenance Organization Act of 1973 (Incentivized states to pass similar HMO legislation – watch out for “prepaid”)

Tax Treatment of DPC

Medicaid: A Full Analysis

Federal Legislative Efforts

Summaries are available from the Direct Primary Care Coalition, current items of interest include:
Health Savings Accounts (changing the inaccurate IRS stance that DPC payments are not eligible for HSA dollars)
Pilot Projects (changing Medicare opt out rules, permitting Medicare to fund DPC for Medicare patients)