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Medical Legal Guideline

What may and may not be advertised according to the Medical Practice Act of 1987.

Truth in Advertising

Medical Legal Guideline

Physician responsibilities under the Truth in Health Care Professional Services Act.

Allied Health Professional Scope of Practice and Checklists

Advanced Practice Nurses' Authority to Diagnose and Prescribe

Medical Legal Guideline

This publication helps you understand the current regulatory requirements for health care team relationships.

APRN and PA Licensure Checklist

Medical Legal Guideline

This document outlines what should be collected upon hiring or signing a written collaborative agreement with an APRN or PA.

Medical Assistant Scope of Practice

Medical Legal Guideline

Understand what medical assistants are and what tasks they can perform.

Physician Assistants' Authority to Diagnose and Prescribe

Medical Legal Guideline

This publication focuses on a PA's authority to diagnose and prescribe in hospital and private practice settings.

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Billing

Letter to Dissatisfied Patient - Billing

Medical Legal Guideline

A letter template for a patient dissatisfied with a billing outcome.

'Incident To' Explained

Issue Brief

Understand why incident to is important, how Medicare sees it, and what scenarios it does and does not apply to.

Why am I Being Charged for Services That Were Part of My Annual Visit or Preventive Care?

Issue Brief

Preventative versus diagnostic services and why they may be charged differently.

Business Resources

A Physician's Guide for Departing or Closing a Medical Practice

Medical Legal Guideline

Advance planning considerations, notifying patients of departure, medical record retention, liability, and more.

Boycotts and Restraints of Trade

Medical Legal Guideline

Examples of Federal Trade Commission actions against healthcare professionals or healthcare facilities.

Entering Into Private Practice - A Quick Reference Guide

Medical Legal Guideline

This guide helps you identify the key terms of your employment contract and how to navigate them successfully

Medical Office Safety and OSHA Compliance

Medical Legal Guideline

This documents covers the OSHA standards requirements for physicians' offices.

Tips when Sharing Office Space, Staff, and Practice Resources

Medical Legal Guideline

Liability and compliance considerations for sharing practice space, staff, and practice resources.

New Federal Overtime Rules: Understanding the Change and Successful Compliance

Issue Brief

Beginning on December 1, 2016 nearly 200,000 Illinoisans will be newly eligible for overtime pay.

Recruiting Physicians to Rural Areas

A study of six states and how they address workforce shortages and recruit physicians to rural areas.

Controlled Substances/Opioids

The Illinois Prescription Monitoring Program

Issue Brief

An overview of the Illinois PMP, including recent legislative changes and information on how to register.

HIPAA

HIPAA Breach Notification Requirements

Federal reporting requirements for breaches of personal health information (PHI) as of 2017.

HIPAA Model Privacy and Security Policies and Procedures

These HIPAA documents available to ISMS members for copying/pasting when updating your practice's materials.

Interpreters

Foreign Language Interpreter Requirements

Medical Legal Guideline

Recipients of federal funds have certain obligations to persons with Limited English Proficiency (LEP).

Mandated Use of Interpreters for the Deaf

Medical Legal Guideline

Situations where a licensed interpreter is not required.

Patient Care Resources and Checklists

Overview of Legal Requirements in Mental Health

Medical Legal Guideline

This document covers inpatient and outpatient guidelines as well as confidentiality and mandatory reporting.

Mandatory Reporting Checklist

Medical Legal Guideline

A quick-reference checklist for actions to complete in various scenarios from birth to death.

Model Emergency Room Referral Form

Medical Legal Guideline

A sample emergency room referral form for physician use..

The Prior Authorization Reform Act

Issue Brief

Overview of the Prior Authorization Reform Act.

Referral Notice to Patients Receiving Physical Therapy, Occupational Therapy, Athletic Trainer and Genetic Counselor Services

Medical Legal Guideline

A sample letter when referring a patient to a provider within a financially-integrated practice.

Model Pain Management Agreement

Medical Legal Guideline

Physician-patient model pain management agreement.

Patient Communications and Forms

Mandatory Referral Notice to Patients

Medical Legal Guideline

Receiving of physical therapy, occupational therapy, athletic trainer and genetic counselor services.

Practice Closure Model Letter - Physician Death

Medical Legal Guideline

A patient notification letter regarding a physician’s death and a release of confidential health information form.

Practice Closure Model Letter - Physician Retirement

Medical Legal Guideline

A patient notification letter regarding a physician’s retirement and a release of confidential health information form.

Patient Discharge Model Letter - After Discussion

Medical Legal Guideline

A sample discharge letter when the physician is terminating the physician-patient relationship.

Patient Discharge Model Letter - General

Medical Legal Guideline

A sample discharge letter when the physician is terminating the physician-patient relationship.

Physician-Patient Relationships: Withdrawal or Termination

Medical Legal Guideline

Five circumstances where a physician-patient relationship can be ended without liability, and notification forms.

Patient Education

Protective Orders

Medical Legal Guideline

Understand what protective orders are and what health care practitioners need to know to stay compliant.

Self-Administration of Asthma Medication in School

Medical Legal Guideline

What the law say about the self-administration of asthma for students in school.

Payment/Medicaid

'Incident To' Explained

Issue Brief

Understand why incident to is important, how Medicare sees it, and what scenarios it does and does not apply to.

Modifier-25: Billing separately identifiable E/M services at the same encounter as a minor procedure

Issue Brief

Understand how to properly code and document E/M services provided on the same day as a procedure.

Changes Ahead for Office-Based and Other Outpatient Evaluation and Management Codes

Issue Brief

Top 5 changes to the E/M coding guidance issued in the CPT 2021 code set.

Ransomware

Privacy Protection in the Digital Age: The Threat Posed by Ransomware

Issue Brief

New reporting requirements for ransomware attacks and how you can protect your practice.

Social Media

Social Media Guidance for Physicians and their Practices

Medical Legal Guideline

This document contains five social media policies and sample scenarios a physician practice may encounter.

Social Media Guidance forms

Medical Legal Guideline

Sample communication policies of social media guidance for physicians and their practices.

Telemedicine

Telemedicine in Illinois: Emergency Measures Made Permanent

Issue Brief

Top 5 highlights from the new telemedicine law that physicians need to know.

Telemedicine in Illinois: Q&A

Issue Brief

ISMS Issue Brief answering frequently asked questions regarding the new telehealth law.

Telemedicine Principles

Issue Brief

ISMS’ 10 principles related to the expanded adoption and use of telemedicine.

Telemedicine Tips

Medical Legal Guideline

Understand telemedicine best practices, reimbursement, privacy and documentation, and what the law says.

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