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ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
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April 11-13, 2019
Internal Medicine Meeting 2019
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Ensure payment and avoid policy violations. Plus, new resources to help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Access helpful forms developed by a variety of sources for patient charts, logs, information sheets, office signs, and use by practice administration.
ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
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817.505. Patient brokering prohibited; exceptions; penalties
(1) It is unlawful for any person, including any health care
provider or health care facility, to:
(a) Offer or pay any commission, bonus, rebate, kickback, or
bribe, directly or indirectly, in cash or in kind, or engage in any
split-fee arrangement, in any form whatsoever, to induce the
referral of patients or patronage from a health care provider or
health care facility;
(b) Solicit or receive any commission, bonus, rebate, kickback,
or bribe, directly or indirectly, in cash or in kind, or engage in
any split-fee arrangement, in any form whatsoever, in return for
referring patients or patronage to a health care provider or health
care facility; or
(c) Aid, abet, advise, or otherwise participate in the conduct
prohibited under paragraph (a) or paragraph (b).
(2) For the purposes of this section, the term:
(a) "Health care provider or health care facility" means any
person or entity licensed, certified, or registered with the Agency
for Health Care Administration; any person or entity that has
contracted with the Agency for Health Care Administration to
provide goods or services to Medicaid recipients as provided under
s. 409.907; a county health department established under part I of
chapter 154; any community service provider contracting with the
Department of Children and Family Services to furnish alcohol, drug
abuse, or mental health services under part IV of chapter 394; any
substance abuse service provider licensed under chapter 397; or any
federally supported primary care program such as a migrant or
community health center authorized under ss. 329 and 330 of the
United States Public Health Services Act.
(b) "Health care provider network entity" means a corporation,
partnership, or limited liability company owned or operated by two
or more health care providers and organized for the purpose of
entering into agreements with health insurers, health care
purchasing groups, or the Medicare or Medicaid program.
(c) "Health insurer" means any insurance company authorized to
transact health insurance in the state, any insurance company
authorized to transact health insurance or casualty insurance in
the state that is offering a minimum premium plan or stop-loss
coverage for any person or entity providing health care benefits,
any self-insurance plan as defined in s. 624.031, any health
maintenance organization authorized to transact business in the
state pursuant to part I of chapter 641, any prepaid health clinic
authorized to transact business in the state pursuant to part II of
chapter 641, any prepaid limited health service organization
authorized to transact business in this state pursuant to chapter
636, any multiple-employer welfare arrangement authorized to
transact business in the state pursuant to ss. 624.436-624.45, or
any fraternal benefit society providing health benefits to its
members as authorized pursuant to chapter 632.
(3) This section shall not apply to:
(a) Any discount, payment, waiver of payment, or payment
practice not prohibited by 42 U.S.C. s. 1320a-7b(b) or regulations
(b) Any payment, compensation, or financial arrangement within a
group practice as defined in s. 456.053, provided such payment,
compensation, or arrangement is not to or from persons who are not
members of the group practice.
(c) Payments to a health care provider or health care facility
for professional consultation services.
(d) Commissions, fees, or other remuneration lawfully paid to
insurance agents as provided under the insurance code.
(e) Payments by a health insurer who reimburses, provides,
offers to provide, or administers health, mental health, or
substance abuse goods or services under a health benefit plan.
(f) Payments to or by a health care provider or health care
facility, or a health care provider network entity, that has
contracted with a health insurer, a health care purchasing group,
or the Medicare or Medicaid program to provide health, mental
health, or substance abuse goods or services under a health benefit
plan when such payments are for goods or services under the plan.
However, nothing in this section affects whether a health care
provider network entity is an insurer required to be licensed under
the Florida Insurance Code. [FN1]
(g) Insurance advertising gifts lawfully permitted under s.
(h) Commissions or fees paid to a nurse registry licensed under
s. 400.506 for referring persons providing health care services to
clients of the nurse registry.
(i) Payments by a health care provider or health care facility
to a health, mental health, or substance abuse information service
that provides information upon request and without charge to
consumers about providers of health care goods or services to
enable consumers to select appropriate providers or facilities,
provided that such information service:
1. Does not attempt through its standard questions for
solicitation of consumer criteria or through any other means to
steer or lead a consumer to select or consider selection of a
particular health care provider or health care facility;
2. Does not provide or represent itself as providing diagnostic
or counseling services or assessments of illness or injury and does
not make any promises of cure or guarantees of treatment;
3. Does not provide or arrange for transportation of a consumer
to or from the location of a health care provider or health care
4. Charges and collects fees from a health care provider or
health care facility participating in its services that are set in
advance, are consistent with the fair market value for those
information services, and are not based on the potential value of a
patient or patients to a health care provider or health care
facility or of the goods or services provided by the health care
provider or health care facility.
(4) Any person, including an officer, partner, agent, attorney,
or other representative of a firm, joint venture, partnership,
business trust, syndicate, corporation, or other business entity,
who violates any provision of this section commits a felony of the
third degree, punishable as provided in s. 775.082, s. 775.083, or
(5) Notwithstanding the existence or pursuit of any other
remedy, the Attorney General or the state attorney of the judicial
circuit in which any part of the offense occurred may maintain an
action for injunctive or other process to enforce the provisions of
(6) The party bringing an action under this section may recover
reasonable expenses in obtaining injunctive relief, including, but
not limited to, investigative costs, court costs, reasonable
attorney's fees, witness costs, and deposition expenses.
(7) The provisions of this section are in addition to any other
civil, administrative, or criminal actions provided by law and may
be imposed against both corporate and individual defendants.