“What do I do if a patient tells me I cannot bill their health plan for a cholesterol test and any prescription for cholesterol lowering medication?” the frustrated primary care physician asked. “Well, that depends,” the lawyerly health care lawyer responded.

“But these guys down the street are doing a deal, so why can’t I?” questioned the frustrated physician. “Well, who knows exactly what they are doing, and even if they are doing a deal, that does not mean it is right, right?” responded the mildly patient health care lawyer.