Practice Issues & Opinions
- When a License/Registration is Required
- Assistive Personnel/Delegation of Duties
- Miscellaneous Practice Matters
- Business Matters
When a License/Registration is Required
- Independent medical exams in connection with litigation
- EMG testing
- Examinations and possible procedure in connection with litigation
- Orders for continuing treatment
- Naturopathy and acupuncture
- Cosmetic tattooing
- Laser tattoo removal
- Orders from out of state physicians for out of state patients
- Ear stapling
- Camp physicians
- Ultrasound-guided egg retrieval in fertility clinic
- Non-Alabama licensed physicians certifying home health orders for Alabama patients
Assistive/Advanced Practice Personnel-Delegation of Duties
- Unlicensed personnel giving injections
- Standing order for administration of influenza vaccine
- Radiologic technologist administering contrast media under remote supervision (2023)
- Radiology techs performing fluoroscopy
- Cardiovascular tech may not administer sedation/analgesia
- Delegation of dictation of discharge summaries, histories and physicals
- Sclerotherapy may not be delegated to an RN
- Mid-level practitioners and hospital privileges of supervising/collaborating physician
- PAs ordering MRIs
- PAs ordering controlled substances for inpatients
- PAs signing for sample drugs
- PAs dictating death summaries
- Wellness clinics offering IV medications for a fee
- NEW: Statement on Request to Train and Delegate Injection of Neuromodulators and Dermal Fillers for Cosmetic Purposes (15MB .pdf)
Miscellaneous Practice Matters
- Responsibility of cataract removal surgeon for pre and post-op exams
- Telemedicine by teaching physicians and residents
- Satisfying the "in-person" requirement for prescribing via telehealth
- Ozone therapy
- Reportability of high/low agreement in malpractice lawsuit
- Reportable diseases/conditions in Alabama (April 2024 Dept. of Public Health chart)
- Considerations on closing or leaving a practice (license status options)
- Medical records and patient notification upon leaving a practice
- Public health emergencies and natural disasters
- Scammers targeting physicians
- Concerns with semaglutide and other GLP-1 receptor agonists
- NEW: Declaratory Ruling on physicians compounding drugs or drug products (August 2024) (Downloadable Flipbook Version)
Corporations/Contractual Agreements>
- Contractual relationship between partnership and independent contractor
- Licensing requirements for shareholders in Alabama Professional Corporation
- Corporate practice of medicine
- Employment of chiropractor by professional medical corporation
- LLC/LLP providing non-medical services
- Physician ownership in pharmacy
- LLC not organized to perform medical services performing medical services
- LLLP providing professional medical services
- Alabama Limited Liability Company Law of 2014 and the employment of physicians by companies formed under/subject to it
Referrals/Fees
- "Handling charge" from pathology group to surgical clinic
- Compensation for actual services not dependent upon or related to referrals
- Method of payment from physicians to referral service
- Billing arrangement for pathology services and clarification regarding radiologists
- Billing arrangement between pathology and urology groups
- Written services agreement between laboratory and urology group
- Billing arrangement between pathology and dermatology group
- Contractual relationship between a medical partnership consisting of licensed ophthalmologists and a licensed pediatric ophthalmologist