The United States Department of Justice’s U.S. Attorney’s Office District of New Jersey recently published a news release claiming a New York man defrauded a health benefit fund of over $4 million. The feds claim the man was part of an intricate healthcare fraud...
The feds continue to crackdown on pharmacy owners who do not follow applicable regulations. In a recent case, prosecutors accused a pharmacy owner of falsely claiming to be a pharmacist. They state that he was not licensed as a pharmacist and did not have the proper...
Almost 50% of all physicians were employed by hospitals as of January 2021. This number represents an increase of 5% from the same time period in 2019. The data, gathered by the Physicians Advocacy Institute and Avalere, shows an increase of hospital-owned practices...
The media recently highlighted this question when hospital administration fired a physician out of Arizona from her position at Phoenix Children’s Hospital after making anti-Semitic statements on her Instagram page. The posts disparaged the state of Israel, calling it...
The Eliminating Kickbacks in Recovery Act (EKRA) is part of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act singed into law in 2018. This law impacts clinical treatment facilities and...
The United States Centers for Medicare and Medicaid Services (CMS) has a lot of rules. What happens if a healthcare provider fails to follow them? In some cases, it could mean the provider cannot get reimbursement from Medicare and Medicaid. In others, the answer is...
Media reports about the nursing shorting abound, so it seems counterintuitive to think about nurses struggling to find employment. Although facilities need nurses within some specialties, like emergency care and home health or hospice, other specialties are just...
The federal government recently charged a New York businessman with health care fraud. The entrepreneur ran a non-emergency medical transportation business in the Buffalo area. The business provided services from 2016 through 2020. It was composed of about 15 vehicles...
The federal Anti-Kickback Statute (AKS) is one of the most well-known anti-fraud laws in the country. This criminal statute has a huge impact on the healthcare industry and can affect physicians, executives, lab owners and anyone else that files claims for payment...
Officials recently accused an anesthesia practice of failing to disclose information to patients prior to providing care. This information included the likelihood that their services were out-of-network for billing purposes because the group did not participate in the...
