Mark Cuban, billionaire entrepreneur well known for his role in Shark Tank and as owner of the Dallas Mavericks, has taken on another financial enterprise: the pharmaceutical industry. Cuban started Cost Plus Drugs in January of 2022 with a goal of lowering...
The Department of Health and Human Services, Office of the Inspector General (OIG), recently released conducted an audit of Medicare claims from Telehealth Service Providers during the first year of the pandemic. The group reports that of the 742,000 providers who...
The New York State Department of Health tasks the Office of Professional Medical Conduct (OPMC) with the investigation of complaints about service or treatment against physicians, specialists, and other professionals who are subject to the State Board for Professional...
Dual-eligible individuals are those who qualify for both Medicare and Medicaid coverage. In these situations Medicare generally covers the first 80% of an approved claim and Medicaid covers the remaining 20%. The Office of the New York State Comptroller recently dug...
The United States Court of Appeals for the Eighth Circuit just gave defendants in False Claims Act (FCA) claims a big win. The win involves how courts determine whether a violation existed when that violation is rooted in allegations of an Anti Kickback Statute (AKS)...
Every boom eventually busts, and it appears that is what we are headed towards with the travel nurse boom. Travel nurses were in high demand during the pandemic. The marketplace changed and required medical professionals to pick up and head out to various locations...
The healthcare industry is constantly evolving. The way we practiced medicine in previous generations is not the same as how we serve patients today. Groups that want to thrive need to make changes to stay relevant — as was recently highlighted with CVS Health Corp.’s...
The government continues its aggressive pursuit of those it believes abuse government funds. When the feds believe this type of situation exists, they investigate and, if possible, pursue criminal charges. In a recent example, New York Attorney General Letitia James...
Completing training and navigating the requirements that comes with getting your nursing license takes time and effort. Once you get your license, you do not want to put it in jeopardy. Each state has its own requirements and it is important to know how your state...
Those who chose to practice medicine are likely motivated by a desire to help people. Sometimes, medical professionals can feel that the freedom to make their own business decisions will help better ensure they can meet this goal. They may not want to follow the...
