The Eliminating Kickbacks in Recovery Act (EKRA) generally prohibits the use of kickbacks and other forms of remuneration for referrals. The law applies to various medical practices, including labs. One of the biggest critiques to the law is the lack of transparency....
The feds have accused the home-based healthcare services providers of billing for laboratory and diagnostic testing from 2010 through 2015 that was not reasonable or necessary for the diagnosis or treatment of an illness or injury. As a result, the government argues...
Federal, state, and local laws guide what pharmacists can and cannot do to serve their patients. Navigating these requirements is not always easy and a violation can result in serious penalties. In addition to penalties from the body that oversees a pharmacist’s...
The feds are coming down hard on anyone that is taking advantage of the COVID-19 pandemic for their own personal gain. They have various tools to help build cases against those that it believes misappropriates funds or otherwise abuses the system, but is EKRA one of...
It often starts with a letter. The state medical board generally notifies physicians of an impending investigation by sending a letter and a request for records. This letter is something to take seriously, even if you are certain the complaint that triggered the...
The United States Attorney's Office of the Eastern District of New York recently announced that a New York doctor pleaded guilty to allegations of fraud. The feds claim the physician violated the law when he misused the Paycheck Protection Program (PPP) and Economic...
The United States Department of Justice (DOJ) continues to make prosecution of health care fraud a top priority. Since October 1st alone, the feds have pursued over a dozen health care fraud cases throughout the country. Some of the more notable include allegations...
Any New York business that bills Medicare, Medicaid or another federal provider for services is wise to understand the basics when it comes to allegations of fraud. One way to understand how the feds pursue these allegations is to review a case. In a recent example,...
Home care businesses are poised to thrive in 2021. This can lead to many investment opportunities — some active, others passive. Determining whether an investment in this market is a good idea will depend on a number of factors. Some questions to ask to help guide...
The United States Department of Justice (DOJ) recently announced it will pursue health care fraud charges against 6 physical therapists (PTs) and 2 acupuncturists who run facilities in New York. The feds claim the professionals developed a multi-million-dollar health...
