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...
The feds are aggressively pursuing allegations of healthcare fraud related to relaxed regulations and incentives to help address the pandemic. In a recent example, the government charged 14 people with healthcare fraud related to the pandemic. They claim that those...
Entrepreneurs and business leaders looking to start a home healthy agency in New York are looking at a business opportunity that can provide significant financial incentive while also helping to better the community by providing care with dignity to those in need....
With certain professions come increased responsibility. Arguably one with the most responsibility is that of a physician. The ability to advise patients on healthcare options, lead procedures and prescribe medications can have a life-altering impact on the patient. As...
Feds recently accused a physician of falsely certifying patients for home health services. The prosecution is aggressively building a case against the medical professional and claims that she received financial incentive for these certifications. What exactly...
Physicians and other medical professionals are likely well aware of the dangers that can come with social media. Posting anything about procedures or patients can lead to serious problems, including potentially putting your medical license at risk. But there are also...
The federal government chose to ease enforcement of certain regulations during the COVID-19 pandemic, but the Eliminating Kickbacks in Recovery Act (EKRA) was not one of them. This provision within the Substance Use-Disorder Prevention that Promotes Opioid Recovery...
The False Claims Act (FCA) is a federal law that provides accountability for anyone that submits false claims to the government. This law applies to any hospital or healthcare provider who submits claims for payment from Medicare or Medicaid, along with other...
The law is constantly evolving. Arguably, this is a good thing. In many cases this evolution helps to better ensure the laws remain relevant. However, in some cases the changes may cause more problems than they fix. That is the issue diagnostic labs are currently...
