The medical profession is a noble one, one that many go into with the intention of helping patients. As such, physicians who find themselves in a medical practice that does not meet patients’ needs or otherwise does a disservice to the community may find themselves...
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2 important lessons from recent health care fraud case
A recent investigation by the United States Department of Health and Human Services Office of Inspector General’s New York Field Office has resulted in criminal charges against two New Yorkers who allegedly posed as pharmacy owners as part of a scheme to take...
Will telehealth expansions continue through 21?
The United States Center for Medicare and Medicaid Services (CMS) recently announced it will expand coverage for many telehealth services that received coverage as a result of the Public Health Emergency (PHE). This PHE was issued by the federal government in response...
FBI agents arrest NY doc, charge with narcotics violation
Federal Bureau of Investigation (FBI) agents recently arrested a New York City doctor based on allegations the physician illegally prescribed over 1 million oxycodone pills. According to the indictment, the accused physician wrote thousands of medically unnecessary...
HHS announces updates to Stark Law and AKS
The federal government gave healthcare providers a gift this holiday season. The United States Department of Health and Human Services (HHS) recently announced changes to the Stark Law and the Anti-Kickback Statute (AKS). These changes, according to the feds, will...
How can healthcare execs defeat a whistleblower claim?
The federal government has a system in place that encourages current and former healthcare employees to report wrongdoing. This is achieved through qui tam, or whistleblower cases. The government benefits from this system because workers within healthcare...
3 ways HIPAA could change in 2021
The United States Department of Health and Human Services (HHS) recently recommended the government consider making a number of modifications to the Health Insurance Portability and Accountability Act (HIPAA). HHS states the recommendations are part of the agency’s...
Three things to know before buying a medical practice
Purchasing a medical practice is a large investment. Entrepreneurs who wish to find success within this marketplace must understand the practice as well as have good business sense. Those who are considering such a move are wise to know the following before finalizing...
New York RN accused of identity theft: 3 things to know
New York officials recently announced the arrest of a local nurse. The prosecution is currently accusing her of various crimes in connection to identity theft. The prosecution states the woman stole another’s identity and began making withdrawals from the alleged...
CMS claims Medicare overpayments for post-acute-care transfers
The Department of Health and Human Services Office of the Inspector General recently released a report finding Medicare improperly paid the majority of inpatient claims for beneficiaries who needed home health services within three days of hospital discharge. The...