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The US Department of Health and Human Services’ Office of the Inspector General (OIG) recently released a report calling on federal agencies to review diagnostic and testing laboratories that bill for COVID-19 tests. The agency encourages those who review these labs...
The term unprofessional conduct seems relatively simple. If we want a definition, we can look at each word, right? Unfortunately, even relatively simple matters like the definition of a word can become complicated. The New York State Education Department has very...
The government takes allegations of healthcare fraud seriously. It will aggressively investigate and look to move forward with prosecution if evidence supports the allegations. When investigating, the government will look for potential violations including billing...
Government officials are focusing on pandemic-related fraud. President Joseph Biden made this clear last year in his State of the Union address when he announced that the “watchdogs are back!” He referenced the sentiment in his most recent address just a few months...
Those who go into healthcare generally want to help the communities they serve. In today’s market, this can mean that you need to advertise to let patients know about the different services your healthcare center offers and how it may stand out from other options when...
Allegations of healthcare fraud can do more than tarnish your professional reputation — they can lead to serious criminal penalties. In a recent example, the government accused a nurse practitioner and registered nurse of defrauding Medicare of over $10 million. The...
Those who practice medicine work to protect their patients. This can mean a need to order tests to check on the safety and health of a patient. But what happens if that patient disagrees or forgets that they consented to the test? Do patients complain about medical...
The Anti-Kickback Statute (AKS) is a powerful legal tool the government can use to come after healthcare professionals it believes are fraudulently billing federal programs like Medicare and Medicaid. A violation can led to more than just civil penalties, as it is a...
Knowing how healthcare regulations impact operations is important. The government’s use of these regulations is generally guided by two things. First, the language of the law. The provisions, definitions, and information within the actual law give us the initial round...
Medical professionals who are interested in starting a diagnostic lab can benefit from the following tips: Check the market. This is pretty foundational to any business. Check to make sure this market makes sense for your lab. If not, look elsewhere. Spread the word....
