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March 2018 Archives

Kickbacks for opioid prescriptions are focus in doctor charges

As a physician, you may feel pulled in many different directions by those you work with. You are dedicated to your responsibility to protect your patients and improve their lives, and you must also hold yourself to a high legal and ethical standard. At the same time, you may feel obligated by some pharmaceutical companies to recommend or prescribe their products to your patients. If you believe these products can help your patients or ease their suffering with minimal harm, you may have no objections. However, you and other Texas doctors might also face the possibility of being accused of promoting a drug or other medical product that has a questionable benefit to your patients or may even cause harm.

Veterans Affairs inspects NY nurses, calls for removal

The Department of Veterans Affairs Office of Inspector General (OIG) recently investigated a VA Western New York Healthcare System for the circumstances that led to a patient’s death. The investigation focused on the alleged mismanagement of a patient’s resuscitation.  

When physician groups need legal help

A physician's license is incredibly valuable. The time and effort it takes to obtain the license is immense -- but losing it only takes one moment. When a physician's license is threatened by a complex case, or a physician group practice comes under attack by a lawsuit, it is imperative for the individual or the group to consult with an attorney that is well versed in health care law.

Brooklyn medical assistant sentenced to 3 years in jail for fraud

A Brooklyn medical assistant faced accusations of providing medical services without the necessary license. The accusations also claimed the care provided was unnecessary and given to the patient solely for the purpose of filing false claims with Medicare and Medicaid.

Discussing the Stark Law and the Anti-Kickback Statute

One of the pillars of the medical industry is that the professionals that work in it are unbiased and unaffected by outside influences, especially when it comes to prescribing drugs and medicine or referring patients to other facilities and medical institutions. This is important for obvious reasons, but even well-meaning medical professionals can run afoul of the laws that relate to compliance without even realizing it.

NY doctor faces fraud allegations, potential jail time

The practice of medicine is much different now than it once was. Physicians are extremely specialized and it is rare that one physician can provide complete care for a patient. As a result, care often involves many physicians working together to treat a patient. These efforts can help the patient receive the care he or she needs to heal or maintain their health.

How will you know if you have a Medicare overpayment?

Due to a variety of circumstances, such as clerical errors, duplicate payments or processing mistakes, recipients of Medicare can receive too much money. The Centers for Medicare & Medicaid Services requires recipients to return any excess funds within 60 days, or the organization will take further action. 

DOJ, Stark Law & Anti-Kickback: Are investigations on the rise?

The United States Department of Justice (DOJ) appears to be increasing enforcement efforts regarding violations of the Stark Law and the Anti-Kickback Statute (AKS). These efforts were highlighted in a recent case involving two urologists accused of submitting improper claims. The physicians agreed to pay $1 million to resolve the matter.

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