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October 2018 Archives

HHS seeks repayment of sleep resupply claims over past six years

The United States Department of Health and Human Service’s (HHS) Office of Inspector General (OIG) recently released a report that states most Medicare claims from durable medical equipment supplies for payment for replacement positive airway pressure (PAP) device supplies were not in compliance with Medicare requirements.

Noncompete agreements and physicians: Are they on the rise?

The number of doctors starting up private practices is on the decline. Instead of working on their own, physicians are taking jobs with hospitals. Executives with the hospital often require these medical professionals to sign a noncompete agreement as part of their contract for employment. This has led to an increase in the number of physicians that are bound by noncompete agreements.

New York officials charge 5 doctors for drug crimes

New York officials recently released the indictment of five local physicians accused of drug crimes. The government stated the physicians were “drug dealers in white coats” who knowingly and intentionally sold addictive and dangerous medications, fueling the opioid epidemic.

Man expelled from Haiti to face healthcare fraud charges in U.S.

After over ten years of investigating and searching, the United States Department of Health and Human Services has recaptured and charged a man with healthcare fraud. In response to the initial charges made ten years ago, the accused fled. He left the country and, until recently, was in Haiti.

New York City officials' crackdown on home health care agencies

The New York City Department of Consumer Affairs (DCA) is following the recent practices of the United States Department of Labor. The federal government recently identified a prevalence of labor law violations within the home health care agency industry. As such, the DCA put together a group to investigate for local offenders.

U.S. hospital chain to pay over $260M to settle fraud charges

Allegations of kickback violations can lead to more than just harsh civil penalties, they can also lead to criminal charges. That was the case when the government accused a national hospital chain of various forms of healthcare fraud, including kickback violations.

NY nursing provider pays $1.65M to settle whistleblower claim

The New York state and federal government recently conducted an investigation into the operations of a local skilled nursing provider. The center under investigation provides long-term care services to patients in the community. These services can include adult day health care and skilled nursing visits to patients’ homes.

Feds question drug manufacturers on potential kickback violations

The federal government continues its crackdown on alleged illegal kickback violations with a recent investigation of drug manufacturers. The investigations focused on services to doctors including the provision of nurses and reimbursement assistance.

New York case to challenge association health plan regulation

New York v. Acosta could change the administration of association health plans throughout the country. This New York case questions a regulation by President Trump's administration. The regulation allegedly makes it easier for smaller groups to buy association health plans that do not meet Affordable Care Act (ACA) standards.

Drug company accused of illegal kickbacks, settles with DOJ

The Department of Justice (DOJ) accused a large drug company of paying kickbacks to medical professionals to encourage the physicians and nurse practitioners to prescribe their medications. The DOJ’s has accused the company of using kickbacks to encourage the prescription of a powerful, opioid pain medication approved by the Food and Drug Administration for cancer patients for the treatment of persistent pain for non-covered uses.

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