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March 2019 Archives

Medical board reviews doctor caught in college admissions scandal

High-profile actors and actresses have received media attention recently for their roles in a college entrance scam. Enforcement officers arrested multiple members of the Hollywood elite. Prosecutors charged the actors with crimes connected to their rolls in a scandal that allegedly involved parents cheating the college entrance exam process, often hiring others to take the exam on behalf of their children.

Long Island pharmacist accused of health care fraud

New York Attorney General Letitia James has accused a Long Island pharmacist of a complex, multi-million-dollar Medicaid scam. The scam, according to prosecutors, involved pharmacies throughout New York including locations in Manhattan and the Bronx.

NY officials remind pharmacies use of ADMs illegal

Technology has touched every area of our lives. We have devices in our pockets that allow us to be in constant contact with our loved ones and colleagues, our vehicles are beginning to use the technology needed to drive themselves and our refrigerators can tell us when we need to stop at the grocery store.

Lawsuit claims retaliation against NY hospital

Two physicians have filed a lawsuit against a local New York hospital. The physicians claim the hospital that served as their employer illegally retaliated against them when they reported another physician’s dangerous conduct. One of the physicians served as the director of the hospitalist program at the hospital, the other a neurologist and former director of the hospital’s stroke program.

Home health care providers may see changes to payment structure

The American population is aging. As the Baby Boomers begin to transition into a new phase of life, there will likely be a greater demand for home health care services. In an effort to help address this need, lawmakers passed the Patient-Driven Groupings Model (PDGM). The Centers for Medicare and Medicaid Services (CMS) touted this new model as a means to improve reimbursement for home health care services.

Insys prosecution continues: NY doc takes plea deal

The government continues to pursue Insys related healthcare fraud investigations. Insys Therapeutics (Insys), a pharmaceutical giant, is known for manufacturing Subsys, a fentanyl-based spray used for management of severe pain suffered by cancer patients.

Counselor gets 3-years in jail for health care fraud

The government recently accused a professional counselor of taking part in a complex health care fraud scheme. The prosecution accused the counselor of filing false documents to incorporate the counseling business, completing unnecessary tests of patients receiving treatment at the center and using employed doctor’s medical licenses to fraudulently prescribe and move drugs.

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