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April 2019 Archives

Paramedic gets fired after following patient's wishes

A paramedic alleges his employer terminated his position because he followed a patient’s request instead of adhering to conventional medical practices. The patient was suffering from a serious infection and asked the paramedic not to move forward with an intraosseous infusion (IO). The procedure, which essentially involves using a drill like device to insert an IV into the patient's bone, would be the conventional practice recommended in this instance. The patient declined treatment. Instead of pushing or forcing the issue, the paramedic honored the patient's wishes.

ZPIC audits on the rise: Tips for pharmaceutical companies

Zone program integrity contract (ZPIC) audits are on the rise. These audits can result in evidence given to the Department of Health and Human Services (HHS) Office of Inspector General (OIG) and potentially result in criminal charges.

Man accused of health care fraud agrees to $40M settlement

A Philippine born American citizen agreed to pay the United States government $40 million in restitution for his role in the largest health care fraud scheme in recent history. He is one of over two dozen suspects arrested and accused of partaking in this scheme.

Nursing licenses and loans: Is disciplinary action possible?

Nurses are part of a skilled workforce. This workforce provides valuable medical care to patients at hospitals, medical centers, nursing homes and other health care facilities. Those who choose to enter this profession must pass a nursing program—a program that can come with great expense.

Can doctors protect themselves from allegations of fraud?

The health care market accounts for a large chunk of the nation's economy. Individuals in the United States spend trillions of dollars to meet their health care needs. As a result, it makes sense that prosecutors follow through on allegations of health care fraud.

Investigators accuse NY hospital execs of conflict of interest

A recent investigation has resulted in evidence that appears to support allegations a group of hospital executives were more concerned about profits then patient care. The study is an extension of a previous report finding top executives and board members of a local, nonprofit cancer center had benefited due to relationships with drug companies and research projects outside of their normal work duties.

3 tips to avoid allegations of healthcare fraud

The United States Department of Health and Human Services (HHS) continues to crackdown on allegations of healthcare fraud. The government will strike both before and after the fraudulent activity occurs. Predictive analytics allow federal investigators to flag potential violations before they occur. This tool, paired with federal investigations, allows government agencies multiple tools to gather evidence to build support allegations of fraudulent activity.

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