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June 2019 Archives

NY cardiologist charged with healthcare fraud for ECP treatments

Assistant United States Attorneys recently accused a 53-year-old cardiologist of perpetrating a scheme in states throughout the country to defraud the health care benefit programs in exchange for personal profit.

Link between the college admission scandal and healthcare fraud

The college admission scandal was top of the news headlines just a few weeks ago. The scandal involved members of the Hollywood elite along with other wealthy parents paying bribes to get their children spots in prestigious universities. The fallout of the problem remains to be seen as parents fight allegations in court, colleges sort through admissions to determine the best course of action for their universities and students who were often unknowingly the subject of the scandal attempt to get on with their lives.

Can the home health care industry handle growing need for PCAs?

Every day in the United States, approximately 10,000 people turn 65. Within this group, the majority hope to receive long-term care within their own home. Instead of going to a nursing home or other long-term care facility, these individuals may look to hire medical professionals to help them remain within their homes.

What does the contentious contract agreement mean for NY nurses?

The New York State Nurses Association recently settled a contract dispute with the New York City Hospital Alliance. Three of the largest local private hospital systems are part of the Alliance: Montefiore, Mount Sinai and New York Presbyterian.

Will recent medical lab breaches lead to more audits?

A data breach impacted an estimated 20 million patients from three medical testing labs. The breach was connected to the collection agency used by the lab to manage billing. At this time, it appears the breach occurred for eight months before the lab became aware of the issue.

Manhattan pharmacist accused of $11 million in insurance fraud

An investigation that spanned many months recently resulted in the arrest of a New York-licensed pharmacist accused of running a “medicine-for-case” scam. The Office of the Insurance Fraud Prosecutor recently announced the charges against this and 18 additional individuals allegedly involved in the scam, which allegedly ran from January through August of 2018.

Former state employee sentenced for health care fraud crime

In 2018, the Department of Justice (DOJ) announced charges against a former state employee for health care fraud violations. The accused waived her right to an indictment and chose to take a plea deal. According to the agreement, the accused confessed to running two social and psychotherapy businesses.

Cardiologists under fire after NYT piece critiques their stats

The New York Times recently ran a publication that delves into the surgical complications and deaths of a hospital's pediatric heart surgery program. The researchers with the piece state the hospital's mortality rate started going up in 2013. From 2013 to 2017, the facility reported a cardiac surgery mortality rate of 4.7%.

Prosecutors accuse doctor, consultant of transvaginal mesh fraud

According to an indictment from a federal court in Brooklyn, United States prosecutors have accused a doctor and surgical consultant of defrauding women into having transvaginal mesh implants unnecessarily removed. The prosecution alleges the two recommended the procedures so they could receive funds from financial settlements involving transvaginal mesh litigation.

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