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July 2019 Archives

What happens if a nurse gets arrested when off duty?

The public holds certain professions to a higher standard than others. As a result, the public often supports laws and regulations that hold these individuals accountable, often through the use of a licensing board. One example: those who choose the nursing profession. Licensing boards throughout the country expect nurses to spend countless hours of learning before they can apply for a nursing license.

NY endocrinologist accused of health care fraud

A recent case out of New York highlights the government's continued crack down on opioid prescription abuse. The case involves an endocrinologist with offices in the Bronx and Yonkers. State officials accused the medical professional of prescribing over 50,000 oxycodone pills to a single patient over a span of five years.

Nurses: Tips to avoid license suspension, revocation

The nursing profession is one that takes years of education and potentially hundreds of thousands of dollars in student loans. Those who pursue this profession likely do so to answer the call to help people. In addition to this desire to make a difference, those who enter nursing are likely depending on a profession that will last many years. As a result, notification that your license may be under review by the licensing board can cause concern.

OIG accuses sleep study providers of false billing practices

The Office of the Inspector General (OIG) recently released a report that the government overpaid for over half of reviewed payment requests to Medicare for polysomnography services. Overall, the agency estimates the government overpaid by $269 million for these sleep study services.

Look-back period extended for some Medicare overpayments

The Office of the Inspector General (OIG) recently conducted an audit of Medicare claims for a specific medical device. The agency found the majority of Medicare claims for this device, the positive airway pressure device and associated supplies, did not comply with Medicare requirements. As a result, the agency called on those who filed claims with Medicare for payment for these devices to “exercise reasonable due diligence to investigate and return any identified overpayments, in accordance with the 60-day rule.”

NY medical practice admin pleads guilty to health care fraud

A pain management facility in New York was the subject of a recent federal investigation. The investigation led to two separate indictments. The first involved two chiropractors, a business manager and an administrator. The government charged all four individuals with health care fraud and conspiracy to commit health care fraud. The second indictment included a pain management medical doctor formerly affiliated with the facility.

New finding in opioid crackdown: Doctors are just the beginning

A recent investigation delves more deeply into the details of the opioid crisis. It digs into a new area of concern: the courtroom. The investigation focuses on the role of judges in these cases and how they may have missed an opportunity to address this growing issue over 15 years ago.

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