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September 2019 Archives

2 options for those looking to sell or grow a private practice

The health care industry is known for its financial stability. As this industry continues to show growth, buyers are emerging from interesting, and sometimes unexpected, backgrounds. Two recent examples include:

Head of tech company pleads guilty to health care fraud

The government has continued its prosecution of those connected to a health care fraud case that extended past borders in what the Justice Department has called “one of the largest health care fraud schemes prosecuted to date in the U.S.”

Medical Board suspends license of doctor for gun ownership

The issue arose on August 12. At that time, a man called the police and claimed a man at a bar had showed him a gun and made threats of violence. The police arrived and spoke with the man in question. The man, a New York plastic surgeon who works in Massachusetts, admitted to having a gun when questioned. The police then arrested the physician. This arrest led to the search of his vehicle.

3 lessons after health care exec gets 20 for health care fraud

A United States district judge recently sentenced a health care executive after the government accused him of running an elaborate network that benefited from the use of illegal referrals. According to the indictment, the accused owned and operated skilled nursing facilities and assisted living facilities. The government accused the businessman of using illegal bribes and kickbacks to encourage medical professionals to recommend the use of his businesses to patients.

DOJ charges 30 in "patients for cash" health care fraud scheme

The Department of Justice (DOJ) recently charged 30 in a "patients for cash" health care fraud scheme. According to the indictment, a home health organization illegally paid doctors, nurses, and at least one social worker along with other medical professionals in violation of the Anti-Kickback Statute (AKS) for referral of patients to a home health organization.

CMS announces increased health care fraud enforcement measures

The United States Centers for Medicare and Medicaid Services (CMS) recently announced a new rule to address health care fraud. The announcement was made in September 2019. The new rule expands the agency’s ability to revoke or deny applications for entry or re-enrollment into the Medicare, Medicaid and CHIP payment programs.

Novartis sets aside millions to settle bribery allegations

Novartis Pharmaceuticals Corp. (Novartis) recently announced it will set aside $700 million to settle claims made by the Department of Justice (DOJ). The DOJ recently accused the pharmaceutical giant of illegally bribing physicians and other health care professionals to prescribe their medications.

Tips for an effective voluntary health care compliance program

The government requires medical facilities to follow certain rules and regulations. A failure to do so can result in allegations of wrongdoing. One specific area that can cause great harm to a health care facility are allegations of health care fraud. If substantiated, the allegations can come with crippling financial penalties and potentially result in the inability to continue to bill for services through Medicare and Medicaid.

Pharmacy owner accused of bribing doctors: 3 lessons

The government continues to crackdown on allegations of health care fraud. One recent example involves a pharmacist accused of various crimes. According to the complaint, the prosecution has charged the pharmacy owner with two crimes. The first is conspiracy to commit health care fraud and the second conspiracy to pay illegal kickbacks to a physician.

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