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January 2020 Archives

2 lessons after man acquitted of health care fraud charges

The prosecution's case against Dr. Jorge Zamora-Quezada continues to provide learning opportunities for medical professionals throughout the country. In the most recent development, the government agreed to the acquittal of one of Dr. Zamora-Quezada's employees.

Report: which medical specialty most likely to get sued?

Those who enter the medical practice generally do so because of a desire to help heal those who are ill. Like any profession, mistakes can happen. These mistakes can be purely accidental or result from negligence. Whatever the cause, a patient who suffers an injury due to the mistake may pursue a medical malpractice claim.

Medicare Fraud Strike Forces change the future of medicine

The United States Departments of Justice (DOJ) and Health and Human Services (HHS) may have begun operations for their Medicare Fraud Strike Force (MFSF) in Florida, but the scope of operations has broadened in recent years. As of 2018, the agencies now have operations open in ten cities throughout the country, including an MFSF up and running in New York.

Nurse sentenced after accused of infecting patients with Hep C

The case began in 2014 when local health department began an investigation after a number of Hepatitis C diagnoses. The investigation led to seven patients, all of whom received treatment from a nurse while receiving emergency medical care. During the investigation, officials found the patients had contracted not just the same genotype of Hepatitis-C 2B, but also the same sub-genotype.

Doctors & employment contracts: Two perspectives

Physicians, like anyone else in the job market, are generally required to sign a proposed job contract before accepting an offer for employment. This piece will delve into the two sides of the contract. First, it will discuss the provisions the physician should carefully review and second it will touch on the regulations the medical facility must navigate when drafting the agreement.

Accused of health care fraud? Cross examination is a powerful defense tool.

Those who face allegations of health care fraud can find themselves fighting an uphill battle. The government can gather evidence and witnesses to testify against you, but defensive strategies are available to help you defend your professional reputation. One strategy to use during a health care fraud trial: cross examination.

HIPAA and social media: Lessons from $10,000 settlement

A small dental practice recently agreed to a $10,000 settlement with the Department of Health and Human Services Office for Civil Rights (OCR) for an alleged Health Insurance Portability and Accountability Act (HIPAA) violation. The case provides a lesson for all small private practices on the importance of navigating social media carefully.

MBA student faces 20 years imprisonment for health care fraud

The United States Department of Justice recently announced criminal charges against an MBA student in connection to a health care fraud scheme. The health care fraud scheme involves allegations a health care technology company falsely inflated data and overbilled clients for advertisements. The government claims these practices resulted in over $1 billion in fraudulent gains.

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