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March 2020 Archives

3 things to know about continuing education and nursing in NJ

The New Jersey Board of Nursing requires nursing to complete continuing education (CE) to keep an active nursing license in the state. Nurses in the state can use the following information to help better ensure they meet this requirement.

State medical board investigation leads to loss of DEA license

Regulations require physicians have a special license to prescribe controlled substances. The physician who wishes to offer these services to patients must generally receive a Drug Enforcement Administration (DEA) registration. Getting such a license generally involves completing requirements that can vary by state. The process is often connected to the state medical license.

Why does the CMS’ now require disclosure of certain affiliations?

As noted in a previous post, CMS changes tactics, targets health care provider affiliates, the Centers for Medicare and Medicaid Services (CMS) has a new tool in its fight against health care fraud. The tool allows the agency to go after those who affiliate with certain “bad actors,” or other professionals previously accused of health care fraud violations.

CDC provides guidance for COVID-19 samples

The United States Centers for Disease Control and Prevention (CDC) recently provided guidelines for health care providers who wish to have samples tested for the new coronavirus. The agency states all labs should preform risk assessments to identify and mitigate any potential risks and encourages caution when handling specimens.

NY pharmacist charged with health care fraud and tax crimes

New York officials recently charged a local pharmacy owner of Anti-Kickback Statute (AKS) violations and tax crimes. Prosecutors claim the man, along with others associated with the pharmacy, began illegally bribing doctors to use their pharmacy for services in 2010. In addition to cash payments, the government claimed the accused offered expensive meals and lavish gifts to entice doctors and doctors' employees in New Jersey and New York to send prescriptions to their facility.

NY pharmacy owner faces lifetime of prison for health care fraud

New York officials recently accused a local pharmacy owner of partaking in a health care fraud scheme that allegedly led to $2 billion in fraudulent claims to Medicare and Medicaid. According to the indictment, the government moved forward with criminal charges against the pharmacy owner along with twelve other medical professionals including another pharmacy owner, three licensed physical and occupational therapists, a chiropractor and five doctors.

Theranos case an example of complex nature of health care crimes

The case against Theranos continues. Questions about the company, based in the health care industry and set to “revolutionize medical laboratory testing” with innovative blood draw and testing methods, began in 2015. Ultimately, investigations resulted in allegations the company made false claims about its ability to provide fast, cheap and reliable blood and lab test results and omitted information about issues with its technologies. These allegations led patients to use their services. As a result, the government charged the founder and an associate with multiple crimes.

Nurses: Navigate these 3 changes to excel in today's market

The nursing profession is evolving. Are you ready? Whether considering becoming a nurse or already an experienced professional, the answer to this question could determine whether you thrive in the nursing industry or face daily frustration.

CMS changes tactics, targets health care provider affiliates

Since 2010, the United States Department of Justice has continually increased its focus on health care fraud crimes. Due to this focus, prosecution against those the agency accuses of false billing, illegal kickbacks and other forms of healthcare fraud has steadily increased. The agency recently announced the passage of a new law that will further their ability to increase the rate of these prosecutions.

Do chiropractors need to worry about violating referral laws?

Patients are not the only ones who pay the bill when it comes to medical care. In some cases, the government is also spending money. The government may pay the entire or a portion of the bill, for example, for Medicare patients. As a result, lawmakers have put various regulations in place to better ensure the money is used as it is intended.

DOJ targets med equipment manufacturer in recent AKS case

The Department of Justice recently accused a medical equipment manufacturer of violating the Anti-Kickback Statute (AKS). Whistleblowers began the claim, accusing the company of paying monetary incentives to suppliers and labs to better ensure these medical professionals used their sleep apnea equipment.

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