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The United States Centers for Medicare and Medicaid Services (CMS) has a lot of rules. What happens if a healthcare provider fails to follow them? In some cases, it could mean the provider cannot get reimbursement from Medicare and Medicaid. In others, the answer is...
Media reports about the nursing shorting abound, so it seems counterintuitive to think about nurses struggling to find employment. Although facilities need nurses within some specialties, like emergency care and home health or hospice, other specialties are just...
The federal government recently charged a New York businessman with health care fraud. The entrepreneur ran a non-emergency medical transportation business in the Buffalo area. The business provided services from 2016 through 2020. It was composed of about 15 vehicles...
The federal Anti-Kickback Statute (AKS) is one of the most well-known anti-fraud laws in the country. This criminal statute has a huge impact on the healthcare industry and can affect physicians, executives, lab owners and anyone else that files claims for payment...
Officials recently accused an anesthesia practice of failing to disclose information to patients prior to providing care. This information included the likelihood that their services were out-of-network for billing purposes because the group did not participate in the...
The feds are aggressively pursuing allegations of healthcare fraud related to relaxed regulations and incentives to help address the pandemic. In a recent example, the government charged 14 people with healthcare fraud related to the pandemic. They claim that those...
