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The Department of Health and Human Services, Office of the Inspector General (OIG), recently released conducted an audit of Medicare claims from Telehealth Service Providers during the first year of the pandemic. The group reports that of the 742,000 providers who...
The New York State Department of Health tasks the Office of Professional Medical Conduct (OPMC) with the investigation of complaints about service or treatment against physicians, specialists, and other professionals who are subject to the State Board for Professional...
Dual-eligible individuals are those who qualify for both Medicare and Medicaid coverage. In these situations Medicare generally covers the first 80% of an approved claim and Medicaid covers the remaining 20%. The Office of the New York State Comptroller recently dug...
The United States Court of Appeals for the Eighth Circuit just gave defendants in False Claims Act (FCA) claims a big win. The win involves how courts determine whether a violation existed when that violation is rooted in allegations of an Anti Kickback Statute (AKS)...
Every boom eventually busts, and it appears that is what we are headed towards with the travel nurse boom. Travel nurses were in high demand during the pandemic. The marketplace changed and required medical professionals to pick up and head out to various locations...
The healthcare industry is constantly evolving. The way we practiced medicine in previous generations is not the same as how we serve patients today. Groups that want to thrive need to make changes to stay relevant — as was recently highlighted with CVS Health Corp.’s...
