Physicians often face the challenge of managing billing and administrative tasks alongside their clinical responsibilities. To alleviate this burden, many seek assistance from third-party services or hire administrative staff. Although this may seem helpful, it is...
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Stark Law/Anti-Kickback Statutes
New York doctor faces decades of imprisonment for healthcare fraud
A federal jury recently found a physician from Queens, New York, guilty of submitting over $24 million in fraudulent claims to Medicare. Allegations included ordering unnecessary laboratory tests and orthotic braces, in exchange for cash kickbacks and bribes. This...
Two important questions when rebranding a medical practice
Private practices may consider rebranding for a number of reasons. A rebrand does more than update a logo or the practice's colors; it is a strategic move that can refresh the practice's image, attract new patients, and re-engage existing ones. Although there are many...
New York doctor faces 10 years imprisonment for ordering “unnecessary” brain scans
The Department of Justice recently announced criminal charges against an internist out of Long Island for healthcare fraud. The physician has decades of experience in his profession, but the government claimed he was using improper practices to refer patients for...
Radiologists take note: 3 important things to know in 2025
A recent publication in Becker’s Hospital Review notes that although the medical profession is suffering from a shortage in most specialties, few are as hard hit as the field of radiology. The American College of Radiology notes that the demand for radiologists...
New Year, new focus? Is nutrition the future?
Ozempic, Wegovy, and other GLP-1 medications have impacted conversations regarding health throughout the country. From whether or not insurance should cover the drug to the risk/benefit and potential side effects, the conversations are part of a bigger issue:...
New AKS safe harbor aims to address physician burnout
The Consolidated Appropriations Act (CAA) of 2023 introduces significant changes to how hospitals and healthcare entities can support their physicians, especially concerning their mental health and resilience. Notably, this act includes a new exception to the Stark...
Ambulance billing for Medicare: Watch out for these federal regulations
Ambulance services play an important role in healthcare, ensuring timely transportation for patients in need but billing for these services can be complex. Ambulance companies must comply with various federal regulations. A failure to do so can result in serious...
Acupuncture, physical therapy, and fraud: Feds charge four in aggressive case
Any professional can find themselves facing allegations of fraud. When the government is involved and claims you fraudulently billed a federal insurance program, like Medicare, the issue can quickly snowball into serious criminal charges. A recent example out of New...
Can business executives go to prison for healthcare fraud?
Healthcare fraud sounds like the kind of crime committed by a physician or nurse who conducts unscrupulous procedures or provides prescriptions in exchange for money. Although these are examples of activities that can result in criminal charges for healthcare fraud,...