Lawmakers enacted the Eliminating Kickbacks in Recovery Act (EKRA) in 2018 to help address the use of illegal kickbacks to physicians who would refer patients to certain treatment centers. Unfortunately, because drafters wrote the law so broadly it likely extended...
Providing quality care can mean joining with another group. Finding the best combination can take time and effort, but even when groups work out the agreement between themselves and decide to merge, they can find unexpected roadblocks. It is important for leaders...
The United States Attorney's Office of the Eastern District of New York recently announced that a New York doctor pleaded guilty to allegations of fraud. The feds claim the physician violated the law when he misused the Paycheck Protection Program (PPP) and Economic...
The United States Department of Justice (DOJ) recently announced it will pursue health care fraud charges against 6 physical therapists (PTs) and 2 acupuncturists who run facilities in New York. The feds claim the professionals developed a multi-million-dollar health...
Hospitals and private practices throughout the country will soon be able to apply for additional federal funding to help offset the costs or negative revenue impact that resulted from the COVID-19 pandemic. Healthcare providers who qualify can fill out an application...
Allegations of healthcare fraud are serious. If supported, the government can get substantial financial penalties and additional fines and even, depending on the details of the allegations, push for a prison sentence for those involved in the crime. You may think...
The United States Department of Justice’s U.S. Attorney’s Office District of New Jersey recently published a news release claiming a New York man defrauded a health benefit fund of over $4 million. The feds claim the man was part of an intricate healthcare fraud...
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...
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 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...
