One of the largest, private for-profit hospital systems in the nation agreed to pay over $4.5 million to settle allegations that it violated various federal laws, including the False Claims Act (FCA). The healthcare corporation, Steward Health Care System LLC, owns...
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Health & Health Care Law
What happens when a healthcare deal goes sour?
Not every business transaction goes according to plan. The target organization may focus on different goals than you had intended or, if looking at a merger, the two cultures may not mesh. Whatever the reason for the flop, a deal that turns sour can be more than just...
What did we learn about EKRA in 2021?
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...
What should my practice know before moving forward with a merger?
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...
NY doctor faces three decades in prison for misuse of loans
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...
DOJ charges PTs and acupuncturists with millions in health care fraud
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...
Provider funding update: New resources available
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...
Healthcare fraud in the NFL? It’s not just for doctors.
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...
Feds accuse NY man using health fair for fraud scheme
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...
What happens when hospitals do not follow CMS’ rules?
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...