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A recent investigation by the United States Department of Health and Human Services Office of Inspector General’s New York Field Office has resulted in criminal charges against two New Yorkers who allegedly posed as pharmacy owners as part of a scheme to take...
Federal Bureau of Investigation (FBI) agents recently arrested a New York City doctor based on allegations the physician illegally prescribed over 1 million oxycodone pills. According to the indictment, the accused physician wrote thousands of medically unnecessary...
The federal government gave healthcare providers a gift this holiday season. The United States Department of Health and Human Services (HHS) recently announced changes to the Stark Law and the Anti-Kickback Statute (AKS). These changes, according to the feds, will...
The United States Department of Health and Human Services (HHS) recently recommended the government consider making a number of modifications to the Health Insurance Portability and Accountability Act (HIPAA). HHS states the recommendations are part of the agency’s...
A complaint from a state licensing board (SMB) requires attention. The SMB acts on a variety of complaints, including those involving quality of care, failure to communicate, medical record deficiencies, prescription concerns, errors or inaccuracies on one’s...
Healthcare organizations with delegation agreements with private or government insurance programs are wise to prepare for, at a minimum, audits on an annual basis. Insurance providers use these audits to better ensure the healthcare business complies with the...
New York officials recently arrested a local pediatric surgeon. The officials state they caught the medical professional attempting to illegally sell opioids. The physician, who also serves on an opioid task force, faces up to nine years imprisonment for the charges....
Government enforcement efforts have proven successful with yet another Health Insurance Portability and Accountability Act (HIPAA) case. In this most recent case, the Office for Civil Rights (OCR) settled with a New York spinal group over allegations the group failed...
The Health Insurance Portability and Accountability Act (HIPAA) applies to sensitive patient health information. Medical practitioners are wise to understand how this federal law impacts their practice. Three important facts about this law include: #1: Not everyone is...
A 73-year-old surgeon recently filed a case against his former employer. He claims hospital officials discriminated against him based on his age when they had him undergo a neuropsychological and physical exam as well as have a proctor present when he conducted...
