The United States Department of Justice (DOJ) recently announced the sentencing of a New Jersey doctor in connection to a healthcare fraud scheme. The agency stated in a press release that the court sentenced the physician to 33 months imprisonment after he plead...
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2 important lessons from recent health care fraud case
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...
FBI agents arrest NY doc, charge with narcotics violation
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...
HHS announces updates to Stark Law and AKS
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...
3 ways HIPAA could change in 2021
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...
I received a letter from my state’s licensing board. Now what?
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...
3 questions to ask before buying a healthcare group
Due diligence is important when looking to purchase a healthcare group. Whether looking at an entire facility or an individual private practice, it is important to ask the following questions before moving forward with a deal. #1: What are the financials? Get the...
Is my physicians’ group ready for an audit?
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 accuse doctor of selling opioids
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....
HIPAA Right to Access spotlighted in recent NY case
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...