Feds recently accused a physician of falsely certifying patients for home health services. The prosecution is aggressively building a case against the medical professional and claims that she received financial incentive for these certifications. What exactly...
Physicians and other medical professionals are likely well aware of the dangers that can come with social media. Posting anything about procedures or patients can lead to serious problems, including potentially putting your medical license at risk. But there are also...
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...
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...
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...
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...
