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...
New York Health Care Lawyers Who Have Decades Of Combined Experience
Physicians And Group Practices
NY podiatrist agrees to pay $1.25M to settle FCA claim
Government officials recently accused a local New York City hospital system along with a podiatrist of fraudulent billing practices. The allegations are in connection with a whistleblower lawsuit. The whistleblower brought the claim forward in 2012, stating the...
Anatomy of an OPMC investigation
What happens when a patient, co-worker or other medical professional files a complaint about a physician's work? If the complaint involves allegations of misconduct, the New York Health Department's Office of Professional Medical Conduct (OPMC) and state Board for...
Tips to reduce liability for telehealth services
The Department of Health and Human Services has relaxed regulations under the Health Insurance Portability and Accountability Act (HIPAA), at least temporarily. This allows medical professionals to conduct communications with patients using technology like Zoom and...
NJ healthcare insurance negotiation deal: 3 lessons
New Jersey healthcare company Humana Inc. recently adjusted its insurance offerings to expand in-network access for members. After much negotiations with local healthcare providers, the private insurance provider agreed to expand its terms to include additional...
How serious are allegations of overpayment?
Medical professionals who receive a notice of overpayment from Medicare or commercial insurance companies may find themselves facing a massive bill. These letters demand repayment, sometimes asking the health care professional to pay millions of dollars back to the...
Why are private equity firms purchasing physician groups?
The purchase of physician groups by private equity firms has soared in recent years. According to a recent publication in the Journal of the American Medical Association (JAMA), private equity firms acquired 1,426 sites and almost 6,000 physicians from 2013 through...
CMS announces resumption of enforcement efforts
The United States Centers for Medicare and Medicaid Services (CMS) recently announced it will resume enforcement and routine inspection efforts. The agency had suspended the efforts in response to the current coronavirus pandemic in an effort to help reduce the risk...
Are hospitals on the hook for $1B in government aid?
The current coronavirus pandemic has hit medical institutions in various ways throughout the country. Some are busy, working hard to serve patients and provide needed care. Others have slowed down as many elective procedures are on hold. Both are facing increased...
Private practice and rebranding: When is the right time?
Branding is an important part of a business plan - regardless of the business. Retail stores, tech businesses and even medical practices can benefit from a solid brand. In some cases, an initial branding strategy may not achieve the expected results, or the goal of...

