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...
The National Committee for Quality Assurance (NCQA) has established standards and guidelines for how healthcare facilities should go about credentialing healthcare providers. The process is important for many reasons. Aside from the assurance patients receive high...
The pandemic has strained an already overworked healthcare system, and no one is feeling it more than the physicians, nurses and supporting staff attempting to provide quality care during these difficult times. Staffing numbers are low and demand is high in an...
It often starts with a letter. The state medical board generally notifies physicians of an impending investigation by sending a letter and a request for records. This letter is something to take seriously, even if you are certain the complaint that triggered the...
The United States Department of Justice (DOJ) continues to make prosecution of health care fraud a top priority. Since October 1st alone, the feds have pursued over a dozen health care fraud cases throughout the country. Some of the more notable include allegations...
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...
The pandemic has led to concerns about health. Patients are wondering how to best protect themselves from COVID-19, they want to know what steps they should take to help reduce their risk, which steps are not necessary and which recommendations that they are hearing...
The United States Department of Justice (DOJ) announced the conviction of a cardiologist for healthcare fraud back in 2019. According to the feds, beginning in 2008 the medical professional submitted fraudulent claims to government and private insurance programs for...
Almost 50% of all physicians were employed by hospitals as of January 2021. This number represents an increase of 5% from the same time period in 2019. The data, gathered by the Physicians Advocacy Institute and Avalere, shows an increase of hospital-owned practices...
The media recently highlighted this question when hospital administration fired a physician out of Arizona from her position at Phoenix Children’s Hospital after making anti-Semitic statements on her Instagram page. The posts disparaged the state of Israel, calling it...
