The New York State Department of Health tasks the Office of Professional Medical Conduct (OPMC) with the investigation of complaints about service or treatment against physicians, specialists, and other professionals who are subject to the State Board for Professional...
The healthcare industry is constantly evolving. The way we practiced medicine in previous generations is not the same as how we serve patients today. Groups that want to thrive need to make changes to stay relevant — as was recently highlighted with CVS Health Corp.’s...
The government continues its aggressive pursuit of those it believes abuse government funds. When the feds believe this type of situation exists, they investigate and, if possible, pursue criminal charges. In a recent example, New York Attorney General Letitia James...
The United States Department of Justice (DOJ) recently released the details of an indictment against a New York physician charged with millions in healthcare fraud. According to the feds, the physician only took a few minutes conversing with patients before moving...
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...
