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Health Care Investigations Archives

New York doctor's medical license application answer redacted

A New York doctor was accused of stealing medications from patients when he practiced in North Carolina. When he applied for a New York medical license, the form asked if his license had been in the past suspended in another state.

New York medical transportation company charged with fraud

New York is cracking down on medical transport fraud throughout the state. The Inspector General has stated that the medical transportation industry in the state is “plagued with corruption,” and that law enforcement is working to send “a clear message that those who abuse Medicaid and workers compensation systems for illicit gains will be relentlessly pursued and prosecuted.”

Physician faces $5 million fine for prescription and health care fraud

The Department of Justice (DOJ) continues its fight against the opioid crisis in the United States. As part of this fight, Attorney General Jeff Sessions has sent a dozen top federal prosecutors to scour the country for medical professionals that allegedly abuse the system. More specifically, these agents are looking for physicians that subscribe opioid medications in questionable situations.

Treatment battle leads to accusations of criminal activity

Medicare and private insurance companies rarely cover new treatments. Treatment provider Trina Health is currently attempting to navigate this common issue. Trina claims the treatment meets the criteria for a current billing code covered by insurance. As such, the clinic has been using this code to receive payment.

Three tips to avoid health care fraud allegations in NY

The current administration is working hard to combat health care fraud. Health care providers can reduce the risk of becoming the subject of an investigation into this type of crime by avoiding what are referred to as the common “badges of fraud.”

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