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...
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New York Health Care Law Blog
What happens when the government accuses a doctor of healthcare fraud?
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...
When can the state board take away my nursing license? 3 common examples.
Completing training and navigating the requirements that comes with getting your nursing license takes time and effort. Once you get your license, you do not want to put it in jeopardy. Each state has its own requirements and it is important to know how your state...
What should I know before I start a medical practice in New York?
Those who chose to practice medicine are likely motivated by a desire to help people. Sometimes, medical professionals can feel that the freedom to make their own business decisions will help better ensure they can meet this goal. They may not want to follow the...
What can my facility learn from the recent closure of NJ nursing home?
A nursing and behavioral center located in New Jersey that served residents of New York and New Jersey is set to close in a matter of weeks. The New Jersey Department of Health revoked the facility’s license due to a failure to correct violations. The agency claims...
What happens if the OIG accuses my practice of a Medicare overpayment?
The Social Security Act requires provider's report any Medicare overpayment. A failure to do so can result in more than just a need to pay the government back, it could escalate to criminal charges. But what happens if the government makes a mistake? How do these...
Watch out for these two hurdles to healthcare M&A deals
Healthcare merger and acquisition deals can result in a final product that better serves its community. These deals can preserve or increase quality care while also making for a more efficient product. But sometimes these deals face hurdles. In some cases, the hurdles...
DOJ uses EKRA to pursue COVID fraud
The Department of Justice (DOJ) just made an already ambiguous law even more difficult to navigate. Lawmakers originally touted the Eliminating Kickbacks in Recovery Act (EKRA) as a weapon to help combat the growing opioid crisis. In reality, we have seen the...
One big lesson after hospital system hit with $4M penalty for FCA violation
One of the largest, private for-profit hospital systems in the nation agreed to pay over $4.5 million to settle allegations that it violated various federal laws, including the False Claims Act (FCA). The healthcare corporation, Steward Health Care System LLC, owns...
What happens when a healthcare deal goes sour?
Not every business transaction goes according to plan. The target organization may focus on different goals than you had intended or, if looking at a merger, the two cultures may not mesh. Whatever the reason for the flop, a deal that turns sour can be more than just...

