Any New York business that bills Medicare, Medicaid or another federal provider for services is wise to understand the basics when it comes to allegations of fraud. One way to understand how the feds pursue these allegations is to review a case. In a recent example,...
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Should I invest in a home care business?
Home care businesses are poised to thrive in 2021. This can lead to many investment opportunities — some active, others passive. Determining whether an investment in this market is a good idea will depend on a number of factors. Some questions to ask to help guide...
DOJ charges PTs and acupuncturists with millions in health care fraud
The United States Department of Justice (DOJ) recently announced it will pursue health care fraud charges against 6 physical therapists (PTs) and 2 acupuncturists who run facilities in New York. The feds claim the professionals developed a multi-million-dollar health...
Tips for nurses: How can I avoid burnout?
Nurses who feel on the brink of burnout are not alone. The International Council of Nurses reports that burnout within this profession almost doubled during the pandemic. Pre-pandemic, the group reports nurse burnout rates were at about 40%. Now, they are closer to...
What happens when my compliance officer files a FCA claim?
Hospital administrators and physicians who run a private practice along with any other organization that operates within the health care industry likely knows the importance of compliance with federal regulations. A failure to follow these regulations can result in...
How much does a FCA violation cost?
Those that operate within the health care marketplace need to abide by many different rules and regulations. The False Claims Act (FCA) is one of those rules. This federal law makes it illegal for any person to submit a false claim for payment to the government....
OIG goes after NY and NJ hospitals for Medicare overpayments
The United States Department of Health and Human Services (HHS) Office of the Inspector General (OIG) recently reported that a number of hospitals received millions in Medicare overpayments. The OIG stated one of these hospitals was located within Northwell Health’s...
Provider funding update: New resources available
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...
Healthcare fraud in the NFL? It’s not just for doctors.
Allegations of healthcare fraud are serious. If supported, the government can get substantial financial penalties and additional fines and even, depending on the details of the allegations, push for a prison sentence for those involved in the crime. You may think...
Nursing licensure compact: Update on status in NY and NJ
The Nursing Licensure Compact (NLC) is an agreement between multiple states that allows for nurses to have a license in one state and practice nursing in others. It is not a national agreement; each individual state has to agree to be a part of it. This generally...

