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The government is building an aggressive case against physicians and medical practices who received payment from the Centers for Medicare and Medicaid Services (CMS) for treating patients with amniotic fluid injections like Fluid Flow treatments. The agency has sent...
The case began with a disgruntled employee. A former employee of the dentist filed a claim a lawsuit in 2017 stating that the dental practice was in violation of the False Claims Act (FCA). The former employee used this law to sue on behalf of the government, claiming...
Those who enter the nursing field generally do so because they want to help. They are often empathetic and caring individuals. Although this empathy is a huge benefit when it comes to the practice of nursing, it can lead to one of the top mistakes when called in for a...
Mark Cuban, billionaire entrepreneur well known for his role in Shark Tank and as owner of the Dallas Mavericks, has taken on another financial enterprise: the pharmaceutical industry. Cuban started Cost Plus Drugs in January of 2022 with a goal of lowering...
The Department of Health and Human Services, Office of the Inspector General (OIG), recently released conducted an audit of Medicare claims from Telehealth Service Providers during the first year of the pandemic. The group reports that of the 742,000 providers who...
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...
Dual-eligible individuals are those who qualify for both Medicare and Medicaid coverage. In these situations Medicare generally covers the first 80% of an approved claim and Medicaid covers the remaining 20%. The Office of the New York State Comptroller recently dug...
The United States Court of Appeals for the Eighth Circuit just gave defendants in False Claims Act (FCA) claims a big win. The win involves how courts determine whether a violation existed when that violation is rooted in allegations of an Anti Kickback Statute (AKS)...
Every boom eventually busts, and it appears that is what we are headed towards with the travel nurse boom. Travel nurses were in high demand during the pandemic. The marketplace changed and required medical professionals to pick up and head out to various locations...
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...
