This past August, the United States Department of Health and Human Services (HHS) Office for Civil Rights (OCR) received a complaint that Housing Works Inc., out of New York, had failed to provide a patient with a copy of his medical records. The patient argued that...
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Hospital pays $50M to settle FCA allegations
The United States Department of Justice recently announced that a hospital out of Virginia has agreed to pay $50 to settle claims that it violated the False Claims Act (FCA). This most recent settlement highlights the government's continued focus on aggressively...
How serious are allegations of overpayment?
Medical professionals who receive a notice of overpayment from Medicare or commercial insurance companies may find themselves facing a massive bill. These letters demand repayment, sometimes asking the health care professional to pay millions of dollars back to the...
Nurse keeps patient names confidential, gets fired
A nurse has filed a retaliation claim against her former employer, stating hospital officials fired her because she refused to give law enforcement officers names and addresses of patients who had tested positive for COVID-19. What if she would have complied with law...
Can home health care centers survive the challenges of 2020?
2020 is a year that has tested businesses in every marketplace. The home health system is no exception. This niche area of health care has had to navigate many issues throughout the year, some novel, some that have been building over the years. Two of the most notable...
Why are private equity firms purchasing physician groups?
The purchase of physician groups by private equity firms has soared in recent years. According to a recent publication in the Journal of the American Medical Association (JAMA), private equity firms acquired 1,426 sites and almost 6,000 physicians from 2013 through...
What happens if a nurse fails to disclose a prior arrest?
Working to get a nursing degree is no easy task. It takes countless hours of study, practical experience and the sacrifice of time otherwise spent with family and loved ones. When getting to those final stages of the process, when close to having everything complete...
CMS announces resumption of enforcement efforts
The United States Centers for Medicare and Medicaid Services (CMS) recently announced it will resume enforcement and routine inspection efforts. The agency had suspended the efforts in response to the current coronavirus pandemic in an effort to help reduce the risk...
Are hospitals on the hook for $1B in government aid?
The current coronavirus pandemic has hit medical institutions in various ways throughout the country. Some are busy, working hard to serve patients and provide needed care. Others have slowed down as many elective procedures are on hold. Both are facing increased...
Private practice and rebranding: When is the right time?
Branding is an important part of a business plan - regardless of the business. Retail stores, tech businesses and even medical practices can benefit from a solid brand. In some cases, an initial branding strategy may not achieve the expected results, or the goal of...

