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A recent case provides an example of how the government moves forward with a case of health care fraud that may involve an unlikely offender and the types of penalties that can apply. According to the Federal Bureau of Investigation (FBI), the accused in this case was...
An ear, nose and throat (ENT) practice recently agreed to pay the government along with local state authorities over $9 million to settle claims they violated the federal False Claims Act (FCA) and state regulations.The allegations involved an improper financial...
The government has stated it is prepared to go after those who commit health care fraud to receive funds set aside to help deal with the coronavirus pandemic. True to its word, the Department of Justice (DOJ) has already reported one action against health care fraud...
The governor of New York recently announced another legal tool it will use in its fight against the current opioid epidemic. According to Gov. Andrew Cuomo, the state’s Department of Financial Services (DFS) has filed an insurance fraud action against one of the...
The current coronavirus pandemic has forced us to rethink our daily lives. We have had to change how we work, how we communicate, and how we get medical care.One realization: we may have downplayed the importance of telemedicine. We have had the technology to utilize...
A recent hospital firing of a nurse has shook up the health care community in Michigan. The hospital stated it fired the nurse due to inappropriate viewing of patient medical records. However, the nurse states this is not accurate. The termination came shortly after...
The United States Department of Justice (DOJ) recently announced the recovery of over $3 billion in False Claims Act (FCA) violations for health care fraud cases last year. Although this seems like a large number, it is in line with previous years. In fact, this is...
Just a few weeks ago, the United States Centers for Medicare and Medicaid Service (CMS) announced it would allow certain health care providers to receive funds to help maintain financial footing during the coronavirus pandemic. To achieve this goal, the agency...
The Centers for Medicare and Medicaid Services (CMS) has allowed Medicare providers to get emergency assistance payments to help maintain financial stability during the coronavirus pandemic. Upon the agency’s first announcement of this change, the administration...
New Jersey lawmakers are looking for a way to better ensure needed health care professionals are available to help provide aid during the current coronavirus pandemic. Lawmakers voiced concern that some medical professionals were hesitant to volunteer to help out in...
