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The United States Centers for Medicare and Medicaid Services (CMS) recently announced a new rule to address health care fraud. The announcement was made in September 2019. The new rule expands the agency’s ability to revoke or deny applications for entry or...
Novartis Pharmaceuticals Corp. (Novartis) recently announced it will set aside $700 million to settle claims made by the Department of Justice (DOJ). The DOJ recently accused the pharmaceutical giant of illegally bribing physicians and other health care professionals...
The government requires medical facilities to follow certain rules and regulations. A failure to do so can result in allegations of wrongdoing. One specific area that can cause great harm to a health care facility are allegations of health care fraud. If...
The government continues to crackdown on allegations of health care fraud. One recent example involves a pharmacist accused of various crimes. According to the complaint, the prosecution has charged the pharmacy owner with two crimes. The first is conspiracy to commit...
The Office of the Inspector General (OIG) will investigate allegations of illegal physician payment arrangements. Physicians are wise to take proactive action to protect themselves from allegations of wrongdoing.One way physicians can mitigate their risk for violating...
New Jersey finalized an agreement to partner with 33 other states throughout the country in a multi-state nursing licensing compact in July of 2019. This compact allows nurses from other participating states to practice in New Jersey without receiving a New Jersey...
A nurse is fighting back after hospital executives claim she attempted to help a patient with mental issues escape from the hospital. Based on this claim, the hospital fired the nurse. The nurse states the situation was exaggerated and used to justify her firing. In...
The Centers for Medicare and Medicaid Services (CMS) recently released information about new efforts to reform its repayment structure to better address the growing public health crisis of antimicrobial resistance. Why the need for change?The agency's current...
The Department of Justice (DOJ) recently accused a hospital of Anti-Kickback Statute (AKS) and Stark Law violations. The allegations are the result of claims the hospital paid physicians high salaries based on the “volume or value of the physicians’...
Any number of events can trigger a government investigation of a medical facility. The government may receive an anonymous tip, billing practices may lead to a red flag or, as recently highlighted in a case involving the University of North Carolina's (UNC) Congenital...
