A New York hospital has accused an insurance plan that covers over 10,000 teachers of failing to follow an agreement put together in 1997. The agreement between the hospital and insurance company addresses the billing processes. It is specific and provides an equation...
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How will a misdemeanor impact your nursing license?
Those who earn a nursing degree put in serious study and dedication. In addition to the demands directly tied to the license, there is a tangential cost. These individuals may have to take away time from family and friends as well as put in the financial...
Health care providers: Fraud developments to watch in 2019
Health care fraud disputes were present throughout 2018. These cases included everything from individual physicians, nurses and other health care professionals fighting boards for their professional licenses to multi-million dollar Anti-Kickback Statute (AKS)...
Former health care exec headed to trial
A health care executive known for running nursing and assisted living facilities in Chicago before expanding to Florida will begin trial within the next two weeks. The government has accused the former exec of his role in a scheme that allegedly defrauded Medicare of...
Poor billing practices cost Walgreens big
Health care fraud is a major issue that continues to contribute to the financial burden of patients everywhere. Not only does it exploit patients when they are weak and at their most vulnerable, it also causes financial challenges for all, especially people who...
4 things that could cause you to lose your nursing license
You attended college for many years, took out loans and now you have entered your dream field of nursing. The problem is, the rules and regulations might appear overwhelming. The New York licensing board suspends and revokes nursing licenses every day. Keeping your...
Study links opioid drug-maker gifts to doctors to overdose deaths
Ten months ago, federal prosecutors outlined a case against five New York doctors. The indictment accused the physicians of participating in a bribery and kickback scheme that was designed to increase sales of Subsys, a spray form of the opioid fentanyl.A few days...
Pharmacy licensure in New York: The basics
New York State law requires individuals meet certain requirements before they can call themselves a pharmacist. These requirements include the applicant hold a license as well as have good moral character. Additional requirements include: Education. A candidate...
Defending against a Mallela fraud lawsuit
As a practicing New York physician, you know that when you render medical services to the victim of a motor vehicle crash and receive his or her assignment of benefits, you can make a claim for reimbursement from his or her insurance company. You also likely know that...
Nurse accused of illegally posing as a doctor
Investigators are reviewing allegations a Licensed Practical Nurse (LPN) illegally posed as a physician. The investigation began after a state agency received complaints about the individual. These complaints led to a search warrant and investigation of a medical...

