Diagnostic laboratories provide essential testing services. These healthcare facilities can face federal scrutiny and allegations of fraud. Such allegations often arise from specific practices within diagnostic labs. Common examples include: Unnecessary Testing: Labs...
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Medicare overpayment 101: Avoid these common red flags
Medicare billing is complex but plays an important role within most healthcare facilities. Whether a small private practice or a larger medical group, your organization likely depends on Medicare payments for a portion of its operating costs. Actually getting payment...
The benefits and risks of buying into a home health agency
Entering the home health agency market can be a lucrative opportunity, especially as the demand for home-based care continues to rise. Recent reports show that the demand has translated to billions of dollars spent on home health care in the United States, and the...
What should I know about physician burnout and potential legal repercussions?
Physician burnout is a significant and growing concern within the medical community. Characterized by emotional exhaustion, depersonalization, and a diminished sense of accomplishment, burnout not only affects physicians' well-being but also poses severe risks to...
Kickbacks in the clinic: 3 things doctors need to know if accused of an FCA violation
The government uses the False Claims Act (FCA) when looking to combat fraud involving federal programs like Medicare and Medicaid. One form of healthcare fraud the government often targets involves allegations kickbacks — financial incentives provided by medical...
New training requirements for forensic custody evaluators in New York
Forensic custody evaluators play an important role in family court cases, assessing family dynamics and making recommendations concerning child custody and visitation. The state mandates specific training requirements with the latest knowledge and skills necessary to...
Could this technique be the answer to address nurse burnout?
Nurse burnout remains an issue for healthcare systems across the country. While we know it is often ideal to address staffing levels and reduce excessive workloads, these options are not always available. Other attempts, including access to mental health resources and...
NY dentist licensure investigation: 3 potential penalties
In New York, the Office of Professional Discipline (OPD) investigates complaints about dentists to determine if there is a violation of professional conduct. Patients, colleagues, and others can file a complaint. The OPD will review the complaint and, if warranted,...
What should I do if we receive notification of a Medicare overpayment?
For health care providers in New York, navigating the complexities of Medicare billing is a critical part of operations. Unfortunately, this process is not free of errors, and Medicare overpayments can occur, potentially leading to significant legal and financial...
What should I know about conspiracy to commit health care fraud?
An internist from Long Island recently pleaded guilty to one count of conspiracy to commit health care fraud. The government claims that the physician conspired with others to order hundreds of medically unnecessary transcranial doppler scans from 2013 through 2019....

