The healthcare industry broke private equity activity records in 2017. Becker’s Hospital Review reports six big deals that were announced just this month. They include everything from a physical therapy practice management company to a healthcare software...
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Will midterm elections lead to regulatory change?
The results are in — Democrats gained at least 28 seats in the House of Representatives and have control of the chamber while the Republicans hold their majority in the Senate. This shift could impact a number of areas, including the push for regulatory relief...
Physicians and labs: New law increases risk of investigation
The “Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communications Act,” also known as the SUPPORT Act, is a broad piece of legislation signed into law by President Donald Trump on October 24, 2018. The law...
Escobar decision and implied certification in FCA cases
The False Claims Act (FCA) makes it illegal to use false or fraudulent claims to seek payment from government sources, like Medicare and Medicaid. This law is complex. Court cases have questioned the best way to apply the FCA to establish a violation. These cases...
Health care industry take note: Current enforcement trends
The health care industry is heavily regulated. Various laws and court cases impact the practices of drug manufacturers, physicians, nursing homes and others in the medical field. Those that are part of this field are wise to stay abreast of changes that could impact...
Diagnostic labs victims of “aggressive audit tactics”
Audit activity by government regulators and private payers has been on the rise. These investigations ramped up throughout 2017 and accelerated through 2018. The dramatic increase in audits is likely connected to the price cuts implemented with the new Medicare Part...
HHS seeks repayment of sleep resupply claims over past six years
The United States Department of Health and Human Service's (HHS) Office of Inspector General (OIG) recently released a report that states most Medicare claims from durable medical equipment supplies for payment for replacement positive airway pressure (PAP) device...
Noncompete agreements and physicians: Are they on the rise?
The number of doctors starting up private practices is on the decline. Instead of working on their own, physicians are taking jobs with hospitals. Executives with the hospital often require these medical professionals to sign a noncompete agreement as part of their...
When is Facebook use in the hospital cause for a lawsuit?
Social media use can result in litigation. Two specific instances that can result in legal woes for physicians and other medical professionals include issues of negligence or defamation.Scenario #1: Negligence. A physician or other medical professional could find him...
New York officials charge 5 doctors for drug crimes
New York officials recently released the indictment of five local physicians accused of drug crimes. The government stated the physicians were “drug dealers in white coats” who knowingly and intentionally sold addictive and dangerous medications, fueling...

