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The Centers for Medicare and Medicaid Services (CMS) recently filed its 2019 Medicare Inpatient Prospective Payment System (IPPS) proposed rule. What is the IIPS? The IIPS is a system used by the government for payment of care provided by acute care hospitals. The...
The medical field is a noble profession. Those who work in this field know the value of their professional reputation. An attack on a doctor's professional reputation can effectively end his or her career. As such, it is wise physicians that find themselves the...
There are many government programs to help ensure those who need medical care receive treatment, even if they cannot afford needed care. Medicare and Medicaid are two examples and Veterans Affairs Medical Centers are another. Medical professionals can bill these...
The United States Attorney for the Western District of New York has charged a local psychiatrist with health care fraud. The medical professional operates a private practice, has served with many nursing homes and has also spoken at consulting engagements for...
The United States Department of Justice Medicare Fraud Strike Force is a government group put together with one focus: take down medical professionals and others that are committing health care fraud. As noted in a recent publication by the New York Law Journal, this...
The government recently accused three physicians out of Long Island for taking part in a health care fraud scheme that cost the Medicare and Medicaid program approximately $163 million in fraudulent charges. The physicians were investigated by many government...
The Department of Justice (DOJ) recently announced a settlement between the government and a family of integrated hospitals and health care providers that operate in New York. The settlement includes an agreement to pay the State of New York $895,427 and an additional...
As noted in the previous piece, Government and health-care fraud, Part 1: Why the crackdown?, the United States government has stepped up its efforts to prosecute those who are accused of health-care fraud. The main motivation for these efforts is money. The...
The United States Government, along with state governments, have made it clear that they plan to crackdown on health-care fraud. The reasons behind this focus were recently discussed in two reports.The first report, “Health Care Fraud and Abuse Control Program...
The Department of Justice (DOJ) recently announced the arrest of hundreds of individuals in the "biggest healthcare fraud take-down in history." The DOJ arrested 601 people from 58 different federal districts for filing $2 billion in false claims.The DOJ stated two...
