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The Department of Justice and the United States Department of Health and Human Services (HHS) have made it clear that the government is cracking down on healthcare fraud. To help illustrate this point, the agencies conducted the largest healthcare fraud enforcement...
Two anesthesia providers and two orthopedic surgery providers agreed to settle with the Department of Justice over claims of illegal kickbacks and submission of false claims to Medicare.The investigation into the claims was the result of a whistleblower case. The...
A nurse in Wisconsin is facing allegations of abuse while working in the neonatal intensive care unit (NICU). The allegations led to an investigation of the nurse. Alleged abuses include bruises to the arms of infants and a skull fracture.The nurse’s license is...
The current administration is working hard to combat health care fraud. Health care providers can reduce the risk of becoming the subject of an investigation into this type of crime by avoiding what are referred to as the common “badges of fraud.”A recent...
The Office of the Inspector General (OIG) recently reported that the Medicaid fraud control units (MFCUs) secured 1157 fraud convictions. The MFCU investigates those accused of Medicaid fraud. What leads to an investigation by an MFCU? The investigations are generally...
A 59 year-old cardiologist faces larceny and criminal possession of a controlled substance charges in New York. Local police and the Medicaid Fraud Control Unit investigated the physician and accuse him of stealing hydrocodone pills and other medications from...
Allegations of health care fraud can cause serious harm to a health care provider’s reputation. As such, it is not surprising that those who find themselves the subject of an investigation or face accusations of this form of fraud seriously consider accepting a...
The Federal Bureau of Investigations (FBI) continues to crack down on allegations of billing fraud within medical practices. The agency provided an example of increased enforcement efforts with a recent raid of an office in New York.What was this investigation about?...
New York recently passed a law that changes the requirements needed to earn a nursing license. The law achieves two goals: creates a commission to review the nursing profession and increases the requirements tied to the license. Creation of a commission The law...
As a physician, you may feel pulled in many different directions by those you work with. You are dedicated to your responsibility to protect your patients and improve their lives, and you must also hold yourself to a high legal and ethical standard. At the same time,...
