A physician's license is incredibly valuable. The time and effort it takes to obtain the license is immense -- but losing it only takes one moment. When a physician's license is threatened by a complex case, or a physician group practice comes under attack by a...
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Brooklyn medical assistant sentenced to 3 years in jail for fraud
A Brooklyn medical assistant faced accusations of providing medical services without the necessary license. The accusations also claimed the care provided was unnecessary and given to the patient solely for the purpose of filing false claims with Medicare and...
Discussing the Stark Law and the Anti-Kickback Statute
One of the pillars of the medical industry is that the professionals that work in it are unbiased and unaffected by outside influences, especially when it comes to prescribing drugs and medicine or referring patients to other facilities and medical institutions. This...
NY doctor faces fraud allegations, potential jail time
The practice of medicine is much different now than it once was. Physicians are extremely specialized and it is rare that one physician can provide complete care for a patient. As a result, care often involves many physicians working together to treat a patient. These...
How will you know if you have a Medicare overpayment?
Due to a variety of circumstances, such as clerical errors, duplicate payments or processing mistakes, recipients of Medicare can receive too much money. The Centers for Medicare & Medicaid Services requires recipients to return any excess funds within 60 days, or...
DOJ, Stark Law & Anti-Kickback: Are investigations on the rise?
The United States Department of Justice (DOJ) appears to be increasing enforcement efforts regarding violations of the Stark Law and the Anti-Kickback Statute (AKS). These efforts were highlighted in a recent case involving two urologists accused of submitting...
Another pharmacist arrest shows prevalence of fraud cases
Like physicians, pharmacists have a duty to serve patients to the best of their ability, see to their well-being and protect them from harm. The arrests of two New York pharmacists shows how such responsibility can go astray. Unfortunately, they used their expertise...
New York obstetrician loses medical license for misconduct
An obstetrician formerly employed at an upstate hospital can no longer practice medicine in New York. The Department of Health's Board of Professional Medical Conduct sustained charges of misconduct in a pair of cases in which he cared for diabetic patients. In both...
DOJ gets less than a tenth of what it requested in kickback case
A New York science and technology news publication is reporting that a jury recently found the former CEO of a diagnostic testing lab and two marketing executives liable for Medicare fraud under the federal False Claims Act.The testing lab is in Virginia and the...
Important Notice for Medicare Providers: Medicare Beneficiaries Identifier is replacing Social Security number
The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 mandates removal of Social Security Number (SSN)-based HIC numbers from Medicare cards to address current risk of beneficiary medical identity theft. CMS will use a new MBI generator to assign over 150...

