The New York Times recently ran a publication that delves into the surgical complications and deaths of a hospital's pediatric heart surgery program. The researchers with the piece state the hospital's mortality rate started going up in 2013. From 2013 to 2017, the facility reported a cardiac surgery mortality rate of 4.7%.
According to an indictment from a federal court in Brooklyn, United States prosecutors have accused a doctor and surgical consultant of defrauding women into having transvaginal mesh implants unnecessarily removed. The prosecution alleges the two recommended the procedures so they could receive funds from financial settlements involving transvaginal mesh litigation.
The United States Attorney for the Southern District of New York recently announced the conviction of a medical doctor and physical therapy doctor for health care fraud. The conviction was the result of a six-week jury trial and results in a total of 15 convictions for the state stemming from this same scheme. The New York State Office of the Medicaid Inspector General’s Complex Frauds and Cybercrime Unit is handling the case.
The House Energy and Commerce Committee recently released a proposal that targets “unexpected charges” to patients for care received at hospitals. The lawmakers behind the bill state they are attempting to remove the issue of surprise billing for patients in both emergency and non-emergency situations.
Although due diligence is important in any merger or acquisition transaction, deals that involve purchasing a physician practice offers unique obstacles. Whether a new physician looking to take over another doctor’s practice or a private equity firm looking for an investment, an interested buyer can mitigate the risk that comes with these hurdles by including these questions in the due diligence process:
Building a business is a labor of love. Entrepreneurs spend long hours researching their market and making sure their operations are in compliance with applicable rules and regulations. Although all business owners work hard to get their enterprises up and running, those who start a medical practice are balancing more than just their business' success, they are also balancing the interest of the patient.
Federal agents recently arrested a New York cardiologist as part of a large national sting. Prosecutors have accused the physician of illegally distributing prescription pain pills. The prosecutors state the physician, who has worked at a hospital in the Syracuse area for approximately three months, worked with another doctor and nurse practitioner while employed at his previous practice in Tennessee to improperly prescribe opioids.
A woman hospitalized for severe back pain has accused her physician of causing nerve damage when he administered an epidural injection for pain management. The treatment occurred in 2015 and the case is scheduled to begin in May of 2019.
The United States Department of Justice (DOJ) continues to crackdown on opioid prescription violations. Most recently, the government has accused multiple medical professionals of illegally prescribing these medications in exchange for financial gain and sexual favors.
A Philippine born American citizen agreed to pay the United States government $40 million in restitution for his role in the largest health care fraud scheme in recent history. He is one of over two dozen suspects arrested and accused of partaking in this scheme.