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Posts tagged "health care business"

Health care fraud in 2020: What will the feds investigate?

The United States Department of Justice (DOJ) recently announced the recovery of over $3 billion in False Claims Act (FCA) violations for health care fraud cases last year. Although this seems like a large number, it is in line with previous years. In fact, this is the tenth year in a row the agency reports recovering more than $2 billion from its work pursuing these cases.

Lessons from government investigation of UNC Hospital

Any number of events can trigger a government investigation of a medical facility. The government may receive an anonymous tip, billing practices may lead to a red flag or, as recently highlighted in a case involving the University of North Carolina's (UNC) Congenital Heart Program, negative publicity can snowball and fuel a closer look by government officials.

Investigators accuse NY hospital execs of conflict of interest

A recent investigation has resulted in evidence that appears to support allegations a group of hospital executives were more concerned about profits then patient care. The study is an extension of a previous report finding top executives and board members of a local, nonprofit cancer center had benefited due to relationships with drug companies and research projects outside of their normal work duties.

Insys prosecution continues: NY doc takes plea deal

The government continues to pursue Insys related healthcare fraud investigations. Insys Therapeutics (Insys), a pharmaceutical giant, is known for manufacturing Subsys, a fentanyl-based spray used for management of severe pain suffered by cancer patients.

New York case to challenge association health plan regulation

New York v. Acosta could change the administration of association health plans throughout the country. This New York case questions a regulation by President Trump's administration. The regulation allegedly makes it easier for smaller groups to buy association health plans that do not meet Affordable Care Act (ACA) standards.

Physician faces $5 million fine for prescription and health care fraud

The Department of Justice (DOJ) continues its fight against the opioid crisis in the United States. As part of this fight, Attorney General Jeff Sessions has sent a dozen top federal prosecutors to scour the country for medical professionals that allegedly abuse the system. More specifically, these agents are looking for physicians that subscribe opioid medications in questionable situations.

Considerations in selling a health care business

If you own a home health care agency, hospice or other health care-related business, a time may come when you start to think about selling it. Maybe you have reached the stage of life where you are considering retirement, or maybe you have found that holding on to the practice has become more of a chore than a labor of love.

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