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Austin Texas Legal Issues Blog

Healthcare company accused of FCA violation with incentive stocks

Private equity firms continue to grow their presence within the healthcare industry. We have a number of posts discussing this trend, touching on how to navigate these transactions as well as potential benefits and risks. A recent case explores the risk, looking into allegations that one of the incentives for the private equity deal was a violation of federal law.

What was the alleged violation?

The issue involves allegations incentive stock gifted to non-employee physicians who completed procedures for the surgical center were tantamount to illegal kickbacks. It is not uncommon for these deals to include incentive stock. In cases like this, physicians could redeem the stock for compensation when the owners sold the surgical center.

How can my practice handle patient complaints?

Physician practices need to navigate the needs of a successful business while ensuring quality patient care. The old adage "an ounce of prevention is worth a pound of cure" can go a long way towards helping build a successful practice. A failure to take patient complaints seriously could result in an official complaint - possibly even leading to an investigation by the state licensing board. When it comes to patient complaints the best approach may be to know the common issues and take proactive steps to avoid falling into the same traps.

TX medical center agrees to pay $15M to settle with FHA

The Department of Justice (DOJ) recently announced a settlement agreement with a Texas medical center and surgeons. The settlement, for approximately $15 million, is the most recent in a series of claims the DOJ has pursued in recent months against medical professionals, highlighting the continued aggressive efforts even in the midst of the coronavirus pandemic.

DOJ announces criminal charges for over 100 doctors and nurses

The Acting Assistant Attorney General of the Justice Department's Criminal Division recently announced a "historic nationwide enforcement action" that resulted in criminal charges for over 100 doctors, nurses and other medical professionals. The charges are the result of allegations the professionals submitted over $6 billion in false and fraudulent claims.

Cardiologist sues hospital officials for wrongful termination

The physician received his medical training at the University of Texas Southwestern Medical Center in Dallas and the Texas Heart Institute at Baylor St Luke's Medical Center in Houston. Hospital officials hired the specialist in 2018 to fill a variety of cardiology needs within their facility. Some of the services he was trained to provide include transradial coronary interventions, peripheral arterial interventions, structural heart disease and critical cardiac care.

What should providers know about next wave of CARES Act relief?

The Department of Health and Human Services (HHS) will begin accepting applications for Relief through this package October 5th. The agency has stated the goal is to help cover approximately 2% of patient revenue lost as a result of the pandemic.

The HHS is encouraging providers to file for relief early, so it can begin reviewing payment calculations and “ultimately accelerate the distribution” of payments.

HHS states my physician group chose the wrong code. Now what?

The United States Department of Health and Human Services (HHS) has stated physician groups throughout the country are mistakenly choosing the wrong code when it comes to charging Medicare for services provided to stroke patients.

What is the problem?

TX pharmacy owner arrested for healthcare fraud

Government officials have accused a Texas pharmacy owner of filing more than $5 million in fraudulent claims to several healthcare programs. The entrepreneur owned multiple pharmacies in Southern Texas, most notably in the Houston and Pharr areas. A government investigation has allegedly led to evidence that he and others used these healthcare facilities to file fraudulent reimbursement claims.

Nurse managers: Two tips for success in 2020

2020 has been a year of adaptation for those in the medical field. Doctors, nurses and medical professionals throughout the health care system must adapt to the changes that have come with the Coronavirus pandemic. Hospitals were reconfigured to better ensure they could serve patients, many elective procedures were postponed or canceled and those providing care were required to take additional steps to protect themselves and their patients from exposure to the virus.

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