Home health care is becoming a more expansive, more vibrant and more important industry every year. And with growth also comes regulation. After years of deliberations, the Centers for Medicare & Medicaid Services issued a final rule in January that establishes...
Year: 2017
New York City doctors, others face charges of health care fraud, more
Three physicians, plus four nurse practitioners, a former state assemblyman and five others face a wide variety of criminal charges involving allegations that they turned several New York City clinics into so-called "pill mills." The 13 defendants are also charged...
Prominent eye doctor accused in $108M Medicare fraud scam
A high-profile criminal trial is under way involving an eye doctor who is accused of operating a $108 million Medicare fraud scam involving senior citizens and minorities.At the opening of the trial, prosecutors for the federal government said that the Harvard- and...
Deadline for meeting new home health requirements postponed?
In mid-January, the Centers for Medicare & Medicaid Services published a home health agency final rule outlining new minimum standards for home health agencies participating in Medicare and Medicaid.The new rule, which includes revised training requirements for...
Can a nurse lose their license for DWI?
Being charged with a DWI is embarrassing, expensive and stressful. But if you are a nurse who has been convicted of a DWI while you were off duty, then the stakes are even higher. Your livelihood could be at risk.After being convicted of drunk driving, it is likely...
Health care fraud enforcement under Trump
In recent years, the government has been taking a much more aggressive approach to health care fraud enforcement, and it looks like enforcement efforts could get even more aggressive under the Trump administration. Even though overall funding for the Department of...
New York neurologist facing Medicare, Medicaid fraud charges
It is a relatively short drive north from New York City to Yonkers. The Westchester County city is home to a neurologist who federal prosecutors allege is part of a $57 million insurance scam that targeted Medicare and Medicaid.The 47-year-old doctor faces a long list...
New crackdown targets Medicaid-unapproved drug reimbursements
Several pharmaceutical companies intentionally misrepresented the degree to which certain drugs and other items were reimbursable under Medicaid, according to the attorney general of another state. The drugs and medical devices were marketed to the state and health...
Five things that will surprise you about Stark Law
Stark Law is a complex set of rules that has the main purpose of preventing physician self-referrals. More specifically, the rules attempt to prevent physicians from referring a Medicare or Medicaid patient to a medical facility that the physician (or the physician's...
Being naive is no defense to Medicare fraud
Another doctor has been convicted for playing a part in a multi-million-dollar Medicare fraud scheme. The guilty verdict shows that even being "extremely naïve" is not a valid defense to Medicaid fraud charges. The situation involved a $13 million operation in Houston...

