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January 2018 Archives

Scripps Health settles unauthorized claims case for $1.5 million

Scripps Health, a health care system based in San Diego, has agreed to settle federal False Claims Act allegations for $1.5 million. The Department of Justice accused the system of allowing unauthorized physical therapists to bill Medicare and TRICARE.

Can technology end Medicare fraud?

The Office of Inspector General recently issued a report card for the Department of Health and Human Services. It said that while HHS met many of the requirements in a 2002 law to curb improper payments, it did not fully comply for fiscal 2016. The Inspector General urges HHS to renew its focus on feasible ways to drive the rate of improper payments below 10 percent.

Texas physicians group agrees to health care fraud settlement

Texas-based EmCare doctors "provide emergency medicine, hospital medicine, general and trauma surgery, anesthesiology and radiology/teleradiology care to hundreds of hospitals and healthcare facilities throughout the country," the company says on its website. It is perhaps unsurprising that the Dallas firm makes no mention of its recent agreement with the U.S. Department of Justice to settle claims that it engaged in health care fraud.

Conflicting portraits painted of physician awaiting fraud sentence

He stood before the court in his prison overalls and shackles. Humbled by his Medicare fraud conviction, Dr. Salomon Melgen conceded at his sentencing hearing that he had made mistakes in his personal life and asked the judge for mercy.

4 odd ways nurses have lost their licenses

It may seem easy to lose a nursing license, but the truth of the matter is that it is extremely difficult. There are processes in place to give nurses the benefit of the doubt and help them retain their documentation. From honest mistakes to total crimes, nurses have lost their licenses in a number of ways.

Unprofessional behavior may threaten your nursing career

Your work as a nurse can be hectic and stressful at the best of times. When a difficult job becomes too much, it might be tempting to snap at others. You might even entertain the notion of taking your frustration out on someone who is unable to fight back or is unaware of any potential misconduct. While you may never act on these thoughts, it is important for you and other nurses in Texas to understand the potential consequences of unprofessional conduct.

Is your home health care agency at risk for non-compliance?

A home health care agency that receives government reimbursement for services provided must have a compliance program in place, and the business owner or Compliance Officer should be responsible for implementing this program.

Drug maker agrees to settle kickback allegations for $210 million

United Therapeutics Corporation (UT), based in Maryland, has just agreed to settle Anti-Kickback Statute and False Claims Act allegations for $210 million. The drug maker has also entered into a five-year corporate integrity agreement with the Department of Health and Human Services Office of Inspector General.

Accepting gifts from patients: Could you lose your license?

When nurses do their job well, patients are often appreciative. Many express their gratitude through tokens of thanks such as homemade cookies or a heartfelt letter. These gifts are probably fine to accept and can be a big part of what keeps nurses showing up day after day in a stressful job.

3 reasons you could lose your nursing license

You do good work as a nurse. Every day you go to your job to save lives and make a measurable difference in the world. Despite your hard and admirable work, you can face disciplinary action and risk losing your license if you are not careful.

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