The Texas Medical Board recently suspended the medical license of a pediatrician out of Rockwall, Texas. There are no prior disciplinary issues on record for the 62 year-old physician. He had practiced for 14 years in Texas prior to the suspension.What led to the...
Month: April 2018
Three tips to avoid health care fraud allegations in NY
The current administration is working hard to combat health care fraud. Health care providers can reduce the risk of becoming the subject of an investigation into this type of crime by avoiding what are referred to as the common “badges of fraud.” A recent piece in...
1157 convicted for Medicaid fraud related offenses in 2017
The Office of the Inspector General (OIG) recently reported that the Medicaid fraud control units (MFCUs) secured 1157 fraud convictions. The MFCU investigates those accused of Medicaid fraud. What leads to an investigation by an MFCU? The investigations are generally...
NY doctor accused of drug theft, faces criminal charges
A 59 year-old cardiologist faces larceny and criminal possession of a controlled substance charges in New York. Local police and the Medicaid Fraud Control Unit investigated the physician and accuse him of stealing hydrocodone pills and other medications from...
Texas radiotherapy center ends 5 year investigation by DOJ
SightLine Health LLC, a Texas radiotherapy center, recently took steps to end an ongoing investigation by the Department of Justice (DOJ). The DOJ was looking into allegations that the practice violated the Anti-Kickback Statute when it offered financial incentives to...
NY health care provider accused of fraud, pays $10M to settle
Allegations of health care fraud can cause serious harm to a health care provider’s reputation. As such, it is not surprising that those who find themselves the subject of an investigation or face accusations of this form of fraud seriously consider accepting a...
FBI raids oncology office in NY
The Federal Bureau of Investigations (FBI) continues to crack down on allegations of billing fraud within medical practices. The agency provided an example of increased enforcement efforts with a recent raid of an office in New York.What was this investigation about?...
Ambulance provider settles fraud claim
Emergency Medical Services Alliance (EMSA) recently agreed to settle a claim based on allegations of Medicare fraud. Federal officials claimed that the ambulance service provider was submitting false claims for compensation from Medicare and Medicaid. This allegedly...