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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...
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...
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...
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...
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...
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?...
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...
New York recently passed a law that changes the requirements needed to earn a nursing license. The law achieves two goals: creates a commission to review the nursing profession and increases the requirements tied to the license. Creation of a commission The law...
A registered nurse (RN) out of Texas is facing criminal charges for allegedly stealing morphine.What types of charges come with this type of allegation? These accusations were severe enough to result in criminal charges. The allegations in this case were serious...
As a physician, you may feel pulled in many different directions by those you work with. You are dedicated to your responsibility to protect your patients and improve their lives, and you must also hold yourself to a high legal and ethical standard. At the same time,...