Due to a variety of circumstances, such as clerical errors, duplicate payments or processing mistakes, recipients of Medicare can receive too much money. The Centers for Medicare & Medicaid Services requires recipients to return any excess funds within 60 days, or...
Year: 2018
Trump administration ramps up physician investigations
Managing pain is a difficult task. There are no bright line rules. Physicians must listen to their patients and use their training combined with their best professional judgment to come up with a plan. This plan may include the use of prescription narcotics like...
Medicare officials say they wrongly paid for chiropractic care
As you know, aches and pains come with the territory as you age, but it does not mean your clients have to take it lying down. They have every right to continue living an active and passionate life as pain-free as possible, which often means regularly seeing their...
DOJ, Stark Law & Anti-Kickback: Are investigations on the rise?
The United States Department of Justice (DOJ) appears to be increasing enforcement efforts regarding violations of the Stark Law and the Anti-Kickback Statute (AKS). These efforts were highlighted in a recent case involving two urologists accused of submitting...
Another pharmacist arrest shows prevalence of fraud cases
Like physicians, pharmacists have a duty to serve patients to the best of their ability, see to their well-being and protect them from harm. The arrests of two New York pharmacists shows how such responsibility can go astray. Unfortunately, they used their expertise...
New York obstetrician loses medical license for misconduct
An obstetrician formerly employed at an upstate hospital can no longer practice medicine in New York. The Department of Health's Board of Professional Medical Conduct sustained charges of misconduct in a pair of cases in which he cared for diabetic patients. In both...
DOJ gets less than a tenth of what it requested in kickback case
A New York science and technology news publication is reporting that a jury recently found the former CEO of a diagnostic testing lab and two marketing executives liable for Medicare fraud under the federal False Claims Act.The testing lab is in Virginia and the...
Texas nurse practitioner’s license temporarily suspended
Two-hundred and fifty miles east of Austin sits the Texas city of Nederland on the border with Louisiana. A nurse practitioner there recently had his license suspended by the Texas Board of Nursing.The nurse practitioner worked at a hormone therapy clinic. The board...
Nurses in Texas: Lots of debt could mean no license
It seems astonishing to even consider, but many nurses and other professionals with student loan debt in Texas could lose their licenses to work if they fall into trouble with that debt. The idea is that if nurses know their job is at risk, they will find a way to pay...
Important Notice for Medicare Providers: Medicare Beneficiaries Identifier is replacing Social Security number
The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 mandates removal of Social Security Number (SSN)-based HIC numbers from Medicare cards to address current risk of beneficiary medical identity theft. CMS will use a new MBI generator to assign over 150...

