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The Recovery Audit Contractor Program is one group that contracts with the government ot correct inaccurate Medicare payments. Those who disagree with the program’s findings can appeal the process. However, one of the biggest critiques of the appeals process is...
The Department of Justice (DOJ) recently announced collection of over $2.5 billion dollars in judgments and settlements as a result of health care fraud cases. This is the ninth year in a row the government agency has collected over two billion dollars related to this...
In past generations, physicians often ran solo practices and house calls were common. Since then, physicians have merged to work together in a private practice or work directly as employees of a hospital or other medical or educational facility. The health care...
The Southern District of Texas recently accused a Texas pharmacy owner of an elaborate health care fraud scheme. During the investigation, the prosecution gathered evidence to support allegations a city official was also involved in the scheme. The accusations were...
Prosecutors recently accused a New York nurse of wrongfully taking pain medications from his employer. The hospital where he works stated he took the medication without proper authorization. The nurse was originally charged with multiple felonies, but through a plea...
As someone interested in selling your medical practice or health care business, you may be weighing your options and trying to determine the best way to move forward. Maybe you are nearing the age of retirement and want to leave your business in someone else’s capable...
If you work as a nurse, you are likely already aware of the many hazards and possibilities for malpractice in your daily tasks. Even the most meticulous nurse can face accusal of unprofessional conduct, so if this is something you currently face, you should know you...