The state of Texas recently accused Xerox, the giant in the copying industry, of violating its Medicaid Fraud Prevention Act. The law makes it illegal to fraudulent charge the state’s Medicaid system.More on the Texas Medicaid Fraud Prevention Act: The...
Month: March 2019
Acupuncturist faces 65 years in prison for health care fraud
The United States Department of Justice created the Health Care Fraud Unit to investigate allegations of health care fraud. This unit does not just focus on doctors and hospitals. Any professional that submits a bill with Medicare, Medicaid or other health insurance...
AI: The next tool in the fight against health care fraud?
The Federal Bureau of Investigation (FBI) estimates health care fraud costs the United States billions of dollars every year. Artificial intelligence (AI) specialists claim they have a tool that can help the government recoup these losses. These specialists state they...
DOJ targets EHR vendors for antikickback violations
The health care market is evolving. Physicians are becoming more specialized and patients are more likely to see many different providers. A single patient may have one doctor to manage diabetes, another to manage heart issues and still a third for problems with their...
Texas nursing homes may soon have more funding
Texas nursing homes are struggling. Last year Senior Care Centers, the largest nursing facility in the state, filed for bankruptcy.In addition to financial woes, these centers are struggling to keep good employees. A failure to have good staff can lead to problems and...
Preventing upcoding and overbilling in your medical practice
As someone who owns or operates a health care business, you may know all too well that medical billing and coding can prove time-consuming and complex. You can land in serious trouble, however, if Medicare, Medicaid or an insurance company alleges that you were...
Avoid these common compliance problems for pharmacies
Running a business of any kind takes diligence to ensure it satisfies all relevant regulations, from classifying employees to paying taxes. When your business is in the healthcare industry, such as running a pharmacy, the laws you must follow are even more numerous,...
Nurse accused of health care fraud loses nursing license
A government investigation recently led to allegations a nursing assistant was involved in a multi-year scheme to defraud Medicare and Medicaid. The investigation resulted in enough evidence to support criminal charges.Based on this evidence, the woman agreed to a...
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