The government has been very clear on its take on the current opioid crisis. It is coming down on medical professionals that do not follow regulations when prescribing these medications and pushing for serious penalties. In one recent case, the government was able to...
Month: May 2019
HHS reduces penalties for HIPPA and HITECH violations
Government regulations constantly push physicians to balance patient interest and privacy concerns. A failure to navigate this balance can result in allegations of privacy violations. These violations can come with a steep penalty. Fortunately for medical...
NY doctor and physical therapist convicted for health care fraud
The United States Attorney for the Southern District of New York recently announced the conviction of a medical doctor and physical therapy doctor for health care fraud. The conviction was the result of a six-week jury trial and results in a total of 15 convictions...
Buying a medical practice? Tips for success.
Although due diligence is important in any merger or acquisition transaction, deals that involve purchasing a physician practice offers unique obstacles. Whether a new physician looking to take over another doctor’s practice or a private equity firm looking for an...
New proposal could impact hospital billing practices
The House Energy and Commerce Committee recently released a proposal that targets “unexpected charges” to patients for care received at hospitals. The lawmakers behind the bill state they are attempting to remove the issue of surprise billing for patients in both...
Federal task force issues guidance on pain management practices
The federal government has cracked down on prescription violations. Agencies have investigated and mounted successful prosecutions against physicians, nurses, pharmacists and other medical professionals who were allegedly in violation of laws that guide prescription...
CMS changes rules to appeal Medicare payment decisions
The United States Department of Health and Human Services' Centers for Medicare & Medicaid Services (CMS) recently announced a change to the appeals process. The changes will impact Medicare beneficiaries, providers and suppliers. Why the change? The agency...
Medical practices and succession plans: 3 triggers
Building a business is a labor of love. Entrepreneurs spend long hours researching their market and making sure their operations are in compliance with applicable rules and regulations. Although all business owners work hard to get their enterprises up and running,...
New York doctor arrested as part of federal sting
Federal agents recently arrested a New York cardiologist as part of a large national sting. Prosecutors have accused the physician of illegally distributing prescription pain pills. The prosecutors state the physician, who has worked at a hospital in the Syracuse area...
Texas court sends ambulance operator to prison for fraud
A Texas court recently sentenced a 46-year old local man after he pleaded guilty to charges of conspiracy to commit health care fraud. The accused owned and operated the ambulance company in the Houston area from 2009 through 2012.Outline of allegations: The ambulance...