The Department of Justice (DOJ) recently announced criminal charges against a New York ophthalmologist. In this case, the prosecution claims a physician fraudulently billed Medicare and private insurance companies for procedures that patients never received. According...
Month: December 2019
Texas Board of Nursing warns nurses of phone scam
The Texas Board of Nursing (BON) recently released a statement warning nurses throughout the state of a current telephone scam. According to the group, fraudsters who are part of this scam will contact those who hold a nursing license and demand money. The demand, the...
How does the claim CMS overpaid $500 million affect your practice?
The United States Health and Human Services Department (HHS) Inspector General states the Centers for Medicare and Medicaid Services (CMS) overpaid claims by $502 million from 2011 through 2014. The error was allegedly due to a malfunction in the outlier payment...
Private equity groups and medical practices, a good or bad combo?
The acquisition of medical practices by private equity groups has increased in recent years. The reasons behind this recent trend vary depending on the details of each case, but a surface level discussion of the risks and benefits can provide some background into the...
Medical practices take note: 3 tips to avoid billing disputes
Hospital billing disputes can have a negative impact on a private practice’s ability to care for their patients. Private practices can reduce the risk of these disputes by putting into place proactive measures. Hospitals and private practices throughout the...
TX physicians take note: New law may impact health care billing
The Texas Legislature has recently proposed a new rule that will limit health billing options. Lawmakers state the new law, scheduled to go into effect January 1, will help protect patients from surprise medical bills. But medical professionals have voiced concern the...
New York prosecutors accuse physician of selling prescriptions
New York officials have accused a Long Island doctor of selling prescriptions for opioids like Oxycodone and methadone. According to the allegations, the physician allegedly sold two million prescriptions over a five-year period at various locations throughout Nassau...