According to an indictment from a federal court in Brooklyn, United States prosecutors have accused a doctor and surgical consultant of defrauding women into having transvaginal mesh implants unnecessarily removed. The prosecution alleges the two recommended the...
Year: 2019
Texas physician accused of improper billing
Physicians who run a private practice must balance the demands of business with the needs of their patients. In an effort to help make everything come together, these medical professionals will likely delegate duties. They may hire administrative staff to operate the...
Jury finds opioid executives guilty
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...
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...
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...
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...
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...
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,...

