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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...
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...
Two physicians have filed a lawsuit against a local New York hospital. The physicians claim the hospital that served as their employer illegally retaliated against them when they reported another physician’s dangerous conduct. One of the physicians served as the...
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...
The American population is aging. As the Baby Boomers begin to transition into a new phase of life, there will likely be a greater demand for home health care services. In an effort to help address this need, lawmakers passed the Patient-Driven Groupings Model (PDGM)....
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...
The New York Court of Appeals has agreed to hear a case that delves into fraudulent incorporation of medical practices in the state.What is the issue? New York has a law that prohibits the corporate practice of medicine. Insurance providers can refuse to reimburse...
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...
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,...
The government continues to pursue Insys related healthcare fraud investigations. Insys Therapeutics (Insys), a pharmaceutical giant, is known for manufacturing Subsys, a fentanyl-based spray used for management of severe pain suffered by cancer patients. According to...