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...
Year: 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...
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...
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...
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...
The anatomy of a lawsuit: TX neurologist sues TMB
A Texas neurologist recently filed a lawsuit against the Texas Medical Board (TMB) due to its failure to remove a disciplinary filing against him from the federal National Practitioner Data Bank (NPDB). The physician argues this filing should be removed as he was...
New York Doctor sues hospital for denying admitting privileges
A local cardiologist has filed a lawsuit against a hospital, the hospital’s operator and another physician for denying his application to admit patients within the facility. The cardiologist claims the accused have jeopardized the health of his patients and...
Can NY nurses face reprimands for refusing flu shots?
A New York hospital recently suspended all nurses who failed to get their flu shot. The hospital has stated that those who continue to refuse to get a flue vaccination could lose their job. Can the hospital demand nurses get a flu shot? Disputes between healthcare...