It is not uncommon for physicians to take a business interest in a health care facility. Such business relationships must be entered into carefully or the physician could face allegations of illegal kickbacks and other criminal violations. A recent case provides an...
Month: January 2020
EHR and health care fraud: Vendors, doctors face charges
Software companies marketed electronic health record (EHR) programs as a way to help better ensure quality patient care. In theory, the software would provide accurate, up to date patient records that were readily available to the treating physician. In reality, flaws...
What triggers an HHS OIG investigation?
The United States Department of Health and Human Services (HHS) Office of Inspector General (OIG) ensures HHS programs run smoothly. This agency holds those who abuse the program accountable for their wrongdoing by, when necessary, pursuing criminal charges. How does...
Doctors take note: 3 ways to reduce the risk of a med mal suit
Data shows approximately half of all physicians will face a medical malpractice lawsuit at some point during their professional career. Top causes for a lawsuit include a failure to diagnose an illness or a poor outcome after a medical procedure.Medical professionals...
CMS to conduct audits, review risk adjustment payments
The United States Department of Health and Human Services Office of Inspector General (OIG) recently released the findings from a study that focused on the Centers for Medicare and Medicaid Services (CMS) provision of unsupported risk adjustment payments. The OIG...
Whistleblower lawsuit against neurosurgeons moves forward
Two physicians and an operating room technician filed a whistleblower lawsuit against a group of neurosurgeons and the medical facility where they operated. The whistleblowers accused the medical professionals of falsely inflating the number of spinal surgeries in an...
Three things to know about Texas’ new health care billing law
Private practices in Texas must navigate federal, state and local health care regulations. They must stay current and make sure their businesses are in line with any changes to the law. As a result, private practices throughout the state are likely reviewing their...
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