The government uses the Anti-Kickback Statute (AKS) to help better ensure doctors are not letting financial gain impact decisions about patient care. As a result, the government may make an AKS claim if a doctor is getting payment or has some financial benefit from an...
Month: March 2020
3 things to know about continuing education and nursing in NJ
The New Jersey Board of Nursing requires nursing to complete continuing education (CE) to keep an active nursing license in the state. Nurses in the state can use the following information to help better ensure they meet this requirement. Question #1: How much CE does...
Doctors trained abroad: Getting a NY medical license
Practicing medicine takes more than just countless hours of study, passage of exams and additional preparation. In the United States, it also requires an official medical license from the state the doctor wishes to have their practice. Can doctors who are trained in...
TX court allows relief for malicious medical peer review
In addition to years of schooling and practical education, countless examinations and continued education courses throughout one's medical professional life, doctors must also keep their medical license active and in good standing in the state they practice. A failure...
State medical board investigation leads to loss of DEA license
Regulations require physicians have a special license to prescribe controlled substances. The physician who wishes to offer these services to patients must generally receive a Drug Enforcement Administration (DEA) registration. Getting such a license generally...
TX nurse accused of health care fraud, faces 5 years jail time
Officials with the Eastern District of Texas charged a local nurse of violating the federal Anti-Kickback Statute (AKS). According to the allegations, the registered nurse owned a health care services company that provided home health services to patients. The...
Why does the CMS’ now require disclosure of certain affiliations?
As noted in a previous post, CMS changes tactics, targets health care provider affiliates, the Centers for Medicare and Medicaid Services (CMS) has a new tool in its fight against health care fraud. The tool allows the agency to go after those who affiliate with...
CMS rule: A closer look at affiliation reporting for managers
As noted in a previous post, the Centers for Medicare and Medicaid Services (CMS) has a new rule that allows the agency to penalize those who fail to disclose affiliations with those who have had enrollment to Medicare or Medicaid previously revoked or denied.Medical...
CDC provides guidance for COVID-19 samples
The United States Centers for Disease Control and Prevention (CDC) recently provided guidelines for health care providers who wish to have samples tested for the new coronavirus. The agency states all labs should preform risk assessments to identify and mitigate any...
NY pharmacist charged with health care fraud and tax crimes
New York officials recently charged a local pharmacy owner of Anti-Kickback Statute (AKS) violations and tax crimes. Prosecutors claim the man, along with others associated with the pharmacy, began illegally bribing doctors to use their pharmacy for services in 2010....