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March 2020 Archives

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 to do so can end their career.

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 prosecution stated the nurse ran afoul of the law when she made payments to community liaisons to encourage Medicare beneficiaries to use her services.

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.

CDC: What nurses & doctors need to know about COVID-19

The new coronavirus was recently officially labeled a pandemic. As the number of confirmed cases throughout the country continues to grow, the odds health care professionals will come into contact with COVID-19 become more likely.

Nurses, the front line against coronavirus: What you need to know

The new coronavirus has resulted in concern throughout the country. People are taking precautions to help reduce their risk of exposure, but no one faces greater risk then those on the front lines, those who willingly deal with this and other dangerous illnesses on a daily basis.

Rule gives CMS authority to act against affiliates of bad actors

The Centers for Medicare and Medicaid Services (CMS) have a new rule that allows a more proactive approach to enforcement efforts. Lawmakers wrote the rule to provide another tool against health care fraud. According to the Federal Register, the Program Integrity Enhancements to the Provider Enrollment Process, has two main provisions.

Diagnostic lab accused of improper dealings with TX hospitals

The government has strict regulations when it comes to relationships between hospitals and diagnostics labs. These regulations were recently highlighted when the Department of Justice (DOJ) reached a multi-million-dollar settlement with a diagnostic lab over allegations the lab improperly billed federal healthcare programs.

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