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. As such, the United States Centers...
Month: March 2020
NY pharmacy owner faces lifetime of prison for health care fraud
New York officials recently accused a local pharmacy owner of partaking in a health care fraud scheme that allegedly led to $2 billion in fraudulent claims to Medicare and Medicaid. According to the indictment, the government moved forward with criminal charges...
Theranos case an example of complex nature of health care crimes
The case against Theranos continues. Questions about the company, based in the health care industry and set to “revolutionize medical laboratory testing” with innovative blood draw and testing methods, began in 2015. Ultimately, investigations resulted in...
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...
Nurses: Navigate these 3 changes to excel in today’s market
The nursing profession is evolving. Are you ready? Whether considering becoming a nurse or already an experienced professional, the answer to this question could determine whether you thrive in the nursing industry or face daily frustration. The changes to navigate...
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...
CMS changes tactics, targets health care provider affiliates
Since 2010, the United States Department of Justice has continually increased its focus on health care fraud crimes. Due to this focus, prosecution against those the agency accuses of false billing, illegal kickbacks and other forms of healthcare fraud has steadily...
Do chiropractors need to worry about violating referral laws?
Patients are not the only ones who pay the bill when it comes to medical care. In some cases, the government is also spending money. The government may pay the entire or a portion of the bill, for example, for Medicare patients. As a result, lawmakers have put various...
DOJ targets med equipment manufacturer in recent AKS case
The Department of Justice recently accused a medical equipment manufacturer of violating the Anti-Kickback Statute (AKS). Whistleblowers began the claim, accusing the company of paying monetary incentives to suppliers and labs to better ensure these medical...
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...