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The United States Department of Justice (DOJ) recently announced criminal charges against two New England men. The agency claims the men were attempting to defraud the government’s recently unveiled small-business lending program — a program lawmakers...
How pharmacies classify and pay their workers can cause questions and may lead to a federal investigation. A recent case provides an example. Issue #1: One pharmacy or two? The prosecution states the pharmacy owners claimed to have two separate pharmacy businesses. In...
A recent case provides an example of how the government moves forward with a case of health care fraud that may involve an unlikely offender and the types of penalties that can apply. According to the Federal Bureau of Investigation (FBI), the accused in this case was...
The ability to have a medical professional come into one's home and provide care to those who are suffering from diseases like Parkinson's, Alzheimer's and others is growing in popularity. This relationship, like any other that results in billing Medicare and other...
An ear, nose and throat (ENT) practice recently agreed to pay the government along with local state authorities over $9 million to settle claims they violated the federal False Claims Act (FCA) and state regulations.The allegations involved an improper financial...
The government has stated it is prepared to go after those who commit health care fraud to receive funds set aside to help deal with the coronavirus pandemic. True to its word, the Department of Justice (DOJ) has already reported one action against health care fraud...
Getting a permit to practice respiratory care in Texas is not an easy task. Those who are interested in this profession must go through training as well as a two-part application process.What is the application process? The state requires an applicant provide various...
The Texas Board of Nursing (BON) recently reminded nurses of the consequences that can come with balance billing. Texas lawmakers recently changed the rules that govern balance billing, also known as surprise billing, with Senate Bill 1264. Lawmakers wrote the bill to...
The governor of New York recently announced another legal tool it will use in its fight against the current opioid epidemic. According to Gov. Andrew Cuomo, the state’s Department of Financial Services (DFS) has filed an insurance fraud action against one of the major...
The current coronavirus pandemic has forced us to rethink our daily lives. We have had to change how we work, how we communicate, and how we get medical care. One realization: we may have downplayed the importance of telemedicine. We have had the technology to utilize...