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October 2020 Archives

Nursing home administrators: Be on the watch for this new scheme

A new COVID-19 related testing scheme is the latest in a series of attempts to defraud nursing home residents. Nursing home administrators are wise to be aware of this latest scheme to help better ensure the safety of their residents.

Healthcare company accused of FCA violation with incentive stocks

Private equity firms continue to grow their presence within the healthcare industry. We have a number of posts discussing this trend, touching on how to navigate these transactions as well as potential benefits and risks. A recent case explores the risk, looking into allegations that one of the incentives for the private equity deal was a violation of federal law.

How can my practice handle patient complaints?

Physician practices need to navigate the needs of a successful business while ensuring quality patient care. The old adage "an ounce of prevention is worth a pound of cure" can go a long way towards helping build a successful practice. A failure to take patient complaints seriously could result in an official complaint - possibly even leading to an investigation by the state licensing board. When it comes to patient complaints the best approach may be to know the common issues and take proactive steps to avoid falling into the same traps.

TX medical center agrees to pay $15M to settle with FHA

The Department of Justice (DOJ) recently announced a settlement agreement with a Texas medical center and surgeons. The settlement, for approximately $15 million, is the most recent in a series of claims the DOJ has pursued in recent months against medical professionals, highlighting the continued aggressive efforts even in the midst of the coronavirus pandemic.

DOJ announces criminal charges for over 100 doctors and nurses

The Acting Assistant Attorney General of the Justice Department's Criminal Division recently announced a "historic nationwide enforcement action" that resulted in criminal charges for over 100 doctors, nurses and other medical professionals. The charges are the result of allegations the professionals submitted over $6 billion in false and fraudulent claims.

Cardiologist sues hospital officials for wrongful termination

The physician received his medical training at the University of Texas Southwestern Medical Center in Dallas and the Texas Heart Institute at Baylor St Luke's Medical Center in Houston. Hospital officials hired the specialist in 2018 to fill a variety of cardiology needs within their facility. Some of the services he was trained to provide include transradial coronary interventions, peripheral arterial interventions, structural heart disease and critical cardiac care.

What should providers know about next wave of CARES Act relief?

The Department of Health and Human Services (HHS) will begin accepting applications for Relief through this package October 5th. The agency has stated the goal is to help cover approximately 2% of patient revenue lost as a result of the pandemic.

HHS states my physician group chose the wrong code. Now what?

The United States Department of Health and Human Services (HHS) has stated physician groups throughout the country are mistakenly choosing the wrong code when it comes to charging Medicare for services provided to stroke patients.

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