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A complaint from a state licensing board (SMB) requires attention. The SMB acts on a variety of complaints, including those involving quality of care, failure to communicate, medical record deficiencies, prescription concerns, errors or inaccuracies on one’s...
A healthcare executive who owned a medical brace company chose to accept a plea deal when facing allegations of violating the federal Anti-Kickback Statute (AKS). Prosecutors stated that the exec used illegal kickbacks to encourage physicians to use their services...
On November 20, 2020, the United States Centers for Medicare and Medicaid Services (CMS) published a finalized update to the Stark Law. The agency notes that this update will address “any undue regulatory impact and burden” that has resulted from the regulations...
Feds recently accused a physician practicing at a family medicine and aesthetics group in Jefferson County, Texas of partaking in a healthcare fraud scheme. Government officials stated the doctor would prescribe medications, such as scar creams, without the patient’s...
The United States Centers for Medicare and Medicaid Services (CMS) defines a Medicare overpayment as one that exceeds a regulation and statute properly payment amount. Additional issues arise if the feds can establish that the provider was aware of the overpayment....
Due diligence is important when looking to purchase a healthcare group. Whether looking at an entire facility or an individual private practice, it is important to ask the following questions before moving forward with a deal. #1: What are the financials? Get the...
With the United States Centers for Disease Control and Prevention (CDC) reporting over 450,000 opioid overdose deaths in the country from 1999 to 2018, it should come as no surprise that the government continues its crackdown on opioid violations. The government is...
The Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) along with other federal agencies who enforce the regulations that apply to diagnostic labs have called on these healthcare facilities to implement compliance plans. What...
The #MeToo and #BLM movements have brought increased attention to the inequalities that are present within our communities and workplaces. These movements are fueling discussions and provide an opportunity to consider change. Pay equity is one example. How is pay...
The coronavirus pandemic has led officials to make changes to regulations that impact nurse licensure. Some changes impact operations, others impact legislation. The medical community describes some of these changes as long-overdue updates while others were simply a...