Healthcare organizations with delegation agreements with private or government insurance programs are wise to prepare for, at a minimum, audits on an annual basis. Insurance providers use these audits to better ensure the healthcare business complies with the...
Month: November 2020
New York officials accuse doctor of selling opioids
New York officials recently arrested a local pediatric surgeon. The officials state they caught the medical professional attempting to illegally sell opioids. The physician, who also serves on an opioid task force, faces up to nine years imprisonment for the charges....
Medical device manufacturer accused of illegal kickbacks
The Department of Justice (DOJ) recently pursued a case against a medical device manufacturer. The federal agency claimed the healthcare business used illegal kickbacks to encourage medical professionals to use their products. The physicians would then bill Medicare,...
Gov’t increases focus on healthcare fraud and telehealth services
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has increased its focus on healthcare fraud schemes involving telehealth services. The OIG began this increased focus in 2016. These efforts contributed to a massive takedown in...