The United States Centers for Medicare and Medicaid Services (CMS) recently released a publication outlining telehealth services that will be eligible for coverage in 2021. The agency’s list includes 39 telehealth-eligible services, such as:Preventive Care and...
Year: 2020
Doctor loses license after suffering medical emergency
A pain management physician lost consciousness while on duty. Medical staff were able to promptly intervene and successfully treat the doctor. Shortly after the incident, the Texas Medical Board suspended his medical license. The Board's action triggers two important...
Important lesson from recent arrest of NY doctor
New York state authorities recently attempted to move forward with criminal drug charges against a neurologist out of Brooklyn. The doctor states officers falsely placed him under arrest and wrongly sent him to prison for a week. Although the prosecution could not...
EKRA and COVID-19: What do labs need to know?
The United States Department of Justice (DOJ) and the Office of the Inspector General (OIG) have stated they will aggressively pursue health care fraud claims related to COVID-19. These agencies further clarify that they will continue to focus on prosecution for...
TX couple faces seven health care fraud charges
Government authorities recently accused a former surgeon turned business owner of running a criminal enterprise in Texas. The physician transitioned from practicing medicine within the operating room to serving as the owner of an orthopedic and spinal disorder clinic...
Novartis to pay millions to settle health care fraud claims
The government continues its crackdown on the use of bribes in the medical field. Although it is noble to better ensure physicians are motivated by patient need and not financial gain, the distinction between what is legal and what is not can be difficult to...
Not just for the mafia: Racketeering in medicine
The Racketeer Influenced and Corrupt Organizations (RICO) Act is a federal law that triggers visions of the mafia and other forms of organized crime. Although this law is likely most popular for those types of cases, it can play a role in health care law. Individuals...
Hospital system agrees to $16M settlement for decade old claim
The Department of Justice (DOJ) recently announced a southern hospital system, Piedmont Healthcare, Inc., had agreed to pay $16 million to settle allegations of wrongdoing. Both parties intend the settlement to resolve two separate legal claims. How did the case...
Which court is the right venue for health care disputes?
The answer depends on the details of the allegations. In a recent case, a group of patients filed a class action lawsuit against a New York health system accusing the group of failing to protect their financial, medical and personal information from security leaks....
Two things to know about new HHS proposed rules
The United States Centers for Medicare and Medicaid Services (CMS) recently released proposals that will directly impact the health care industry. Two potential impacts to watch include changes made in response to the current coronavirus pandemic and a potential move...

