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Federal prosecutors have accused a pharmaceutical company, Regeneron Pharmaceuticals, Inc, of using charitable organizations to funnel illegal kickback payments to doctors. The allegations are connected to the use of an injectable drug used to treat macular...
The United States Department of Health and Human Services (HHS) issued a rule in November that requires hospitals to disclose the rates they negotiate with insurance providers. The rule requires hospitals begin to provide this information to the public in 2021. In...
Hospitals often face allegations of wrongdoing. In some cases, the allegations can be severe and can lead to serious financial penalties as well as criminal liability for individuals that are involved. In one recent example, former employees of a hospital from...
The American Association of Nurse Practitioners (AANP) recently conducted a survey to delve into current challenges faced by those within the profession throughout the country. The organization conducted the survey from May 8th through May 17th, 2020. The survey...
The United States Attorney’s office recently announced a 50-count indictment charging seven people with health care fraud, wire fraud and other crimes. The charges are the result of alleged abuse of specialty medication prescriptions for compounded medications. One of...
A recent case out of New York provides multiple examples of what not to do if accused of health care fraud. The case began when the U.S. Attorney's Office of the Western District of New York investigated a psychiatric physician for health care fraud. According to the...
The United States Attorney’s Office recently announced a physician has pled guilty to criminal health care fraud charges. The charges are the result of a health care fraud investigation that led to over 15 criminal charges for four medical professionals. More on...
The government recently accused two business owners of working together on an elaborate health care fraud scheme that cost the government millions. According to the prosecution, the two business owners, a married couple, put together a health care business to defraud...
The Texas Board of Nursing (BON), a part of the Nurse Licensure Compact (NLC) for almost 20 years, recently announced proposed changes to the NLC agreement. Participation in the NLC allows for nurses to have mobility across state boarders. This increases a patient’s...
The United States Centers for Medicare and Medicaid Services (CMS) made many changes to its rules in response to the current coronavirus pandemic. Three that directly impact healthcare include: Telehealth. Although CMS has covered telehealth services in the past, it...