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The Texas Medical Board (TMB) recently announced an expansion of the definition of the term "Unprofessional and Dishonorable Conduct." The change is in response to the current coronavirus pandemic. Three things physicians need to know about TMB's recent expansion to...
The United States Centers for Medicare and Medicaid Services (CMS) recently announced changes to its Next Generation Accountable Care Organization (ACO) program. CMS explains these changes are an attempt to continue sufficient financial incentives to encourage higher...
The telehealth market has thrived during the current coronavirus pandemic. This platform allows physicians to meet with patients while maintaining social distancing, a practice that can be beneficial to all involved. Health insurance companies often cover these...
Those who wish to enter the field of nursing must meet many requirements before they are able to begin their profession. One is the completion of the NCLEX exam. The prerequisites to take the exam varies as each Nursing Regulatory Body (NRB) has its own requirements...
Orthopedic practices, like any other medical specialty, can face allegations of health care fraud. The government pursues these allegations aggressively and, if successful, can request penalties that include millions in payment and potential jail time. Additional...
Lawmakers designed the federal Anti-Kickback Statute (AKS) to help better ensure medical professionals focus on the well-being of their patients. Lawmakers intended this piece of regulation to reduce the risk of medical decisions based on financial gain. But what...
The current coronavirus pandemic has led various federal government programs to provide funds to struggling businesses. Some of these funds are set aside specifically for health care businesses. These funds often come with restrictions and improper use can result in...
Running a lab is a rewarding and difficult profession. In some cases, there are business considerations. Contracts may govern these arrangements. In a recent case, a lab owner accused a hospital of failing to fulfill its agreements as listed within the contract. The...
The United States Centers for Medicare and Medicaid Services (CMS) sent out federal funding to help qualifying businesses within the health care marketplace. These funds were part of the Coronavirus Aid, Relief and Economic Security Act. In an effort to better ensure...
The federal Anti-Kickback Statute (AKS) is a key piece of legislation used by the government to prosecute healthcare businesses and practitioners for fraud. The law is broad, and applies to services billed by physicians, nurses and even diagnostic labs. How did the...