A myriad of federal and local regulations is in place to guide the practices of those who run businesses or organizations that provide skilled nursing services and other forms of medical care to patients. A failure to follow these laws can result in allegations of...
Year: 2020
New York RN accused of identity theft: 3 things to know
New York officials recently announced the arrest of a local nurse. The prosecution is currently accusing her of various crimes in connection to identity theft. The prosecution states the woman stole another’s identity and began making withdrawals from the alleged...
Texas Medical Board dismisses complaint against ophthalmologist
The Texas Medical Board (TMB) is the organization in Texas responsible for the medical licenses of physicians that wish to practice medicine anywhere in the state. If patients, other medical professionals or the public has a complaint about a healthcare provider, they...
TX doctor gets 5 years imprisonment for Medicare fraud
The United States Department of Justice (DOJ) recently built a successful case against a Texas doctor. In this case, the DOJ stated the physician who owned and operated a medical clinic in Houston was signing false and fraudulent “plans of care” for home health...
CMS claims Medicare overpayments for post-acute-care transfers
The Department of Health and Human Services Office of the Inspector General recently released a report finding Medicare improperly paid the majority of inpatient claims for beneficiaries who needed home health services within three days of hospital discharge. The...
Healthcare business expansion opportunity: Is it a violation?
There are many federal regulations that apply to the provision of healthcare. It is not always easy for healthcare professionals to balance these regulations with a need to expand and take advantage of an opportunity to better serve their community. Healthcare...
Feds gain momentum with EKRA as doc takes plea deal
A group of medical professionals recently accepted plea deals in connection to a healthcare fraud scheme that operated through the country. The group had operations set up in multiple states, including New Jersey, Maryland, California. According to feds, the group...
I received a letter from my state’s licensing board. Now what?
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...
Healthcare exec takes plea deal after accused of violating the AKS
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...
CMS updates Stark Law: What does my practice need to know?
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...