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The Texas Medical Board is a group of physicians and other members of the community that is responsible for the oversight of medical professionals within the state. They license a variety of professionals including physicians, technologists, and assistants. According...
It is not uncommon for healthcare providers to receive a demand for overpayment from Medicare. Those who find themselves in this situation may wonder what their options are. In some cases, it may make sense to pay the bill and move on. In others, the amount demanded...
The United States Department of Justice (DOJ) recently announced the sentencing for four healthcare executives. The feds accused these execs of healthcare fraud and money laundering crimes. The allegations stem back a decade and involve claims the four worked together...
The Texas Board of Nursing (BON) is an authoritative body that has the power to revoke a nursing license. If they exercise this power, that nurse would no longer be able to practice in the state. Generally, this group will investigate first to determine if there is...
There are various regulations that help better ensure patient safety when compounding medications. Although mostly beneficial, these regulations can prove challenging for pharmacies as well as diagnostic testing and reference labs. The government will conduct audits...
The pandemic fueled change in our family lives, our working lives and even the marketplace as a whole. The pandemic changed every marketplace within our communities, from retail to healthcare. One of the most visible changes within the healthcare marketplace is the...
There are many misconceptions surrounding the Health Insurance Portability and Accountability Act (HIPAA). Some of these are fairly harmless, others can cause big problems. Medical professionals like nurses are wise to understand this law, as a failure to properly...
In what the Health and Human Services Office of Inspector General is calling the largest audit penalty every imposed on a Medicare Advantage company, the feds have recently completed and an audit and are calling on the company to pay over $200 million back in Medicare...
We are going through difficult times. The pandemic continues and many throughout the country are getting the vaccine to help reduce the risk of contracting and potentially spreading COVID-19. The question of whether or not a nurse or other medical professional could...
An overpayment recovery request from Medicare or a private carrier essentially means the payer is stating that they want their money back. They already sent your group payment for a claim, but now they have decided the payment was either too much or unwarranted. It is...