Pharmacists are, essentially, medication managers. These medical professionals spend years studying and training to provide patients with guidance and information on various medications. In some cases, they may fill prescriptions and discuss benefits and potential...
Year: 2021
What happens when a nurse is accused of a crime?
There are few professions the public holds in a higher regard than that of a nurse. These professionals spend years studying, training, and preparing for their chosen profession. It is unfortunate that a single error in judgement can put this all at risk. There are...
Anatomy of an HHS audit
The United States Department of Health and Human Services (HHS) recently announced updates to its Phase 2 Health Insurance Portability and Accountability Act (HIPAA) Audit Program. These audits aim to check for an entity’s compliance with certain requirements. The...
How do I stay current with my CMEs and avoid burnout?
There is no question that medical professionals faced enormous pressure this past year. From determining the best types of PPE to reduce the risk of exposure to COVID-19, keeping family and loved ones safe while still helping patients receive the care they need — it...
Feds demand millions in Medicare overpayment after audit
The United States Department of Health and Human Services (HHS) Office of Inspector General recently released its findings from an audit of an HCA Healthcare owned facility operating out of Las Vegas. According to their findings, the facility owes the feds millions....
What triggers a medical board investigation?
Medical boards are responsible for protecting the public from incompetent physicians. Although the particulars will vary depending on the jurisdiction, most states have laws that require physicians’ practice in a professional manner. Unprofessional conduct is...
TX authorities accuse pharmacy owner of $100M in healthcare fraud
It is never a good idea to brag on social media. Feds recently arrested the CEO of a pharmaceutical company, known for splashy posts on Facebook and Instagram that include his million-dollar mansion and multiple fancy vehicles like a red Ferrari, Bentley, and...
DOJ goes after TX dermatopathologist for False Claims Act violations
The United States Department of Justice (DOJ) recently announced charges against a dermatopathologist out of Texas. The DOJ states the fraud began in 2015, when the physician authorized a management company to use the lab’s license to submit claims for payment for...
What can a practice do when it loses privileges at a hospital system?
Medical practices depend on relationships with hospital systems. An abrupt end to privileges within a hospital can have a catastrophic impact on the group and the patients they serve. Unfortunately, these situations are not uncommon. Most recently, a group out of St....
Lab owner agrees to pay $2M to settle AKS claim
The United States Department of Justice (DOJ) continues to crackdown on its fight against illegal kickbacks. The feds are clear in their belief that what it considers bribes within the healthcare industry for medical services or equipment taint the ability to provide...

