The False Claims Act (FCA), enacted in 1863, is a federal law that allows the government to combat fraud by imposing liability on individuals and companies who knowingly submit false claims for government funds. Under the FCA, violators must pay up to three times the...
Year: 2025
5 red flags that may indicate healthcare fraud: what to look out for
Healthcare fraud poses a significant threat to healthcare systems, escalating costs for all stakeholders. Recognizing signs of potential fraud not only helps to protect the organization’s bottom line, but it also reduces the risk of allegations of failing to comply...
Understanding the risks: Misuse of lidocaine and license suspension in Texas
Medical and dental professionals often use lidocaine, a common local anesthetic, in various medical and dental procedures to numb areas and relieve pain. While it is highly effective when used correctly, misuse of lidocaine can lead to serious consequences, not just...
New report finds physician use of AI doubles, but are they protecting their professional license?
The integration of artificial intelligence (AI) into medical practices is revolutionizing healthcare. While these changes are positive in many ways, they also introduce new issues that could impact physician licensure. While AI can enhance diagnostic accuracy and...
Texas doctor faces Medicare fraud allegations, gets decade imprisonment
The government takes allegations of fraud very seriously. If evidence is available to support the allegations, they will push for serious penalties. A recent case highlights the government’s aggressive approach in these cases. The government accused the doctor of...
What do Texas nurses need to know about license investigations?
Nurses may face several challenges related to their professional licenses, including: Allegations of misconduct: These can range from patient abuse or neglect to inappropriate behavior or communication. Drug diversion and substance abuse: Accusations of diverting...
3 important questions after Texas doctor gets 10 years in prison for Medicare fraud
A court recently sentenced a Texas doctor to 10 years in prison and more than $26 million in restitution after a conviction for defrauding Medicare. The government built a successful case alleging the physician signed off on thousands of orders for genetic tests and...
Tips to reduce the impact of tariffs on medical supply chains
Tariffs help shape the economics of global supply chains, including those that impact the healthcare industry. Medical devices, medications, and supplies are often sourced from different parts of the world, and tariffs can influence pricing, availability, and...
The legal consequences of nurse burnout
Burnout is a serious concern for healthcare professionals. Nurses, particularly susceptible due to demanding work environments, face significant risk. The consequences of ignored burnout extend beyond personal well-being. They reach legal ramifications impacting a...
Important lessons from recent HMS transparency violation fines
The CMS (Centers for Medicare & Medicaid Services) price transparency rule, effective as of January 1, 2021, represents a significant shift in how healthcare providers communicate pricing information to patients. This rule mandates that hospitals publicly post...

