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 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...
The federal government continues its crackdown on illegal kickbacks. Although this is no surprise, the method is a bit surprising. In a recent case out of Texas, the government moved forward with a case against 14 Texans. One of the main laws used to build this case:...
The Department of Justice (DOJ) aggressively pursued cases alleging Anti-Kickback Statute (AKS) violations against pharmacies in 2020. In one example, the feds built a case against three pharmacy owners for false claims involving compounded medications. The feds...
Private practices, hospitals and other healthcare facilities balance an enormous workload. Many of these professionals entered the healthcare field to help patients manage their health. They likely find themselves also balancing business needs and reviewing practices...
The Department of Health and Human Services Office of the Inspector General (OIG) recently issued an Advisory Opinion with information about whether or not it is appropriate for healthcare centers to provide patients with gift cards. The opinion is in response to a...
Stark law. Congress intended this prohibition of self-referrals to reduce the risk of physicians referring to certain labs purely for financial gain. Any connection must fit within an exception, referred to as IOAS exception. Anti-Kickback Statues. This...
Pockets throughout the country are experiencing a jump in COVID-19 cases that require medical intervention. As a result, local facilities are finding themselves facing an onslaught of patients. This surge can lead to physically and mentally overwhelmed medical...
The government continues its crackdown on the use of bribes in the medical field. Although it is noble to better ensure physicians are motivated by patient need and not financial gain, the distinction between what is legal and what is not can be difficult to...
The Department of Justice (DOJ) recently announced a southern hospital system, Piedmont Healthcare, Inc., had agreed to pay $16 million to settle allegations of wrongdoing. Both parties intend the settlement to resolve two separate legal claims. How did the case...
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