The Department of Health and Human Services (HHS) recently announced that it is digging into risk adjustment tactics it claims may have led to overpayments. The review will focus specifically on certain Medicare Advantage (MA) plans. Secretary Xavier Becerra noted the...
Firm News
How can I resolve an investigation by the Texas Medical Board?
Any number of events can trigger an investigation by the Texas Medical Board (TMB). A co-worker may have filed a complaint because they thought they smelled alcohol on your breath, a patient may have claimed that you provided inappropriate post-operative care, or...
Home health & the AKS: Violation can lead to serious fines
There are times when a physician can best serve their patient by switching them to home health services. Physicians can sign off on these arrangements, but a failure to do so carefully can result in allegations of an Anti-Kickback Statute (AKS) violation. In a recent...
DOJ pursues EKRA charges against drug treatment facility
The United States Department of Justice (DOJ) recently announced it will pursue a conspiracy to violate the Eliminating Kickbacks in Recovery Act (EKRA) charge against a drug treatment facility owner. When faced with these charges, the owner, Dr. Akikur Mohammad,...