Medical practices require physicians to care for patients while also managing basic business operations. This dual role requires a need to balance patient care with administrative responsibilities, such as managing finances, overseeing staff, and ensuring compliance...
Health Care Investigations
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...
Texas officials tackle healthcare fraud and false billing
In recent years, Texas has intensified its efforts to combat healthcare fraud and false billing practices. These illegal activities not only drain valuable resources but also compromise the integrity of healthcare services provided to the public. The need for proper...
Navigating the legal landscape of healthcare fraud Part 2: what should I do if I am accused of healthcare fraud?
In an earlier post we discussed tips to prevent allegations of healthcare fraud, available here. Although helpful to incorporate proactive measures to reduce the risk of allegations of a violation, it is also important to know some basic strategies to consider if ever...
Navigating the legal landscape of healthcare fraud: Tips for compliance and prevention
The U.S. Attorney for the Northern District of Texas recently announced charges against two local physicians who allegedly provided unnecessary pain medications to patients. If the officials can provide evidence to support the allegations, the accused face more than a...
Charged with healthcare fraud? Avoid these mistakes.
Allegations of wrongdoing are concerning, but how serious can they be if they involve money and only money? The government and court system are not likely to push for too serious of a penalty if the accused did not cause physical injury, are they? This is especially...
Texas officials crackdown on Medicaid fraud and healthcare marketing
The medical profession relies on integrity. We trust physicians, nurses, and other healthcare providers to focus on helping their patients get well. Since this is also their profession, physicians and medical professionals profit from their service — but how do they...
Three things medical providers should know to prevent Medicare overpayment investigations
The government will come after those it believes wrongly received payment or overpayment from Medicare, Medicaid, or other federal programs — often aggressively. It is best to avoid such an investigation if possible. Physicians and those who run medical practices can...
Can feds pursue healthcare fraud charges if we only accept private payment from patients?
The government continues to doggedly pursue investigations of allegations of healthcare fraud. Healthcare groups and other organizations that take payments directly from patients as opposed to billing insurance may think they can avoid federal scrutiny, but this is...
Ambulance company owner pays over $2 million in fraud case
The federal government is not shy when it comes to allegations of healthcare fraud. These investigations can include pretty much anyone that operates in the healthcare marketplace, from physicians and nurses to large hospitals and independently operated ambulance...