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...
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...
That was the question posed by a reporter with The Dallas Morning News. What happens after a medical professional, who spent over a decade of their life training to be a physician and serve patients, is convicted of defrauding the government for their own financial...
Everything is bigger in Texas, and as far as the feds are concerned that old adage holds true for healthcare fraud in recent years. In the past, the feds could generally only pursue allegations of illegal kickbacks against providers who billed federal programs....
Healthcare executives who have recently lost their job or who are currently under review are wise to take the matter seriously. In some cases, these actions are signs of a bigger problem: a federal investigation. The federal investigation could result in concerns of...
The United States Department of Justice’s (DOJ) U.S. Attorney’s Office for the Northern District of Texas recently announced the sentencing of a nurse practitioner (NP). The feds had accused the NP, who practiced in Texas, of engaging in a scheme to defraud Medicare...
One business buying another to further its operations or reach is not a new concept, but the laws and regulations that surround these transactions are constantly changing. In a recent example, a medical staffing firm out of Texas finalized its acquisition of a virtual...
The feds are aggressively pursuing allegations of healthcare fraud related to relaxed regulations and incentives to help address the pandemic. In a recent example, the government charged 14 people with healthcare fraud related to the pandemic. They claim that those...
The pandemic forced us to reevaluate how we work. In an effort to reduce the risk of exposure to COVID-19, we shifted a large portion of our workforce to remote status. This provided an opportunity not just to increase the safety of our workforce, but also to see if a...
A group of Texas hospitals recently joined others from Florida, Georgia, Alabama, Tennessee, and other states where the United States Health and Human Services (HHS) did not expand Medicaid to demand payment. The hospitals state they did not receive payment for care...
