Older teens have more rights to make their own decisions when it comes to dental care. However, when it comes to prescribing opioids, the consent of an authorized adult is still often necessary. A dentist who prescribes opioids to a minor without consent could face...
Health Care Investigations
3 most common HIPAA inaccuracies, debunked
There are many misconceptions surrounding the Health Insurance Portability and Accountability Act (HIPAA). Some of these are fairly harmless, others can cause big problems. Medical professionals like nurses are wise to understand this law, as a failure to properly...
Anatomy of an HHS audit
The United States Department of Health and Human Services (HHS) recently announced updates to its Phase 2 Health Insurance Portability and Accountability Act (HIPAA) Audit Program. These audits aim to check for an entity’s compliance with certain requirements. The...
What triggers a medical board investigation?
Medical boards are responsible for protecting the public from incompetent physicians. Although the particulars will vary depending on the jurisdiction, most states have laws that require physicians’ practice in a professional manner. Unprofessional conduct is...
Lab owner agrees to pay $2M to settle AKS claim
The United States Department of Justice (DOJ) continues to crackdown on its fight against illegal kickbacks. The feds are clear in their belief that what it considers bribes within the healthcare industry for medical services or equipment taint the ability to provide...
Healthcare leaders take note: Billing error can lead to AKS violation
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...
Feds announce telemedicine healthcare fraud scheme
The United States Department of Justice (DOJ) recently announced seven guilty pleas in connection to a telemedicine healthcare fraud scheme. The agency first announced the scheme in December 2020. According to the prosecution, individuals connected to pharmacies were...
2 lessons about collaborative care and the AKS from recent case
The Department of Justice (DOJ) recently announced success in the prosecution of a case involving allegations of fraud within pharmacies located throughout New York and New Jersey. The government accused the pharmacy owners of paying kickbacks to doctors and...
Is this the dawn of a new value-based care era?
One can argue that value-based care is clearly in the patient’s best interest. Such arrangements allow for the patient to receive care from multiple specialists and reduce the financial burden that may come with visiting more than one physician. However, lawmakers...
HHS’ price transparency rule: Could it come at a worse time?
The United States Department of Health and Human Services’ (HHS) hospital price transparency rule went into effect January 1, 2021. Lawmakers intend the rule to help better ensure Americans have clear information about the cost of hospital items and services before...