Ordering a test for a patient seems like an innocuous and potentially necessary step towards quality medical care, but the government does not always see it this way. The federal government is cracking down on physician practices and hospitals who overutilize testing....
Health & Health Care Law
What should my group know about the CMS’ new rules?
Rural hospitals are struggling throughout the country. A recent piece in Becker’s Hospital Review notes that 138 rural hospitals have closed since 2010. Notably, a record 19 closed in 2020 alone. To address this growing problem, the United States Centers for Medicare...
3 tips to increase the odds of a successful healthcare merger
Healthcare businesses, like any other business, often switch hands. Sometimes one business buys out the other and in other situations it may be a merger. Whatever the details of the transaction, it is important for those involved to keep in mind that a healthcare...
Can my healthcare business regain its Medicare contract?
Private practices, dentist offices, hospitals, any facility that offers medical services may be eligible to bill Medicare for these services. But what happens if there is an issue with the billing procedure? What if that issue snowballs to the point where Medicare...
I am looking at buying a clinic in Texas. What should I know?
Healthcare merger and acquisition deals can provide multiple opportunities for financial growth. Healthcare is generally a stable and often growing market, so investments tend to pay off. But how can you better ensure that your deal pays off? First, figure out how...
DOJ tries to thwart healthcare merger
There are all sorts of hurdles to overcome when working through healthcare mergers. In a recent example, the Department of Justice (DOJ) filed a lawsuit to stop a merger between UnitedHealth Group and Change Healthcare. Talk about a hurdle. More on the players...
Kickback or legit payment? The answer can mean the difference between freedom and prison time.
Officials throughout the country continue to crackdown on potential healthcare fraud cases. The primary motivator is one of the oldest and strongest: money. The feds get billions back from healthcare fraud cases every year. How do these cases work? The government is...
Feds indict 2 Texas doctors in $300 million healthcare fraud case
The federal government will come after physicians and other medical professionals if it believes these professionals are putting financial gain over patient needs. They will aggressively pursue charges against those it feels fail to honor these goals and they will...
Three tips to start a home health care business in Texas
Savvy business owners know that the market demand for home health services is only likely to increase in coming years. We have the aging boomer population to thank for this business opportunity, as more and more are choosing to stay at home as opposed to go into a...
Physician groups: 3 things to know about provider funding
Physician groups throughout the country found themselves facing new obstacles during the COVID-19 pandemic. Private practices implemented new technology for virtual appointments, increased the personal protective equipment (PPE) needs and saw an increase in patients...