A 73-year-old surgeon recently filed a case against his former employer. He claims hospital officials discriminated against him based on his age when they had him undergo a neuropsychological and physical exam as well as have a proctor present when he conducted...
Physicians And Group Practices
NY podiatrist agrees to pay $1.25M to settle FCA claim
Government officials recently accused a local New York City hospital system along with a podiatrist of fraudulent billing practices. The allegations are in connection with a whistleblower lawsuit. The whistleblower brought the claim forward in 2012, stating the...
TX medical center agrees to pay $15M to settle with FHA
The Department of Justice (DOJ) recently announced a settlement agreement with a Texas medical center and surgeons. The settlement, for approximately $15 million, is the most recent in a series of claims the DOJ has pursued in recent months against medical...
Anatomy of an OPMC investigation
What happens when a patient, co-worker or other medical professional files a complaint about a physician's work? If the complaint involves allegations of misconduct, the New York Health Department's Office of Professional Medical Conduct (OPMC) and state Board for...
Tips to reduce liability for telehealth services
The Department of Health and Human Services has relaxed regulations under the Health Insurance Portability and Accountability Act (HIPAA), at least temporarily. This allows medical professionals to conduct communications with patients using technology like Zoom and...
What should providers know about next wave of CARES Act relief?
The Department of Health and Human Services (HHS) will begin accepting applications for Relief through this package October 5th. The agency has stated the goal is to help cover approximately 2% of patient revenue lost as a result of the pandemic.The HHS is encouraging...
Cardiologist sues hospital officials for wrongful termination
The physician received his medical training at the University of Texas Southwestern Medical Center in Dallas and the Texas Heart Institute at Baylor St Luke's Medical Center in Houston. Hospital officials hired the specialist in 2018 to fill a variety of cardiology...
HHS states my physician group chose the wrong code. Now what?
The United States Department of Health and Human Services (HHS) has stated physician groups throughout the country are mistakenly choosing the wrong code when it comes to charging Medicare for services provided to stroke patients.What is the problem? According to a...
NJ healthcare insurance negotiation deal: 3 lessons
New Jersey healthcare company Humana Inc. recently adjusted its insurance offerings to expand in-network access for members. After much negotiations with local healthcare providers, the private insurance provider agreed to expand its terms to include additional...
How serious are allegations of overpayment?
Medical professionals who receive a notice of overpayment from Medicare or commercial insurance companies may find themselves facing a massive bill. These letters demand repayment, sometimes asking the health care professional to pay millions of dollars back to the...

