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An overpayment recovery request from Medicare or a private carrier essentially means the payer is stating that they want their money back. They already sent your group payment for a claim, but now they have decided the payment was either too much or unwarranted. It is...
There is no question that medical professionals faced enormous pressure this past year. From determining the best types of PPE to reduce the risk of exposure to COVID-19, keeping family and loved ones safe while still helping patients receive the care they need — it...
It is never a good idea to brag on social media. Feds recently arrested the CEO of a pharmaceutical company, known for splashy posts on Facebook and Instagram that include his million-dollar mansion and multiple fancy vehicles like a red Ferrari, Bentley, and...
Noncompete agreements are a source of debate throughout the country. On the one side, those in favor of these agreements argue they can help to better ensure talent developed within one organization does not leave to join a competitor, potentially taking important...
The Manhattan U.S. Attorney recently announced civil and criminal health care fraud cases against a vascular surgeon out of Manhattan. According to the prosecution, the doctor fraudulently billed Medicare for vascular surgeries involving end-stage renal disease (ESRD)...
The state medical board is investigating a surgeon who attended a Zoom traffic court meeting while in the operating room. A courtroom clerk asked the physician if he was in an operating room and the physician confirmed. He stated that he was available for trial, as...
The New York Attorney General’s office recently announced that a local physician was facing criminal charges in connection to the overdose death of a patient. The prosecution claims the physician prescribed a mix of opioids even though he was aware the patient had...
New York state law requires health facilities to report disciplinary action taken against medical professionals to New York State Health Department’s Office of Professional Medical Conduct (OPMC) and the state Board for Professional Medical Conduct (board). However,...
The coronavirus pandemic has led to a boom in telehealth services. Patients can log online for everything from an initial consult to ongoing care appointments. But how long will it last? The use of telehealth services can offer an alternative to in-person care long...
The United States Department of Justice (DOJ) recently announced the sentencing of a New Jersey doctor in connection to a healthcare fraud scheme. The agency stated in a press release that the court sentenced the physician to 33 months imprisonment after he plead...