The Office of the Inspector General (OIG) recently announced key changes to the Anti-Kickback Statute (AKS). The feds state these changes will aid in transforming the healthcare marketplace into one that focuses on value-based care as opposed to the current fee-for...
Oak Street Health recently announced opening new clinics within three Walmart supercenters throughout the Dallas-Fort Worth area. The current healthcare marketplace is booming, as the importance of availability of quality healthcare with an innovative, value-based...
The Texas Medical Board (TMB) is the organization in Texas responsible for the medical licenses of physicians that wish to practice medicine anywhere in the state. If patients, other medical professionals or the public has a complaint about a healthcare provider, they...
There are many federal regulations that apply to the provision of healthcare. It is not always easy for healthcare professionals to balance these regulations with a need to expand and take advantage of an opportunity to better serve their community. Healthcare...
A healthcare executive who owned a medical brace company chose to accept a plea deal when facing allegations of violating the federal Anti-Kickback Statute (AKS). Prosecutors stated that the exec used illegal kickbacks to encourage physicians to use their services...
In a recent case was able to significantly reduce a Medicare Overpayment for one of our clients. The client was faced with an initial recoupment of $5,459,933.90. This was based on Medicare's claims that they had performed a "computer...
The Texas Medical Board has been attempting to limit competition in Texas by requiring face-to-face visits between physicians and patients prior to the physician being allowed to prescribe medicine. Teladoc has asserted that this is a violation of federal law...
A recent decision by the U.S. Supreme Court confirmed that under certain circumstances, state professional boards may not have the protection of state immunity in antitrust actions. In North Carolina State Board of Dental Examiners v. Federal Trade Commission, the...
A recent investigation into the Texas Nursing profession uncovered a large increase in complaints, license revocations and sanctions against nursing licenses. This is mostly due to troubles with drugs and alcohol. Up until 2005 the Texas Board of Nursing (BON) allowed...
Under § 424.570 of the Code of Federal Regulations, CMS is permitted to impose temporary moratoria on the enrollment of new Medicare providers and suppliers. These moratoria do not apply to changes in ownership of existing providers and suppliers. CMS may...
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