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Physicians and Group Practices Archives

TX court allows relief for malicious medical peer review

In addition to years of schooling and practical education, countless examinations and continued education courses throughout one's medical professional life, doctors must also keep their medical license active and in good standing in the state they practice. A failure to do so can end their career.

Judge sentences hospital owner, doctor to prison for fraud

It is not uncommon for physicians to take a business interest in a health care facility. Such business relationships must be entered into carefully or the physician could face allegations of illegal kickbacks and other criminal violations. A recent case provides an example.

Doctors take note: 3 ways to reduce the risk of a med mal suit

Data shows approximately half of all physicians will face a medical malpractice lawsuit at some point during their professional career. Top causes for a lawsuit include a failure to diagnose an illness or a poor outcome after a medical procedure.

Whistleblower lawsuit against neurosurgeons moves forward

Two physicians and an operating room technician filed a whistleblower lawsuit against a group of neurosurgeons and the medical facility where they operated. The whistleblowers accused the medical professionals of falsely inflating the number of spinal surgeries in an effort to increase their earnings and patient referrals. The hospital countered that the practices used were standard throughout the profession. If the whistleblower can support the claim, the allegations result in a violation of the Stark Law and the Anti-Kickback Statute (AKS).

Three things to know about Texas’ new health care billing law

Private practices in Texas must navigate federal, state and local health care regulations. They must stay current and make sure their businesses are in line with any changes to the law. As a result, private practices throughout the state are likely reviewing their billing practices to make sure they are in line with a newly passed law designed by lawmakers to limit surprise billing.

How does the claim CMS overpaid $500 million affect your practice?

The United States Health and Human Services Department (HHS) Inspector General states the Centers for Medicare and Medicaid Services (CMS) overpaid claims by $502 million from 2011 through 2014. The error was allegedly due to a malfunction in the outlier payment review process.

TX physicians take note: New law may impact health care billing

The Texas Legislature has recently proposed a new rule that will limit health billing options. Lawmakers state the new law, scheduled to go into effect January 1, will help protect patients from surprise medical bills. But medical professionals have voiced concern the law may have unintended, negative consequences for patients.

Texas Medical Board suspends 7 physicians in October

The Texas Medical Board (TMB) has the power to decide who can and who cannot practice medicine in the state. The group regulates the practice of medicine by reviewing complaints and, in some cases, suspending the medical license of the accused. Unfortunately, such actions are not uncommon. The TMB suspended 31 physicians in 2018.

TMB agrees to review OB based on a complaint from the 80s

The case began when a 32-year-old woman began to investigate her family tree. She knew her parents had used a donor for conception, as they had struggled with fertility issues. When her own son began to suffer from severe health problems she began to investigate her family history to see if there was a genetic explanation.

2 TX doctors face repercussions from DOJ and TMB for false claims

Physicians and other medical professionals that face allegations of wrongdoing can find themselves dealing with more than just a government investigation. In many cases, these allegations can result in action by the state licensing board.

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