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Physicians & Physicians Groups Archives

HHS relaxes HIPAA requirements during COVID-19

The coronavirus pandemic has impacted hospitals and private practices in many ways. Leaders in these organizations need to change how they operate their practices to better ensure patients receive the care they need while also reducing the risk of exposure to the virus for patients and medical care providers.

Feds continue crackdown on opioid meds, TMB provides guidance

The federal government is continuing to investigate and prosecute allegations of the abuse of opioid medications. These prosecutions extend beyond patients who are accused of misusing the medication - they also involve a focus on medical professionals that may prescribe these medications. Cases abound of federal prosecutors charging medical professionals who allegedly illegally prescribe opioid pills to patients. To make matters even more difficult, the rules that govern prescription of these medications are changing. Texas lawmakers recently passed a number of rules that directly impact how medical professionals use these medications.

3 things providers need to know to get expedited CMS payments

The United States Centers for Medicare and Medicaid Services (CMS) recently announced expansion to its accelerated and advanced payment program. The agency states the changes are intended to help providers who receive payment from Medicare to get the funds they need while battling the 2019 Novel Coronavirus (COVID-19).

CDC: What nurses & doctors need to know about COVID-19

The new coronavirus was recently officially labeled a pandemic. As the number of confirmed cases throughout the country continues to grow, the odds health care professionals will come into contact with COVID-19 become more likely.

Case claims doctor billed millions for "nonexistent procedures"

The government recently accused a doctor of fraudulently billing Medicare, Medicaid and private insurance providers for office visits totaling over $26 million. The government claims the physician billed insurance providers for "nonexistent procedures." If supported, the allegations could lead to serious financial penalties and, depending on the details of the accusations, potential imprisonment.

Physicians & health care fraud: 3 FAQs about the False Claims Act

There are certain federal laws that impact a physician no matter where they practice medicine. One example is the False Claims Act (FCA). This law essentially makes it illegal to submit claims for payment from Medicare or Medicaid that the physician knows or should have known was a false or fraudulent claim.

EHR and health care fraud: Vendors, doctors face charges

Software companies marketed electronic health record (EHR) programs as a way to help better ensure quality patient care. In theory, the software would provide accurate, up to date patient records that were readily available to the treating physician. In reality, flaws in some EHR programs led to dangerous errors.

The anatomy of a lawsuit: TX neurologist sues TMB

A Texas neurologist recently filed a lawsuit against the Texas Medical Board (TMB) due to its failure to remove a disciplinary filing against him from the federal National Practitioner Data Bank (NPDB). The physician argues this filing should be removed as he was exonerated. The TMB states removal is "beyond its authority."

Misdiagnosis study identifies three major categories of concern

A group of researchers, led by experts with Johns Hopkins Armstrong Institute for Patient Safety and Quality, found three major disease categories are responsible for the majority of diagnostic errors. The group hopes that education about these categories will reduce the rate of diagnostic errors.

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