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Physicians & Physicians Groups Archives

How can my practice handle patient complaints?

Physician practices need to navigate the needs of a successful business while ensuring quality patient care. The old adage "an ounce of prevention is worth a pound of cure" can go a long way towards helping build a successful practice. A failure to take patient complaints seriously could result in an official complaint - possibly even leading to an investigation by the state licensing board. When it comes to patient complaints the best approach may be to know the common issues and take proactive steps to avoid falling into the same traps.

DOJ announces criminal charges for over 100 doctors and nurses

The Acting Assistant Attorney General of the Justice Department's Criminal Division recently announced a "historic nationwide enforcement action" that resulted in criminal charges for over 100 doctors, nurses and other medical professionals. The charges are the result of allegations the professionals submitted over $6 billion in false and fraudulent claims.

What happens if the government claims PPP fraud?

The United States Department of Justice (DOJ) recently announced the arrest of a Texas man accused of fraudulently obtaining over $1.6 million from the Paycheck Protection Program (PPP) loans and using the loans for improper expenses. The prosecution states the entrepreneur used the funds not to help keep his business afloat during these uncertain times, but instead to purchase luxury vehicles and fund trips to a local strip club. If the government can provide enough evidence to substantiate these claims, the accused could face serious penalties.

Doctor loses license after suffering medical emergency

A pain management physician lost consciousness while on duty. Medical staff were able to promptly intervene and successfully treat the doctor. Shortly after the incident, the Texas Medical Board suspended his medical license. The Board's action triggers two important questions:

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.

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