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Physicians & Physicians Groups Archives

Changes to physician self-referral system on the horizon

The Department of Health and Human Services (HHS) has stated that changes to the physician self-referral system are likely in the near future. The Trump administration is considering changes to the Stark law with a goal of encouraging coordinated care. An official with the Trump administration expects changes by the end of the year.

Physicians, when does your patient need a chaperone?

In some situations, physicians are allowed to offer the use of a chaperone for a patient during a physical exam. Generally, physicians will offer the use of these third parties in an effort to provide a patient with additional comfort. A patient may agree to a chaperone in an effort to maintain their dignity.

What should a doctor do if accused of a missed diagnosis?

Doctors enter the medical profession for a number of reasons, but one of the foundational motivators is a desire to help others. In most cases, physicians are able to assist their patients with various medical ailments. Unfortunately, there are some situations when an honest mistake can result in an injury to a patient or a patient may misunderstand and blame a physician for his or her continued illness. This can lead to allegations of medical malpractice.

Physician suspended, under investigation after patient compliant

We live in a time where social media is a part of our daily lives. The saying "you live in a fishbowl" has never been more accurate than it is today. At any moment, a neighbor, bystander, client or patient could take out a smartphone and begin live streaming or recording our actions.

Did you receive a Medicare overpayment notification?

As a medical professional, a time may come when you receive a Medicare overpayment, which is a payment you receive that exceeds the amounts allowed under current Medicare rules and regulations. Once you receive a Medicare overpayment, it becomes your responsibility to return the excess amount to the federal government, and the Centers for Medicare & Medicaid Services track those who receive overpayments to ensure they repay their debts.

Who files complaints about physicians in Texas?

As a physician licensed and practicing in Texas, you run the risk of having a complaint filed against you at any time. Allegations of misconduct can come from a number of different sources, and while some have merit, there may also be unwarranted ones reported to the Texas Medical Board.

Common medical billing errors that could lead to fraud

Health care fraud is a growing concern for many medical and health care providers in Texas. Some providers seek to profit off unlawful activities to increase their profits. However, many health care providers are honest and under heavy scrutiny and sanctions because of the wrongful actions of others. Some potential causes of health care fraud are the result of mistakes in the billing process. Many of those errors are avoidable with the right processes and checks and balances in place.

Being naive is no defense to Medicare fraud

Another doctor has been convicted for playing a part in a multi-million-dollar Medicare fraud scheme. The guilty verdict shows that even being "extremely naïve" is not a valid defense to Medicaid fraud charges.

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