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Posts tagged "Physicians and Group Practices"

Texas Medical Examiner's Office accused of fraud

The Texas Medical Board (TMB) has reportedly extended an investigation well past the usual 180-day limit. A forensic anthropologist serving on a contract basis at a local Medical Examiner's Office was one of many individuals who came forward with complaints about the facility's techniques.

TX uses new tool to charge doctors with health care fraud

The medical profession's first concern should be the welfare of the patient. Most physicians, nurses and other medical professionals go into this field because they share a similar belief. However, as is true in any profession, there are some who stray and find the lure of financial rewards too much to ignore.

Request for medical billing records can trigger payment problems

Health insurance companies may request a copy of billing records to substantiate claims for payment. If not provided in a timely manner, the company could report physicians who fail to comply to the state medical licensing board. Unfortunately, additional problems can arise if the requested records are provided but put together poorly.

Texas Medical Board suspends two doctors' licenses

The Texas Medical Board is scheduled to again meet here in Austin at the end of next month. The board will again discuss its budget and policies and then consider complaints filed against doctors, as it did in its most recent session.

Surgical errors and stress: New study finds a connection

Medical errors are responsible for hundreds of thousands of deaths in the United States every year. A portion of these mistakes happen within the operating room. This statistic inspired a master’s student from Columbia University’s Data Science Institute to search for a resolution.

Healthcare fraud in 2018: A sampling of major cases

The Department of Justice continued its crack down on healthcare fraud in 2018. This year included the $1 billion “Takedown Day.” On this day, police officers arrested and charged over 600 individuals for involvement in a $2 billion healthcare scheme. This is just one example of the government’s efforts to thwart healthcare fraud. Additional examples from throughout the year include:

TX hospital retaliates after a doctor complained about poor care

It would seem advantageous for medical professionals to discuss concerns about the quality of care provided to patients. One would hope hospital executives would appreciate updates from physicians about concerns.

TX doctor faces prison time for drug and healthcare fraud charges

The government has come down hard on yet another physician accused of playing a role in the nation’s opioid crisis. Seven individuals died from overdose, allegedly from medications prescribed by the accused physician. The government states the distribution of these controlled substances was outside the usual course of professional practice. The prosecution further argued that there was not a legitimate medical purpose for the prescriptions.

Texas doctor investigated for fraud, faces probation

The federal government recently completed an investigation of a podiatrist and charged him with over 30 counts of healthcare fraud and identify theft. Generally, such allegations can lead to a five-year prison sentence. In this instance, the government is not recommending jail time. Instead, the government has recommended a sentence that includes probation and a fine.

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