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Posts tagged "Physicians and Group Practices"

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.

Two TX ORI clinics agree to settlement in Medicare fraud case

Seven Osteo Relief Institute (ORI) clinics from throughout the country have agreed to settle a Medicare fraud claim with the government. Two clinics are in Texas, one in Dallas the other San Antonio. The others are in Phoenix, Arizona, Lexington, Kentucky, Wall Township, New Jersey and Colorado Springs, Colorado. The United States Department of Justice (DOJ) states the clinics knowingly billed Medicare in violation of the False Claims Act.

Jury finds TX doctor guilty of health care fraud

The Department of Justice (DOJ) recently arrested a Texas physician based on allegations of conspiracy to commit health care fraud, conspiracy to solicit and receive health care kickbacks and false statements relating to health care matters. Overall, the government claims the physician falsely billed Medicare for approximately $16 million in unnecessary services or services that patients did not receive.

Defense tries to remove judge in opioid case

The country is in the midst of an opioid crisis. The government has come down hard on those connected with the over-prescription of these highly addictive medications to help hold those who played a role in the crisis accountable and deter similar errors in the future. As a result, the government has filed thousands of lawsuits against medical professionals, drug companies and pharmacies based on allegations of criminal wrongdoing connected to the prescription of opioids that include Anti-Kickback (AKS) violations.

Entrepreneurs & the TX healthcare industry: Tips for success

Investing in the health care industry is generally a profitable endeavor. In fact, a report by CNBC states the health care industry is one of the top five profitable franchises within the country. Getting into this market can result in large financial rewards … if done wisely.

Selling your private practice? 3 tips for a successful transition.

Putting together a private practice in the medical field is about more than just practicing medicine or starting a business. Those who put in the time and effort to establish a successful practice likely become a part of the community. As a result, when it comes time to retire or move on to other professional endeavors, private practice owners likely hope to set the facility up for a successful transition.

Children, mental illness & insurance: A study on ED admissions

Does health insurance impact whether a child will get emergency medical care? According to researchers who recently finished a study into the matter, if the child has a mental disorder then the answer is a resounding yes. The researchers reviewed 9,081 acute mental health emergency department (ED) visits. Based on a review of this data, the researchers found children without insurance were much more likely to get transferred compared to children who were covered by a private insurance policy.

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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