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Health & Health Care Law Archives

Causes of unintentional health care fraud

When it comes to health care fraud, ignorance of the law will not save you. You may think you are safe because you are an honest professional with a qualified billing department. However, errors can lead to investigations, and even if nothing turns up, it can hurt your practice's reputation and finances.

Questions to ask before buying a health care facility

If you are considering entering the health care industry as an owner, you are not alone. According to MB Financial Bank, there has been high activity in the merger and acquisition of health care businesses. Participation can lead not only to increased income for you but also to improvements in the industry, even at a small scale.

What you should know about Medicare overpayment appeals

If you receive a letter from the Health Integrity or Office of Inspector General in Texas regarding the overpayment of Medicare claims from your practice, you may wonder what you can do to avoid penalties. Even though you may feel embarrassed, confused or worried about the situation, it is important you make your specific circumstances top priority.

Deadline for meeting new home health requirements postponed?

In mid-January, the Centers for Medicare & Medicaid Services published a home health agency final rule outlining new minimum standards for home health agencies participating in Medicare and Medicaid.

What to expect during the Texas Medical Board Enforcement Process

Doctors may encounter licensing issues at any time during their careers, and they are stressful whenever they arise. Issues may include allegations involving:

Things you should know if you're considering a venture in health care

Health care is one of the strongest sectors in the United State's economy. In a moment when the industry is adapting to new rules and regulations, there is a significant opportunity for new players to break into the market with transformative ideas and innovation.

Buying or selling a health care business

Just like with any other business, the owners of health care companies may wish to expand by purchasing related organizations, or they may wish to sell to a potential buyer. Additionally, individuals may want to get into the health care industry by purchasing an already existing organization.

How to appeal Medicare or Medicaid overpayment determinations

In recent years, federal authorities have been making an effort to prevent fraud, waste and abuse within the Medicare and Medicaid programs. As a result, health care businesses of all types and sizes are being accused of overpayments.

How does the Anti-Kickback Statute's bona fide employee safe harbor work?

If you work in the health care industry, then you are probably familiar with the federal Anti-Kickback Statute, which is a federal regulation that prohibits the exchange (or offer of exchange) of any type of gift or payment in an effort to reward or induce referrals for federal health care program business.

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