In order to combat healthcare fraud and abuse, the Stark Law outlines what healthcare providers can and cannot do when it comes to referrals for particular health services paid for by Medicare and Medicaid. Violations of the Stark Law carry severe penalties, even if a...
Most doctors and medical facilities have missions that focus on healing patients. Therefore, many accept Medicare and Medicaid insurance. Because these are federal and state health insurance programs, some doctors, clinics and hospitals have experienced challenges...
Healthcare is an extremely regulated industry. Programs like Medicaid and Medicare face tough scrutiny from regulators intent on stopping abuse and fraud. Organizations found guilty of fraudulent activity face harsh penalties, even though the regulations and laws in...
Dealing with industry regulations, contracts and other administrative requirements can make it harder to focus on your patients as a physician. But providing satisfactory patient care can improve patient outcomes and help prevent license issues. Most people see a...
Several proposed changes to the United States Centers for Medicare & Medicaid Services hospice survey process could result in tougher enforcement and stiffer penalties in 2022 for hospices. Regulators announced the proposed changes in June of 2021. What is the...
Over the past two decades, the U.S. has tried to curb fraudulent health care provider Medicare claims through greater oversight. Prepayment audits are one method that the government has begun using to prevent reimbursement for faulty claims. Unfortunately, if...
If you work in healthcare, you may benefit from helping patients remotely. Consultations, regular follow-ups and prescription adjustments are just a few things that modern technology has made easier. However, you should pay attention to Texas Medicaid policies for...
To practice medicine in Texas, you need a valid medical license. It takes years of education to become a doctor and to earn the credentials to qualify for a medical license. According to the Association of American Medical Colleges, it takes anywhere from seven to 15...
Due diligence within healthcare transactions is a common compliance issue. HIPAA violations can bring criminal or civil cases, which result in monetary fines and penalties, as well as damaged reputations. How does the increase in technology affect due diligence in...
After leaving an acute-care hospital, patients are often unable to return home and manage their own care. They may need to transition through a post-acute care provider such as a nursing home or an in-patient rehabilitation facility. The patient may need a long-term...
