The U.S. government annually loses billions of dollars to Medicare fraud. It is the type of crime committed by people you know, including doctors, nurses, pharmacists and medical staff who provide services and medications that patients do not need and then pocket the...
Medical licensing occurs at the state level, with each state establishing its own licensing requirements for practitioners and medical personnel like nurses. Recent interest in telehealth impacted state licensing requirements, with many states modifying their...
Medical practices have a responsibility to regulate and monitor compliance among staff. Issues can arise in patient care and administration. However, with an efficient compliance plan, your practice can be proactive and address potential problems quickly. Education...
People trust that healthcare facilities such as nursing homes will keep the best interests of their residents in mind. However, it is unfortunate that a tiny minority of people who work with older residents commit medicare fraud and abuse. Due to these rare...
As a medical practitioner, you likely understand the severe consequences of committing Medicaid fraud. Even if you would never defraud your patients, though, the presence of fraudulent behavior elsewhere at your practice could have implications on your own license and...
As a practiced medical professional, nothing can be more dismaying than the possibility of losing your license over a single incident. Whether due to circumstances outside of your control or a momentary lapse in judgment, certain situations can put your medical...
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...
