Medicaid enrollment increased from 2018 to 2019 by nearly three percent, and in 2022, Medicaid provided services for 89 million people while Medicare serviced 65,103,807 people. Some of the most vulnerable individuals in the US population, including millions of...
Texas Health Care Law Blog
2 root causes of compliance issues in healthcare
Anyone working in the healthcare industry should already understand the importance of regulatory compliance. Aligning your practice with current laws and regulations keeps patients safe and protects you from legal issues. Compliance issues can occur even when...
Understanding the Anti-Kickback Statute
Kickbacks are a normal part of many industries. In healthcare, however, kickbacks are unethical, illegal and potentially a threat to patient care. The Anti-Kickback Statute addresses the problem of kickbacks in healthcare, while the safe harbor regulations provide...
Tips for preventing fraud in your medical practice
One of the biggest threats to your medical license is insurance fraud within your practice. If the medical board finds evidence of insurance fraud, they can suspend or revoke your medical license and potentially refer you for criminal charges. It is important to...
How nursing homes can help keep their licenses
In Texas, the Texas Department of Aging and Disabilities licenses senior care facilities. Having a license allows these facilities to continue to operate and provide care to the people who need it. However, certain circumstances can cause a nursing home to lose its...
Dallas-area doctor convicted in $54 million Medicare fraud scheme
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...
The impact of telehealth on medical licensing
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...
Issues medical practices should address in compliance plans
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...
Examples of Medicare fraud in nursing homes
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...
3 signs that Medicaid fraud is occuring at your practice
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...