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A suspension or revocation of a medical license is one of the biggest threats to a doctor, nurse or other medical professional’s career. It may seem difficult to believe, but even after spending years striving toward their goal, many individuals in the medical...
During the course of regular business, durable medical equipment (DME) providers may face audits from zone program integrity contractors (ZPICs) working under Medicare and Medicaid. These audits are meant to root out fraudulent activities. Being selected for an audit...
In the United States, where prescription drugs are not price-regulated by one, powerful agency, such as the federal government, smaller insurance companies must negotiate with these large drug makers. What the drug makers have found is, they have the upper hand. As...
Who doesn't like taking shortcuts. If there is a way to get from point A to point B more easily, that's a good thing, right? That might be true in on the road, but in the health care industry, taking shortcuts around regulatory obligations can lead to financial...
National Provider Identifiers (NPI) are used to help streamline the medical billing process, and these 10-digit numbers function much like a social security number.Unfortunately, like a social security number, a NPI is also vulnerable to theft. This is because NPI are...
On May 15, 2018, Texas sued Purdue Pharmaceuticals to assign blame for the thousands of opioid-related deaths throughout the state. Claiming serious misrepresentation, Attorney General Ken Paxton plans to compensate for the 42,000 opioid overdoses that occurred in...
As someone working with one or more of the over 100 Health and Human Services programs across the U.S., it’s important that you understand the body that regulates your work. Under the U.S. Department of Health and Human Services, the Office of Inspector...
Telehealth represents an incredible step forward in medical technology. As a telehealth doctor, you represent the front line of healthcare for folks making their living in the rural parts of the country, and with that comes unique sets of challenges. More Texas-based...
Health care professionals are entrusted with the well-being of their patients through many services that people need when faced with poor health and medical situations. But, sometimes, even health care professionals and the executives who lead their agencies...
Medicare and Medicaid are critically important to many medical providers in Texas. Being denied the ability to bill for these patients would mean a substantial loss of income to many clinics, possibly forcing them to close. Unfortunately, the revocation of Medicare...