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...
Texas Health Care Law Blog
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...
3 situations in which your medical license could be at risk
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...
Are there exceptions to the Stark Law?
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...
What you should know about Medicare and Medicaid reimbursements
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...
What are the red flags for healthcare transactions?
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...
3 ways to improve patient care
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...
Hospices could face tougher compliance enforcement in 2022
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...
3 FAQs for providers facing Medicare prepayment audits
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...