Licensed nurses rely on their accreditation for their living. If your license is revoked, Texas has a lengthy reinstatement process for you to undergo before you can work as a nurse again.The reinstatement process includes these steps before you’re able to work...
Texas Health Care Law Blog
What if you suspect fraudulent activity at your own practice?
Physicians rely on the trust of multiple people, including patients, employees and members of the public. Unfortunately, some unscrupulous doctors abuse this trust to commit acts of fraud. However, there is sometimes a gray area where a trustworthy physician...
Actions that will threaten a medical career
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...
How to prepare for a ZPIC audit
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...
Pharmacists can finally talk freely about drug prices
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...
Diligence in claim filing can reduce medical audit anxiety
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 can be stolen and used for fraud
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...
What the opioid epidemic could mean for your medical industry
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...
Healthcare Investigations by the Office of Inspector General
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...
What Medicare audits mean for your telehealth business
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...