Recent Blog Posts
What is Healthcare Fraud?
Healthcare fraud is a broad-brush term for fraud committed in the healthcare industry, typically committed by overbilling patients, private insurers, or government insurers such as Medicare. Healthcare fraud can be committed by actual healthcare providers who bill for fake or unnecessary services, or by other individuals who fake or otherwise illegally obtain physician credentials… Read More »
Ways to Avoid Healthcare Fraud
Providers face different and complicated healthcare fraud and abuse laws at the local, state, and federal level, and compliance with all of these various regulations can be difficult. Even when healthcare providers have the best of intentions, they may have policies or practices in place that can leave them in hot water with healthcare… Read More »
Do I Need a Healthcare Attorney?
Health law, broadly speaking, is the body of law that regulates the provision of healthcare services. Healthcare law governs the relationship between people who provide healthcare, such as doctors, nurses, hospitals, and nursing homes, and the patients who receive healthcare. A healthcare law attorney is someone who specializes in the laws and regulations that… Read More »
Value-Based Healthcare Models Are Shifting, Hopefully for the Better
There is a new trend in healthcare provider payments that veers away from the traditional approach to service reimbursement. Healthcare providers historically have operated by providing services, and then insurance companies pay retrospectively based on bill charges or annual fee schedules. The system tends to reward providers who provide more services, often meaning simply… Read More »
What is the False Claims Act in Healthcare?
Doctors, hospitals and health care providers can find themselves facing lawsuits under the False Claims Act due to billing or coding errors that result in overbilling to or overpayment from Medicare. Often the person behind the lawsuit is an employee of the clinic or facility in the billing department who discovers the error or… Read More »
How Physicians Violate the Anti-Kickback Statute
The anti-kickback statute is a federal law aimed at preventing doctors from receiving a financial benefit for patient referrals if the federal government may be charged for all or part of the cost of these services. Physicians and others in the medical field could face fines, community service, and even sentences to federal prison… Read More »