The wound care industry faces unprecedented scrutiny as Medicare Part B expenditures for skin substitutes exceeded $1.6 billion in the fourth quarter of 2023 alone. The spending surge has triggered a wave of skin substitute...more
7/18/2025
/ Audits ,
Best Practices ,
Centers for Medicare & Medicaid Services (CMS) ,
Compliance ,
Documentation ,
Enforcement Actions ,
Fraud ,
Health Care Providers ,
Health Insurance ,
Healthcare Fraud ,
Medical Devices ,
Medical Records ,
Medicare ,
Medicare Part B ,
Popular ,
Regulatory Requirements ,
Reporting Requirements
Many employees feel trapped by non-compete agreements, but there are legal ways to handle these restrictive employment agreements. Before risking legal action by breaking your agreement, consider these alternatives....more
1/31/2025
/ Contract Terms ,
Employee Rights ,
Employer Liability Issues ,
Employment Contract ,
Employment Litigation ,
Financial Industry Regulatory Authority (FINRA) ,
Health Care Providers ,
Legitimate Business Interest ,
Non-Compete Agreements ,
Restrictive Covenants ,
State Labor Laws ,
Texas ,
Trade Secrets
Healthcare fraud enforcement continues to be a top priority for federal authorities, with Stark Law violations remaining under particular scrutiny. The complex nature of physician self-referral regulations, combined with...more
1/23/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Compliance ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Fraud ,
Medicare ,
OIG ,
Patient Referrals ,
Self-Disclosure Requirements ,
Stark Law ,
Texas ,
TRICARE
There is a misperception that the Federal Trade Commission’s (FTC) ban on non-compete clauses excludes hospitals and healthcare entities. This is not exactly the case. Some employers are outside the FTC’s jurisdiction and...more
5/7/2024
/ Air Carriers ,
Banks ,
Common Carriers ,
Federal Credit Unions ,
Federal Trade Commission (FTC) ,
Health Care Providers ,
Healthcare ,
Lack of Jurisdiction ,
Non-Compete Agreements ,
Nonprofits ,
Physicians ,
Savings and Loan Companies
Telemedicine companies are supposed to facilitate medically necessary services to beneficiaries over the telephone via licensed medical professionals. In reality, however, many of these “telemedicine companies” are...more
3/11/2024
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Civil Monetary Penalty ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Durable Medical Equipment ,
False Claims Act (FCA) ,
Fraud ,
Health Care Providers ,
Medicaid ,
Medical Testing ,
Medicare ,
OIG ,
Physicians ,
Prescription Drugs ,
Telemedicine ,
TRICARE
The OIG offers providers an opportunity to self-report certain violations under its Health Care Fraud Self-Disclosure Protocol.
If you uncover a violation of federal healthcare laws or requirements – through your own...more
As a healthcare employer, documenting compliance policies and training employees that it is their duty and responsibility to communicate suspected violations are critical to a vigorous compliance program. But it is not enough...more
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) published a report last month assessing the program integrity risks associated with Medicare telehealth services. After analyzing...more