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
For physicians with independent practices, engaging a third-party billing company to manage the billing process is an attractive option. Medical billing is increasingly complex and time consuming, and outsourcing that...more
6/16/2025
/ Arbitration ,
Billing ,
Breach of Contract ,
Contract Disputes ,
Contract Terms ,
Damages ,
Dispute Resolution ,
Failure to Perform ,
Healthcare Fraud ,
Litigation Strategies ,
Mediation ,
PHI ,
Physicians ,
Service Agreements ,
Third-Party Service Provider ,
Transparency
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
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