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The Facts About Medical Factoring
One of the immutable truths about healthcare is that it can take a long time to get paid. Though Texas has a prompt payment statute,1 it…
Former Owner of Health Care Staffing Company Indicted for Wage Fixing
A federal grand jury returned an indictment charging Neeraj Jindal, the former owner of a therapist staffing company, for participating in a conspiracy to fix prices…
Direct Contracting Model Comes to Medicare
Under the model, healthcare providers — which CMS calls “direct contracting entities,” or DCEs — will competitively bid to manage 100% of the Medicare Part A…
Jefferson County Doctor Convicted of Health Care Fraud Violations
The fraud and abuse laws can sometimes be obtuse, but this is a clear-cut case of intentional fraud. Grigoriy T. Rodonaia, of Port Neches, Texas, was…
Reimbursement Pressure in Radiation Therapy & Block Lease Arrangements
The finalized Radiation Oncology payment model and the Final CY 2021 Medicare Physician Fee Schedule (“MPFS”) have now been made public. Many in the industry will…
Justice Department accuses Anthem of Medicare fraud
Yet another allegation of Medicare Advantange risk adjustment fraud, this time by Anthem. I wrote about the government’s case against Cigna here. The case alleges that…
Data Breaches Can Result in Federal and State Liability
Regulatory bodies continue to impose severe penalties on covered entities who fail to protect patient data from unauthorized disclosure. Community Health Systems, Inc. recently settled claims…
Medical Device Maker to Pay $18 Million to Settle Allegations of Improper Payments to Physicians
This is not a Texas company, but it is a good example of how some manufacturers try to cloak improper payments under the veil of legitimate…
VIDEO: TBCE Stem Cell Stakeholder meeting
https://youtu.be/8De4ocoV8tY Stem Cell Stakeholder meeting of the Texas Board of Chiropractic Examiners from Tuesday, October 13, 2020.