October a Big Month for Anti-Kickback Cases Involving Compounding Pharmacies

A blue and white graphic with the words " healthcare trails ".

Physicians, recruiters and pharmacy owners continue to be the target of ongoing investigations into fraudulent claims involving compounded medications. A recent spate of arrests, guilty pleas and convictions serve to highlight the government’s increased level of scrutiny over the industry, mostly as it relates to improper relationships between pharmacies and physicians under the Anti-Kickback Statute.…

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Failure to Repay Can Result in FCA Case

A man holding money and a gavel in front of him.

There’s nothing wrong with holding on to money for as long as you can before giving it back, is there? Well, if you’re a medical practice and you delay repaying overpayments owed to the government, then it can get you in some hot water. That’s what happened to First Coast Cardiovascular Institute, P.A., a Jacksonville,…

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VA Proposal Would Expand Access to Care Via Telemedicine

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Challenged by limited healthcare resources, the U.S. Department of Veterans Affairs has issued a proposal that would allow VA healthcare providers to serve patients across state lines via telehealth, regardless of where they are licensed to practice. For fiscal year 2016, VA healthcare providers had 2.17 million telehealth episodes serving more than 700,00 veterans, 45…

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GAO: CMS Fraud Prevention Working

Three doctors and a man holding money in front of him.

The days of “pay and chase†in the world of healthcare fraud are waning thanks to fraud prevention methods that the Centers for Medicare and Medicaid Services have put into place. A newly released report from the Government Accountability Office (GAO) finds that Fraud Prevention System (FPS), which analyzes fee-for-service claims to identify healthcare providers…

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