The U.S. Department of Justice announced on November 10 that five former employees of Methodist Hospital, based in Memphis, Tennessee, were indicted by a federal grand jury for allegedly selling the names and telephone numbers of hospital patients who were involved in automobile accidents. Roderick Harvey paid them for the information and then sold it
NY Pharmacy Owners Plead Guilty to Money Laundering During COVID-19
By Ada Janocinska on
The U.S. Department of Justice (DOJ) announced on November 16 that two pharmacy owners from Forest Hills, New York have pleaded guilty to conspiracy to commit money laundering through submission of fraudulent claims to Medicare during the COVID-19 pandemic. The co-conspirators owned over a dozen pharmacies in the New York area, through which they submitted…
CMS Adds New Billing Code for Dental Surgeries
By Eric Fader on
The American Dental Association (ADA) announced on November 15 that the Centers for Medicare & Medicaid Services (CMS) has agreed to create a new Healthcare Common Procedure Coding System (HCPCS) code G0330 for dental surgeries performed under anesthesia in hospital operating rooms. The new code resulted from an advocacy campaign driven by the ADA, American…
Artificial Intelligence Now Powers Orthodontics
By Eric Fader on
Posted in Dentistry
Align Technology, the manufacturer of the Invisalign system of orthodontic braces, recently announced the release of an improved artificial intelligence-assisted smartphone app that can direct an Invisalign wearer when to advance to his or her next set of aligners. The company’s “Virtual Care AI-assisted Remote Monitoring Solution” helps patients take pictures of their teeth, and…
The Triple Threat of Workers’ Compensation Fraud
By Rivkin Rounds Staff on
Rivkin Radler’s Michael Sirignano authored an article for the November 3 issue of the New York Law Journal entitled “The Triple Threat of Workers’ Compensation Fraud.” Although the article wasn’t in time for Rivkin Rounds’ recent Fraud Week, it discussed some recent attempts by healthcare providers to game the workers’ comp system by…
New Employment Laws and Regulations Regarding Marijuana in the Workplace
By Rivkin Rounds Staff on
In the next installment of Rivkin Radler’s Healthcare Compliance Lunch & Learn series, Rivkin Radler Partners John Diviney and Tamika Hardy will discuss New Employment Laws and Regulations Regarding Marijuana in the Workplace. The program will cover the following topics:
- New state laws – New York Marijuana Regulation and Taxation Act, New York Labor Law
…
The Family Health Care Decisions Act’s Limitations
By Frank Izzo & Joseph Pidel on
Posted in Hospitals, Legislation and Public Policy
On any given day, a medical practitioner will evaluate a patient, determine the appropriate care and then provide the required services upon the patient’s consent. However, what happens if a patient lacks capacity and is unable to consent to treatment and has no designated decision maker to take on that role?
The Family Health Care…
Fraud Week: Pharmacy Kickbacks, Fake Medical Directorships and More
Federal and state enforcement activity involving pharmacy fraud tops the list of categories in this edition of Rivkin Rounds’ Fraud Week. We’ll list just a sampling of cases.
On October 19, the U.S. Department of Justice (DOJ) announced that Jerry May Keepers of Kingswood, Texas was sentenced to 36 months of supervised probation for writing…
Fraud Week: DOJ Targets DME Fraud
By Eric Fader on
Home health-related fraud and dentists behaving badly (see this week’s earlier posts) have both been notable recent trends, but the U.S. Department of Justice (DOJ) has been even busier lately cracking down on fraud involving durable medical equipment. Most recently, on October 25, DOJ announced that Daniel Canchola of Flower Mound, Texas pleaded guilty to…
Fraud Week: Kickbacks for Home Healthcare Referrals
By Eric Fader on
The U.S. Department of Justice (DOJ) announced on October 18 that Oklahoma-based Carter Healthcare LLC and its affiliates, plus two executives, agreed to pay a total of over $30 million to resolve two separate qui tam cases. One lawsuit claimed that Carter paid remuneration to physicians in Oklahoma and Texas to induce referrals of Medicare…