Texas Supreme Court Finds Xerox, Not Dentists, Responsible For Fraudulent Medicaid Dental Payments
Posted by donna@healthlawcenterplc.com in Jul, 2018
The Texas Supreme Court recently upheld a Texas Court of Appeals ruling that Xerox was responsible for the $1 billion in fraudulent Medicaid dental payments. The state found that Texas Medicaid and Healthcare Partnership, a subsidiary of Xerox, allowed workers with limited expertise to approve dental claims for the state’s Medicaid program. Xerox, which was […]
Category: Anti-Kickback Statute, Medicaid, News & Updates
University Of Texas MD Anderson Cancer Center Must Pay More Than $4.3 Million For HIPAA Violations
Posted by donna@healthlawcenterplc.com in Jun, 2018
An Administrative Law Judge (ALJ) ruled that MD Anderson Cancer Center must pay more than $4.3 million in civil monetary penalties for violating HIPAA Privacy and Security Rules. The ruling is based on three separate data breaches in 2012 and 2013 that involved the theft of an unencrypted laptop from a MD Anderson physician’s home […]
Category: HIPAA
Post Tagged with Centers for Medicare & Medicaid Services, Donna Craig, HIPAA, Privacy Rule, Security Rule, The Health Law Center Physician And Two Nurses Found Guilty of $13 Million Home Care Fraud Scam
Posted by donna@healthlawcenterplc.com in Jun, 2018
Dr. Kelly Robinett a semi-retired emergency room doctor with more than 30 years of experience was convicted of fraud for his role in a $13 million home health care scam. After a weeklong trial before U.S. District Judge Reed O’Connor in Dallas, the jury issued its verdict after several hours of deliberations. Along with […]
Category: Anti-Kickback Statute, Medicare, News & Updates
Could You Be Facing A Professional Licensure Investigation? Part II
Posted by donna@healthlawcenterplc.com in Jun, 2018
The American Nurses Association – Michigan Chapter’ in its Summer newsletter, published the second of the four-part series discussing professional licensure investigations, and health care professionals’ rights when advised that such investigation have been initiated. In this second article, the health care professional’s rights and the importance of preparing for the investigator’s interview are […]
Violating New Michigan Controlled Substance and Opioid Prescribing Laws Could Result in Licensure Actions
Posted by donna@healthlawcenterplc.com in Apr, 2018
In an effort to address current opioid abuse, Michigan has enacted a series of laws which impact the prescribing and dispensing of scheduled controlled substances. While these laws also impact veterinarians, comments are limited to those who prescribe and dispense to human patients. Failure to comply with these new laws may form the basis for […]
Category: Licensure, Michigan Legal Updates, Opioid Epidemic
Post Tagged with APRN, Donna Craig, Health Professionals, Opioid, Physician, Professional Licensure Actions, The Health Law Center BCBS’ New Initiatives to Fight Opioid Epidemic
Posted by donna@healthlawcenterplc.com in Apr, 2018
Use of industry-leading data to better understand addiction trends and upcoming documentary to expand awareness are among BCBS System commitments WASHINGTON – Blue Cross Blue Shield Association (BCBSA) and top executives from Blue Cross and Blue Shield (BCBS) companies around the country today committed to addressing the nation’s growing opioid crisis with an executive-level committee […]
Category: News & Updates, Opioid Epidemic
Case Study – Professional Licensure
Posted by Donna Craig in Feb, 2018
With an administrative licensing sanction facing the client, the licensing board initiated talks to resolve the case. Given that the client did nothing wrong, misinformation was provided to the investigator, the investigation was not thorough, and the facility refused to produce pertinent portions of the medical record we refused to enter into any negotiations until pertinent medical records were produced. Eventually medical records were produced which exonerated the client, and the licensure action was dismissed. The client continues to have an untarnished license.
Category: Case Studies
Case Study – Medical Practice Transaction
Posted by Donna Craig in Feb, 2018
While a health care attorney is a business attorney with additional expertise in health care laws and regulations, a business attorney typically has no experience or knowledge of state and federal laws that directly impact this type of business arrangement.
Category: Case Studies
HIPAA Case Study – Transcription Error
Posted by Donna Craig in Feb, 2018
A patient was admitted to the hospital for a medical condition that required surgery. The patient had a significant past medical history for hyperlipidemia, which is abbreviated as “HLD”. When the admitting physician dictated the patient’s medical history, including his history of hyperlipidemia, the transcriptionist interpreted the dictation of “HLD” as “HIV”. This transcription error […]
Category: Case Studies
Medicare Reimburses for Cognitive Care Planning Services
Posted by Donna Craig in Jul, 2017
Medicare Reimburses for Cognitive Care Planning Services More than 5 million individuals in the United States are currently affected by Alzheimer’s disease or other related dementias, with more than 510,000 of those patients living in Michigan.[i] Across this country the care and support for these 5 million individuals are borne by more than 15 […]
Category: Medicare
