Stark Law: An Ultimate Guide against Medicare Fraud

Stark Law

The world has seen how the American economy leads its progress in technological innovations and far-reaching inventions, particularly in the healthcare system.  Beyond greater heights, however, the United States government has been bombarded with thousands of healthcare fraud cases each year.  As millions of lives were affected by its detrimental costs, the US government has … Read more

Penalties for Medicare Fraud and Abuse

Penalties for Medicare Fraud and Abuse

Penalties for Medicare fraud and abuse can come in many forms. In our previous blog post, we have already established that you can be indicted for Medicare fraud felony. Apart from that, you might also be required to pay hefty fines and even be barred from gaining access to any federal or state healthcare programs. … Read more

The Ultimate Guide to HIPAA Violations

hipaa violations

HIPAA violations can crop up from the simple little things you do at the office, clinic, or hospital. From your everyday documentation system to your staffs’ mode of communication, violations of HIPAA are always looming around the corner. That being said, everyone working in the medical field should treat the HIPAA or the Health Insurance … Read more

Fraud, Waste, and Abuse in the Healthcare Industry

fraud waste and abuse

Fraud, waste, and abuse (FWA) have plagued almost every sector and program in the United States, with healthcare being the most targeted one. Even before the pandemic occurs, the 2018 National Money Laundering Risk Assessment found that the healthcare sector is one of the top sources of illicit funds. In 2020 alone, the healthcare industry … Read more

False Claims Act Penalties | The Complete Guide

False claim act

Violation to the False Claim Act can have serious and severe repercussions. Whether you are an individual health service provider or a healthcare organization, breaching the Federal Claims Act can result in hefty fines and harsh penalties.It can amount from thousands to millions of dollars and even put you behind bars. So with that in … Read more

Medicare Fraud Rewards

medicare fraud rewards

In an effort to curb Medicare fraud, the government codified law and promised to pay people who provide tips or inside information leading to fraud. Through this move, even ordinary individuals like you can participate in reducing crime and shedding light on undetected fraud that has plagued the health care system over the years.  That … Read more

A Guide to Healthcare Compliance Regulations

Healthcare Compliance Regulations

Over the past few years, healthcare regulations have introduced new rules and undergone frequent revisions. So whether you are a solo practitioner or a multinational healthcare organization, it is important to adapt and take note of these changes.  In the United States, healthcare is one of the most regulated industries. Some are torn on whether … Read more

7 Common Unethical Medical Billing Practices

Unethical Medical Billing Practices

Having worked with several professionals for many years, we have noticed some of the most common unethical medical billing practices that health care providers tend to make.  Whether it is intentional or not, these unethical medical billing practices have plagued the system and made both patients’ life and medical providers’ jobs a lot difficult.  Just … Read more

Unemployment Fraud Penalties | What you Need to Know

unemployment fraud penalties

Unemployment fraud penalties can come in many forms. Whether you intentionally or unknowingly commit fraud, you are up for both civil and criminal penalties. Civil penalties usually just involve fines and paying back the excess amount you collected; while criminal penalties can push you to spend time in jail or serve time in prison. Either … Read more