Physicians are typically paid based on their output/productivity, such as wRVUs or professional collections.  Similarly, the nature of the sales profession is that the more you sell, the more earn… i.e. commissions…

Mid-level providers like nurse practitioners (NP) are being utilized more and more. According to a report from the nation’s leading provider search firm Merritt Hawkins, “the NP workforce in the […]

There’s no shortage of kickback cases, especially in the lab, DME, and telemedicine space. I review the DOJ announcements almost daily, and the common story is that kickbacks are being […]

An expert’s FMV opinion is worthless without sufficient, relevant, unbiased market data or evidence to support the opinion. A subject matter expert must have a basis for their opinion, such […]

According to the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), chronic diseases are conditions that last 1 year or more and require ongoing medical attention. Chronic diseases […]

On September 2nd, the DOJ reported that Mark Schena, president of Arrayit Corporation, a biomedical company was convicted of orchestrating a $77 million scheme involving mainly false and fraudulent claims […]

The US Attorney recently announced charges against 47 defendants in a $250 million fraud scheme, claiming to be the largest pandemic-related case to date. [https://www.justice.gov/opa/pr/us-attorney-announces-federal-charges-against-47-defendants-250-million-feeding-our-future] This underscores the DOJ’s commitment […]

In the case of sleep and respiratory DME manufacturer Respironics, the Company helped one of its suppliers secure an interest-free loan that was fully guaranteed by Respironics. Under terms of the loan, […]

In a recent a case, a home health owner pleaded guilty to paying kickbacks and billing for services that were never provided or were not medically necessary (of course).  The […]