Archive for April 2025
This is the time for CRNP’s
Nurse practitioner positions are projected to grow by 46% by 2033, the Bureau of Labor Statistics found.The bureau gathered employment data for five nursing positions in 2024, including the projected growth for their job titles in the next 10 years. The latest data was released April 18 and is up to date as of May…
Read MoreScope of Practice and Competence
A former Iowa licensed nurse practitioner has been sentenced to prison after failing to help a nursing home patient who died of asphyxiation. Becky Manning, 70, was in charge of the overnight shift at Care Initiatives, a nursing facility in West Des Moines, during one night in February 2023. That night, an 87-year-old patient indicated…
Read MoreHealth Insurance Fraud
Here, the executive vice president of an insurance brokerage firm pleaded guilty to his role in a scheme to submit fraudulent applications to enroll individuals in ACA plans. The purpose of the scheme was to obtain millions of dollars in commission payments from the insurance company that operated the ACA plans, according to an April…
Read MoreBeing scrutinized? Keep up with your continuing education anyway
If you have recently learned that you are under investigation or facing a formal complaint that could impact your professional license, it can feel like the world has stopped. Fear, stress and uncertainty may be dominating your daily life. This is understandable. However, amid the scrutiny, it’s important to avoid hitting pause on one consequential…
Read MorePharmacy Utilization Review and “Worthless Service” Provider Fraud Claims
If you own a pharmacy and dispense medications prescribed by a physician and paid through a government health system, be careful. All prescriptions billed must be purchased and dispensed. You can not bill the US Government (state based medicaid or medicare programs) for prescriptions that were neither purchased nor dispensed. CMS audits through states’ medicare…
Read MoreFraud is Fraud — fake medicare medicaid billing codes for the wrong services and services that were not provided
Beginning in 2018, Gabriel Adam Alexander Luthor, a.k.a. Gabriel Adam Alexander Langford, 39, and Elizabeth Christine Brown, 42, intentionally devised and carried out a scheme to overbill Medicare, Medicaid, and other insurers for medical services provided through Golden Victory Medical, LLC (GVM). Luthor and Brown were in a relationship, and together founded GVM in 2018.…
Read MoreAccusations of domestic violence can damage a medical career
Domestic violence accusations can result from conflicts between intimate partners or longstanding issues within a family. Even an altercation with a roommate could potentially constitute domestic violence. Acts of violence that could lead to assault charges can constitute domestic violence when there is a familial, sexual or household connection between the people involved. Anyone accused…
Read MoreNursing Home Admin Steals Elderly Residents, Deceased Residents’ Estates for Her Own Financial Benefit
Mia Hardy, 58, was arrested and charged by indictment with eight counts of wire fraud, arising from an alleged scheme to defraud the residents of two senior living facilities, residents’ heirs, and the facilities themselves. Hardy was employed first at Living Facility #1 and Senior Living Facility #2. Both used a resident fund management service…
Read MoreOIG Debarment Letters — What To Do!
Did you receive an OIG debarment letter? Are you a nurse prosecuted because of Operation Nightingale? If you are in healthcare, you need to be able to participate in medicare and medicaid to work! I respond on behalf of my clients to any and every the Office of Inspector General’s prospective letter seeking to exclude…
Read MoreCommon examples of pharmacist negligence
Pharmacists play an important role in patient safety. However, like any profession, mistakes can happen. In Pennsylvania, pharmacist negligence may lead to a license suspension or serious disciplinary action. If you’re facing an investigation, it’s important to understand what types of errors can raise red flags. Below are some crucial points to consider. Dispensing the…
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