The PHP has for a while been trying to compel Pennsylvania health care professionals in the VRP or DMU to undergo additional evaluations and inpatient treatment for conditions outside the scope of the VRP agreement. The PHP then shuttles the healthcare professional...
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Pharmacist Duty to Their Patients.
In Philadelphia, RiteAide pharmacy is closing. This means many patients' prescriptions will be sold to a competitor looking to increase their patient lists. Yes, pharmacy's prescription customers are patients to whom the pharmacy owes a duty. ...
Complex healthcare fraud scheme boils down to two things — money and jail.
HARRISBURG - The United States Attorney’s Office for the Middle District of Pennsylvania announced that Rodney L. Yentzer, age 55, formerly of Carlisle, Pennsylvania and currently in Chuluota, Florida, was sentenced to 42 months imprisonment on charges of conspiracy...
Legal and tax professionals are not above the law
Attorneys are not above the law and must ethically and honestly represent their clients. They cannot in that representation commit or help the client commit criminal offenses. Bucks County attorney Alan Kane has been sentenced to a year and a day in prison in...
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...
Scope 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...
Health 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...
Pharmacy 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)...
Fraud 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...
Accusations 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...