The settlement resolved civil claims against Gilead. The deal did not include any resolution of potential criminal liability. Will the feds pursue Gilead criminally?
Author: Mark
How Medical Group Collaboration Creeps into Fraud—Pass-Through Billing
Hospital-based medical groups, notably anesthesiology and radiology groups, are increasingly turning to creative means to provide coverage and to improve collections.
Did They Sell Their Seoul? The $62+ Million Settlement
There’s a reason why Medicare Advantage is fertile ground for fraud enforcement.
When Teenagers Mix $15 Creams Sold for $16,000: A Lesson in Arrogance, Greed—and Consequences
Imagine a pharmacy operation so brazen that it paid doctors millions in kickbacks to prescribe compound creams mixed in the backroom by untrained teenagers—then billed the government as much as $16,000 per tube.
Why Bigger Hospitals May Actually Be More Fragile
In healthcare, size used to signal strength. Bigger meant more services, more specialists, more veritas. But what if all that bulk is actually a liability?
Don’t Be the Next Headline: What a $405 Million Pharmacy Fraud Case Should Teach Physicians
Why doctors must prioritize compliance—and legal advice—before signing anything.
An Algorithmic Conspiracy? DOJ Weighs In on MultiPlan Case
As healthcare payers, tech platforms, and pricing vendors increasingly collaborate through sophisticated analytics, this case is a clear reminder: if you’re coordinating decisions that competitors used to make…
The Latest on H.R. 2191 Revising Stark’s Prohibitions on Physician Ownership of Hospitals
Here’s the latest on H.R. 2191, the legislation to amend the Stark Law in regard to physician investment in or ownership of hospitals.
Advanced Practice Providers Aren’t Necessarily the Grout For the Physician Gap
Supervisory requirements aren’t just administrative niceties; they’re the difference between compliant practice and a lawsuit waiting to happen.
Physician Ownership of Hospitals
New bill in Congress seeks to amend prohibitions on physician ownership of hospitals.