Considering honey bees have been on earth for between 40 to 150 million years, it pays to consider their hive strategy for success, especially because it maps perfectly onto medical groups.
14 Month Prison Term in “Doctor Chasing” Scam
There’s huge danger in any arrangement in which you put your prescribing imprimatur on any script or order for any item, especially those reimbursed by Medicare.
Memorial Day 2025
We analogize business to war. Litigation to battle. Negotiation to struggle.
DOJ to Focus on Criminal Healthcare Fraud and Prosecuting the Individuals Involved
In real life healthcare compliance, there’s no get out of jail free card.
Avoid the Second Biggest Mistake Medical Group Leaders Make
It’s imperative that you get started now and that you become willing to invest in your own future.
You Must Know the No. 1 Mistake in Exclusive Contract Negotiation
Here’s the number 1 mistake, the Achilles’ heel of the negotiations between a medical group, for example, an anesthesiology group or a radiology group, and a hospital in connection with the terms of an exclusive contract, including related stipend negotiations. I previously shared the 7 Key Steps to Successful Hospital-Based Group Stipend Negotiations. Let’s travel back…
What Every Physician Must Know About Gilead Sciences’ $202 Million Kickback Settlement
The settlement resolved civil claims against Gilead. The deal did not include any resolution of potential criminal liability. Will the feds pursue Gilead criminally?
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.