July 5, 2017
Tampa Compounding Pharmacy Fraud
Tampa Compounding Pharmacy Fraud
On this blog, I focus on what most of my clients have in common – the need for serious medical care and the attendant expenses. I often blog about Quality Fraud and share news items about how the cost of healthcare is driven by misrepresentations made in the course of providing care. Unlike other markets, […]
The real, actual Death Panels operating currently. When Insurers Require Patients to Stop Treatment – CNN
This is the third in our blog series on obtaining and using confidential peer review records in litigation. In Overdose (No. 1), I reviewed JCAHO Hospital Root Cause Analysis and Sentinel Event Reporting. In Overdose (No. 2), I reviewed Hospital adverse medical incident reports, including Code 15 reports on nursing negligence submitted in Florida to the […]
Today in Quality Fraud: eClinicalWorks $155 Million Fraud Settlement with Feds
In my last Weekly Blog, I reviewed an Accreditation Decision Report I secured from internal Hospital and JCAHO investigations of a fatal overdose. These reports are usually confidential and contain information not available in other sources. That kind of sensitive information is rarely available but can be critical to a successful outcome in medical malpractice […]
Medical Loss Ratios (MLR’s) are designed to lower healthcare costs. Here is how they work. In a recent Federal Court ruling, a Court found that physician settlement payments may be included in the MLR for the carrier. CMS Page on Medical Loss Rule (MLR)
$33M J&J Settlement with State Attorneys Over Drug Fraud
Depakote and Birth Injuries
Quality Fraud drives medical costs. DOJ Stressing Healthcare Fraud