The back office is often ignored as patient care and increasing revenue is the primary focus for most medical professionals. A metric that sometimes does not get enough attention is profit. The easiest way to increase your profit is to reduce your cost structure, which can be achieved by considering six easy steps:Continue reading
By: David Hirshfeld
Winston Churchill once commented that “Anyone can rat, but it takes a certain amount of ingenuity to re-rat.” Well, this sentiment evidently applies to the re-packaging and re-labeling of prescription drugs here in Florida; and the legislature seems to have caught up with the ingenuity.
For years, workers’ compensation insurers have been complaining about the perceived increased cost of repackaged and relabeled drugs. With CS/SB 662 Florida’s legislature seems to have answered the payors’ cries, and closed a loop-hole in workers’ compensation reimbursement with respect to repackaged and relabeled drugs.Continue reading
On July 8, 2013 the United States Attorney’s Office for the Southern District of Florida issued a Press Release with the headline “Supervisor of $63 Million Health Care Fraud Scheme Sentenced in Florida To 10 Years in Prison”. The Defendant, a 51 year old employee of the Healthcare Provider was the director of medical records. The employee was a certified medical records technician and was found to have overseen the alteration, fabrication and forgery of documents that were used to support claims submitted to Medicare and Medicaid. In addition, the employee was found to have directed therapists to fabricate documents and forged signatures on documents. The defective medical records were used to support claims to Medicare and Medicaid in excess of 63 million dollars.Continue reading
