Firm News
New Tricks of the PHP and PHMP
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 to Marworth who makes recommendations that exceed the authority granted to the PHP…
Read MoreHealth 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 insurance company that operated the ACA plans, according to an April…
Read MoreFraud 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 Golden Victory Medical, LLC (GVM). Luthor and Brown were in a relationship, and together founded GVM in 2018.…
Read MoreCBD is a medicine or supplies covered by Pennsylvania’s Worker’s Comp Law
The Supreme Court’s examination of the case—captioned Schmidt v. Schmidt, Kirifides and Rassias—addressed a matter that went far beyond whether an injured worker can seek compensation for CBD products. The justices’ analysis hinged on a question of what constitutes “medicines and supplies” subject to employer compensation under the Workers’ Compensation Act. Schmidt had contended that…
Read MorePrivacy Issues for Small Pharmacies and Medical Practices
In Florida, and all over the country, public entities are filing nuisance law suits over opiates, corresponding responsibility violations of doctors and pharmacists, seeking to recover the costs to the community. Small business are swept up in sweeping civil nuisance law suits by local governments. I represent one pharmacy subpoenaed to produce 10 years of…
Read MoreNurses go the distance for their patients
I represent hard working nurses doing amazing things. This article is about one nurse going the distance for her patients even though the hospitals, government, licensing boards, and maybe even her own department are against her. We need to be more aware of amazing nurses, their commitment to their profession and the passion they bring…
Read MoreHospital Safety — Gunman Enters Hospital — Kills Police Officer and Injures Nurse
Hospital emergency rooms are full of drama. Parents are worried about their children suffering from the flu. Husbands and wives enter worried about a loved one in a car accident or drug over dose. Weekend warriors seek emergent treatment for injuries from recreational activities. The smattering of car accidents, long-delayed treatment for numerous chronic conditions,…
Read MoreHealthcare fraud by a home health agency owners and operators warrants jail
Faith Newton, 56, owner of a home health care agency she operated, perpetrated a massive, years-long fraud scheme that siphoned over $100 million from a program designed to support vulnerable US residents. She used the stolen money to fund her lavish lifestyle, showing a callous disregard for those who were in dire need of care…
Read MoreEvery one is getting sick — and the nurses too
I have the flu. The doctor saw me via video, prescribed the appropriate anti-viral, then antibiotic, and messaged me. In other countries, and here in emergency rooms, nurses handle bed side nursing. And the nurses are gettign sick, some dying. We need to be more respectful, caring, thankful, considerate, and appreciative of our nurses. A…
Read MoreA public health crisis — Profits over patient safety
In Delaware County, Pennsylvania a local hospital closes again. While this effects local residents’ ability to secure health care, it is more disruptive to the nurses, pharmacists, and physicians working there. Health care workers are workers too. However, these health care workers become worried about their jobs, their paychecks, and become distracted from basic and…
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