Feds claim chiropractor brothers bilked patients out of $80M

By Tony Stonem | September 5, 2018

$80 Million dollars out of one chiropractic practice. If that does not raise red flags. We are not sure what does. It certainly taints the chiropractic profession but can be found in other healthcare professions. This article comes to us via the New York Post by Kaja Whitehouse, “Feds claim chiropractor brothers bilked patients out…

Keep an eye on your billing companies.

By Tony Stonem | August 15, 2018

Keep an eye on your billing companies. If you use a billing company you will want to read this story coming out of Miami Florida. The Miami Herald originally ran this article, Their company did medical billing. Now, four of them are headed for federal prison by David J. Neal. This is a pretty sobering situation for…

Wife of doctor accused of health care fraud arrested

By Tony Stonem | August 6, 2018

At Patient Options we want you to be aware of everything that happens in your office. Even if it your practice a close knot family affair you need to always analyze what is happening so that you do not commit healthcare fraud of any kind. Patient Options will give you protection against six accusations… Time…

healthcare fraud and the opioid crackdown

By Tony Stonem | June 30, 2018

U.S. charges hundreds in healthcare fraud, opioid crackdown Nate Raymond (Reuters) – The U.S. Justice Department on Thursday announced charges against 601 people including doctors for taking part in healthcare frauds that resulted in over $2 billion in losses and contributed to the nation’s opioid epidemic in some cases. The arrests came in dozens of…


Most favored nations in healthcare

By Tony Stonem | June 13, 2018

What is a most favored nations clause and why is it relevant to healthcare? Put simply it means that the insurer is getting the best price that the doctor is willing to give. How do many people violate this? Cash discounts. Lets look into the details straight from Evan Sznol’s Issue Brief: Most Favored Nation…

Healthcare lab sued for $84 million in fraud case.

By Daniel Brown | May 16, 2018

HDL labs is being accused of fraud to the tune of $84 million dollars by Cigna healthcare. Healthcare fraud comes with a hefty bill for any healthcare organisation but lets get some nice excerpts out of the article, “HDL sued for $84 million, accused of fraud” by Burl Rolett for RichmondBizSense.com. Cigna, a Connecticut-based insurer,…

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What makes healthcare so expensive?

By Daniel Brown | May 4, 2018

Healthcare is expensive. I think we can all agree with that statement. Lets take a look at this excerpt from a Washington post letter to the editor, “The real villians in the health-care cost crisis” resonates with you as a doctor. Once again, doctors and hospitals are called the bad guys in the discussion regarding the…

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OIG and Chiropractors: agency response and comments

By Daniel Brown | April 20, 2018

In the final part of this series we look into how the office of the inspector general responded to the 2015 report. While there is one recommendation that the OIG did not agree with you can see how they agreed with most of the recommendations overall. This is really one of the documents that shows…

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OIG and Chiropractors: Conclusions and Recommendations

By Daniel Brown | April 9, 2018

Patient Options has been examining the OIG of September 2015 and how the government investigates fraud. This post will bring us to the Conclusions and recommendations that the OIG has come to after sifting through all the data. As you read the following pay attention that in 2013 they found that 20% or 1 in…

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OIG and Chiropractors: The Findings

By Daniel Brown | March 21, 2018

We have covered what the OIG was looking into chiropractors. Now lets peak at what they have found…   In 2013, $76 million of the Medicare payments for chiropractic services were questionable Of the $502 million that Medicare paid in 2013 for chiropractic services, $76.1 million was for claims that were questionable based on our…