What Is A “Post-Payment” Review Of A Health Care Provider’s Claims?
A “post-payment” review is a standard auditing procedure conducted by an insurance company on a health care provider’s claims for medical procedures to examine if he/she had wasted, abused or...
View ArticleWhat Are The Penalties Imposed By The Education Department’s Office Of...
The New York State Education Department’s Office of Professional Discipline (OPD) is liable for investigating Professional Misconduct. While the Board of Regents, is responsible for final disposition...
View ArticleWould A Criminal Conviction Trigger An OPMC Investigation On A Physician In...
In short, Yes. The New York State Department of Health, Office of Profession Medical Conduct (OPMC) is mandated to investigate all allegations of physician misconduct, and when it is appropriate, the...
View ArticleWhat Risks Might Health Care Professionals Face For Inaccurately Documenting...
An inaccurate entry in a medical record is not only detrimental to the credibility of the chart but it is also a violation of licensing accreditation standards. It is common for errors and omissions...
View ArticleCan The New York State Board Of Nursing Discipline A Registered Nurse For...
In short, yes. While the primary focus of the New York State Board of Nursing and the Office of Professions, is related to the licensee’s performance at work; the Board can also determine if an...
View ArticleWhen Is A Pharmacist Allowed To Make Changes To A Prescription For A...
A New York State licensed pharmacist is prohibited from making changes to a prescription for any schedule II drugs. The most commonly investigated prescription fraud cases involve Oxycodone, Vicodin,...
View ArticleCan A Healthcare Employer Be Liable For The Negligence of His/Her Employee?
In general, No. An employer is not liable for the negligence of those who are not in his/her employ, such as Independent contractors. But if the physician was shown to be negligent in the hiring,...
View ArticleWhat Consequences May A New York State Registered Nurse Face After Failing...
Like all health care professionals, nurses are subjected to specific requirements to upkeep a functional nursing role. Amongst these requirements, most New York State licensed nurses are required by...
View ArticleWhat Are The Rules For Allowing Patients Access To Medical Records?
Most New York City physicians are aware of their obligations to allow current and previous patients access to their medical records. However, when a physician retires, joins another practice, or leaves...
View ArticleWill My New York Professional License Be Affected By Criminal Conviction?
Being convicted of a crime is one the types of professional misconduct that will result in professional discipline. In New York, there are two types of crimes, misdemeanors and felonies. If you are...
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