Medicare Fraud Defense Lawyer Blog

Dentists Nationwide Are Being Targeted in Medicaid Fraud Audits and Investigations. Could Your Practice Be at Risk? If So, You Need Experienced Legal Representation. As a dentist who relies on Medicaid to pay your staff and keep the lights on, one of the greatest risks to your practice is the risk of having your Medicaid…

Mobile radiology providers, and particularly those that serve patients in hospice, nursing home, and home health settings, are increasingly being targeted in Medicaid fraud investigations. Is your company at risk? For most mobile radiology providers, billing Medicare is both an essential source of income and a primary source of administrative and compliance concerns. Unfortunately, while…

EMS Providers Can Face Civil or Criminal Penalties for Billing Medicare When a Ride to the Hospital Isn’t Medically Necessary. Are Your Billing Practices Putting You at Risk for Federal Prosecution? Not all mobile ambulance transportation services are eligible for reimbursement under Medicare’s billing regulations. In fact, mobile ambulance transportation services are not reimbursable unless…

The Anti-Kickback Statute Outlaws Many Types of Referral Relationships among Medicare Providers. However, the Law Establishes a Variety of “Safe Harbors” as Well. The Anti-Kickback Statute is a federal law that applies to all health care providers who bill Medicare for services, equipment, and supplies. Under the statute, it is illegal for providers to offer,…

If You Have Been Contacted by Federal Agents, You Need to Be Very Careful about What You Say and Do. Here Is Some Important Information from Medicare Fraud Defense Attorney, Dr. Nick Oberheiden. Dr. Nick Oberheiden is a health care fraud defense attorney who devotes much of his practice to representing providers in Medicare-related investigations….

Medicare Audits and Investigations Can Have Severe Consequences for Health Care Providers. If You Are Facing an Audit or Investigation, these Are the Key Terms You Need to Know. Health care providers that participate in Medicare are subject to constant scrutiny by the federal government. Billing mistakes can lead to costly penalties, while intentional billing…

If Your Business or Practice Is Being Targeted in a Medicare Fraud Investigation, You Need to Hire Experienced Defense Counsel in Order to Avoid Federal Charges. Facing a Medicare fraud investigation is a serious matter. Federal authorities use data analytics software to constantly monitor health care providers’ billing practices, and audit contractors working with the…

As a health care provider or a company that supplies medical services or equipment to patients or providers, you have the government’s attention. Whether you do everything possible to comply with your legal and ethical obligations as a health care provider or you devote less time than you should to your company’s Medicare compliance efforts,…

The penalties for Medicare fraud are severe. If convicted in federal criminal court, physicians and other providers can face hundreds of thousands of dollars in fines and years ? or decades ? of imprisonment, depending upon the specific crime (or crimes) alleged. In civil cases, providers can face enormous fines, recoupments, and various other financial…

If you have just been served with a subpoena from the Department of Health and Human Services (DHHS) Office of Inspector General (OIG) or a federal grand jury, your next steps are important. Improperly withhold information and you could find yourself facing criminal charges. Share more than is required and you could find yourself at…