What Do Medicare Providers Need to Know about the Anti-Kickback Statute?

Categories: Medicare Lawyer

Anti-Kickback investigations

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,…

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Q&A with Medicare Fraud Defense Attorney, Nick Oberheiden, PhD: You’ve Been Contacted by Federal Agents, What Now?

Categories: Medicare Lawyer

federal securities litigation

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….

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Glossary: Understanding Your Medicare Audit or Investigation

Categories: Medicare Lawyer

Audit

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…

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7 Ways to Prevent Civil and Criminal Charges during a Medicare Fraud Investigation

Categories: Medicare Lawyer

Medicare Fraud

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…

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What Are the Most Common Penalties for Medicare Fraud?

Categories: Medicare Lawyer

Medicare Fraud

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…

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Conspiracy to Distribute Controlled Substances (21 U.S.C. 841; 21 U.S.C. 846)

Categories: Medicare Lawyer

agreement

Under federal law, dispensing medications on the U.S. Department of Justice’s Controlled Substance Schedules without a valid prescription is considered a felony offense on par with selling illegal drugs. Depending on the specific medication involved, physicians, pharmacists, and other health care professionals found guilty of distributing controlled substances under 21 U.S.C. 841 can face years…

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Conspiracy to Commit Medicare Fraud (18 U.S.C. 1347; 18 U.S.C. 371)

Categories: Medicare Lawyer

insurance

As a health care provider, one of the greatest risks to your business or practice is the risk of being targeted in a federal investigation. Several federal agencies are involved in the government’s ongoing fight against health care fraud, and the U.S. Department of Justice (DOJ), Centers for Medicare and Medicaid Services (CMS), and other…

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Recent Cases in Mobile Health Care Provider Fraud

Categories: Medicare Lawyer

mobile health care

Staggering Examples of Home Health Providers Hit with Multi-Million-Dollar Penalties and Prison Sentences Want to know which health care providers the DOJ and OIG will target for fraud investigations in the future? Follow the money. Home health services, including house calls and other mobile health services, are on the rise. They currently account for billions…

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