Medicaid Audits: A Key Compliance Concern for Dental Practitioners

Categories: Medicare Lawyer

medicaid audit

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…

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What Do Mobile Radiology Providers Need to Know about Medicare Fraud?

Categories: Medicare Lawyer

mobile radiology and medicare fraud

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…

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Mobile Ambulance Fraud: When Saving a Life Can Lead to Federal Charges

Categories: Medicare Lawyer

mobile ambulance fraud

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…

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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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