False Claims Act Penalties for Healthcare Providers

Medicare Lawyer
False Claims Act

The False Claims Act is one of the most commonly used laws to prosecute health care fraud in the United States. According to the most recently available figures, the United States Department of Justice recovered more than $2.2 billion through the False Claims Act in 2020. More than 90% of the recovered funds were related…

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DOJ and CMS Investigations Pertaining to Amniotic Fluid Injections

Medicare Lawyer
Amniotic Fluid Injections

In recent months, the federal government has shown an increased interest in opening investigations into practices that administer amniotic fluid injections. Many cutting-edge physicians have been prescribing amniotic fluid injections to patients to help them with pain management with great success. However, because amniotic fluid injections are not currently covered under Medicare for this purpose,…

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

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

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?

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 healthcare providers who bill Medicare for services, equipment, and supplies. Under the statute, it is illegal for providers to offer, pay,…

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

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 healthcare fraud defense attorney who devotes much of his practice to representing providers in Medicare-related investigations. While…

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Glossary: Understanding Your Medicare Audit or Investigation

Medicare Lawyer
Audit

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

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

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 healthcare providers’ billing practices, and audit contractors working with the Centers…

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