ZPIC audits, ZPIC site visits, ZPIC investigations
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Health Law Articles

Home Health Pre-Claim Reviews Are Here!

(August 23, 2016):  The home health “Pre-Claim Review” demonstration project... 

Medicare Revocation Actions / Medicare Deactivation Actions: How Should You Respond?

(August 18, 2016):  During 2015, more than 1.2 million non-institutional health... 

CMS Seeks to Overhaul Medicare Claim Appeal Process

(July 18, 2016) The Centers for Medicare and Medicaid Services (CMS) has announced... 

CMS Announces Home Health Pre-Claim Review Demonstration Project for Five States

(July 5, 2016) The Centers for Medicare and Medicaid Services (CMS) has announced... 

CMS Expands Overpayment Claim Settlement Process to Include Part A Providers With Pending ALJ Appeals

(April 4, 2016) In an effort to reduce the enormous backlog of pending Administrative... 

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Dental Law Articles

More Texas Medicaid Dental Audits Are Coming in 2017!

(August 23, 2016): During 2014, the Texas Health Human Services Commission’s (THHSC),... 

Exclusion Screening and Background Checks in Dental Practices

(March 31, 2016):  Many of the dental practices around the country do not participate... 

Medicare Dental: Significant Overpayments Have Been Made to Hospitals

(October 27, 2015): Late this summer, the Office of Inspector General for the U.S.... 

Dentists Participating in the Medicaid Program Must Exercise Caution to Avoid False Claims Act Liability

(March 6, 2015): Earlier this week, the U.S. Attorney’s Office, the U.S. Department... 

Medicaid Dental Audit: Exclusion Screening Issues

(January 22, 2015): Medicaid dental audits have greatly expanded over the past few... 

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False Claims Act

False Claims Act: Whistleblower Cases Have Continued to Rise Since the Passage of the Affordable Care Act

Number of whistleblowers on the rise (March 3, 2015): The federal False Claims Act... [Read more of this review]

Dental Fraud Settlement — $5.05 Million to be Paid by Oklahoma Dental Practice in Medicaid Case.

 (November 10, 2014):  Dental fraud investigations and audits are becoming increasingly... [Read more of this review]

OCR to Covered Entities, Business Associates: Encryption Is Your Best Defense against HIPAA Violations

(May 29, 2014)  On April 22, 2014, the U.S. Department of Health and Human Services... [Read more of this review]

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Business & Transaction Articles

Cell Tower Ground Lease Renewals and Purchases

A landowner/ground lessor considering a renewal or easement buyout of his cell tower... [Read more of this review]

Cloud Storage Providers & BAAs – Where is Your Data?

In a recent webinar presentation, I was asked whether I believed one of the many... [Read more of this review]

OIG Proposes New Anti-Kickback Law Safe Harbors

(November 10, 2014): The U.S. Department of Health and Human Services Office of Inspector... [Read more of this review]

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