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

Responding to Audits of Home Health Agencies by the Office of Inspector General of Home Health Agency Services

The Office of Audit Services, Office of Inspector General (“OAS”), is in the... 

It’s Time for CMS and Congress to Review Outdated Medicare and Medicaid Provisions

Michael Cook, co-chair of the Health Care Group, has an article published in the... 

Home Health Pre-Claim Review Demonstration Project Update!

(September 20, 2016): On August 3, 2016, the Centers for Medicare and Medicaid Services... 

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... 

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Dental Law Articles

Dental Claims Audits on the Rise — How to Protect your Practice

(October 11, 2016): More than 45 million children receive government-funded dental... 

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... 

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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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