Health Law Articles

UPIC / ZPIC / Health Integrity Opioid Audits and Audits of Other High Risk Drugs.

(June 23, 2017):  Opioid audits of the prescribing practices of pain management... 

Home Services (CPT® codes 99341-99350) Billed to Medicare are Actively Being Audited.

(June 20, 2017):  As the Department of Health and Human Services (HHS), Office of... 

UPIC Audits of Medicare Claims are Underway! Is Your Practice Ready?

(June 12, 2017):  Historically, the Centers for Medicare and Medicaid Services... 

Chiropractic Audits by Medicare are Increasing!

(June 5, 2017):   Despite the fact that only three treatment services are covered... 

Payors are Aggressively Auditing Acupuncture Claims.

(May 26, 2017):  Over the past decade, the number of patients utilizing one... 

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Dental Law Articles

Medicaid Dental Audits of Intravenous (IV) Sedation Services.

(June 16, 2017):  Under the Social Security Act, states are required to operate... 

Delta Dental is Conducting Dental Claims Audits Around the Country.

(May 15, 2017):  Over the last decade, both state and federal law enforcement... 

Medicaid Dental Audits are Examining Dentist Eligibility to Provide Treatment

(January 9, 2017):  A recent report of the New York State agency that administers... 

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... 

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False Claims Act

False Claims Act Penalties Have Almost Doubled Over the Last Year

(June 21, 2017):  The federal False Claims Act is the primary civil enforcement... [Read more of this review]

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... [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... [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... [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... [Read more of this review]

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