ZPIC audits, ZPIC site visits, ZPIC investigations

Health Law Articles

Federal Efforts to Combat Health Care Fraud Pay Off With Over $27.8 Billion Recovered

(3/23/15)  Last week, the Department of Justice (DOJ) and Department of Health and... 

“Piercing the Corporate Veil”: How Owners Can Be Liable For Business Debt

Owners of healthcare companies often wonder whether they could be held personally... 

Administration’s FY 2016 Budget Proposal Includes Changes to Recovery Audit Procedures

RAC Audit changes coming in 2016 (2/27/15)  On February 2, 2015, President Obama... 

Recent Developments in Individual Liability for Medicare Overpayment Claims

New Rules and Risks to Individual Owners for Claims against their Companies by CMS... 

Texas Physicians Must Establish “Defined Physician-Patient Relationship” for Online Prescription

(February 5th, 2015)  The Texas Medical Board recently set forth a proposed rule... 

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Dental Law Articles

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... 

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... 

Medicaid Dental Fraud: Is the State of Texas Partly to Blame?

(August 12, 2014):  As set out in an August 2014  report titled “Texas did... 

Investigations of Medicaid Dental Fraud in Texas

(July 1, 2014): State and federal authorities are avidly investigating and prosecuting... 

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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

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]

The Dangers of Keeping Medical Records in the “Cloud”

(July 3, 2014): The growing trend of storing all kinds of data in the cloud comes... [Read more of this review]

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