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Health Law Articles

The Medicare Appeals Process is Broken

(May 5, 2015): As the health care providers and suppliers we represent can easily... 

Home Health Enforcement: Are Additional Program Integrity Initiatives on the Horizon?

Physician Face-to-Face Encounter with Patient (April 22, 2015): Late last month,... 

Despite CMS’ February Prediction, Medicare Advantage Payments Set to Rise in 2016

(April 15, 2015): Despite a February proposal in which the Centers for Medicare and... 

Meaningful Use: Are You Prepared for an Audit by OCR or a CMS Contractor?

(April 3, 2015): Starting this year, eligible providers who have not attested to... 

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... 

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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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