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Health Law Articles

Third Party Coverage and Payment for New Products – An Ounce of Prevention is Worth a Pound of Cure

With the advent of the Affordable Care Act and the changes in the payment incentives... 

Opportunities for Collaboration Between Downstream Providers and Hospitals in the Comprehensive Joint Replacement Program – What You Need To Know!

In our previous article on this subject, we discussed the new Comprehensive Joint... 

CMS Issues Rules for Comprehensive Care for Joint Replacement (CJR) Model

Potential Opportunities and Challenges for Post Acute Providers   On November... 

Basic Policies and Procedures for a Compliance Program

Now that you have appointed an individual to be responsible for the compliance program... 

DME Audits are Back! Are Your Claims Compliant?

DME audits by ZPICs are on the rise. Is your DME company ready? (December 22, 2015):... 

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Dental Law Articles

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... 

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... 

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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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