ZPIC audits, ZPIC site visits, ZPIC investigations

Health Law Articles

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

(2/27/15)  On February 2, 2015, President Obama released his fiscal year 2016 budget... 

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... 

Massive Breach at Health Insurer Anthem

Anthem, Inc., the nation’s second-largest health insurance company, has suffered... 

New Medicare Incentive Programs

(January 21, 2015): Starting this year, the Centers for Medicare and Medicaid Services... 

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Dental Law Articles

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... 

Medicaid Dental Fraud: New Hampshire Dentist Indicted on Nearly 200 Counts of Medicaid Fraud.

Dentists around the country are being audited by State MFCUs. Are your billing practices... 

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False Claims Act

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]

CMS Clarifies HHA Definition of “Confined to Home”

On August 1, 2014, the Centers for Medicare & Medicaid Services (CMS) issued... [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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