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Health Law Articles

UPIC / ZPIC Referrals to State Boards, Societies, Surveyors and QIOs

(November 29, 2017):  The Medicare and Medicaid programs are managed by the... 

Pain Management Prescribing Practices and Audits.

(August 16, 2017): Earlier this summer, the U.S. Department of Justice (DOJ) executed... 

NBI MEDIC Referrals to Boards, OIG and DOJ are Here!

(June 28, 2017):  The Medicare program is enormous.  As of 2016, more than 56 million... 

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... 

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Dental Law Articles

Dental Fraud: Dentist Faces 3,974 Years in Prison if Convicted!

(November 30, 2017):  Earlier this year, Attorney General Jeff Sessions announced... 

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... 

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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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Regulatory Issues | Privacy

Maryland Limits on Opioid Prescriptions.

(June 30, 2017):  In March 2016, the Centers for Disease Control and Prevention... [Read more of this review]

Indiana Prescribing Guidelines–Eff. July 1, 2017.

(June 29, 2017):  Deaths resulting from a drug overdose have grown considerably... [Read more of this review]

Opioid Prescribing Practices & NBI MEDIC / UPIC / ZPIC and Board Actions.

(June 29, 2017):  It has been estimated that from 1999 to 2014, more than 165,000... [Read more of this review]

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