//>*/-->

Medicare Overpayments

Seven Elements of a Payable Claim are an Essential Tool When Preparing for a ZPIC Audit

(September 21, 2012):  Each year, our attorneys and paralegals review and... 

AdQIC: A Brief Refresher on the Role This Contractor Plays.

(June 15, 2012): If you have ever been involved in a Medicare postpayment audit,... 

100 Involved in Health Care Fraud Arrests

Update (May 3): In total, 107 individuals were charged yesterday in connection... 

Read More Posts From This Category

Dental Audits & Complaince

Dental Claims Audits are on the Rise

Both Medicaid and private payor dental claims audits are increasing around... 

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 IV Sedation Services

(June 16, 2017):  Under the Social Security Act, states are required to operate... 

Read More Posts From This Category

Health Law Provider Audits update

An Overview of Administrative Rheumatology Audits / Adverse Actions AND Civil / Criminal Enforcement Actions

(May 20, 2018):  It’s been a rough week for at least one Texas rheumatologist. ... [Read more of this review]

Expect an Increase in Audits of Chiropractic Services!

(April 16, 2018): Chiropractors around the country are again finding their... [Read more of this review]

CBRs for Spinal Orthoses (CBR201803): What Do You Need to Know?

(April 12, 2018): The Centers for Medicare & Medicaid Services (CMS) utilizes... [Read more of this review]

ZPIC Audits / UPIC Audits: The Impact of Transmittal 768 on the Medicare Appeals Process Timeline.

(April 12, 2018): A big concern with the Medicare appeals process is the ghastly... [Read more of this review]

Medicare Advantage Plans May Soon Offer Personal Care Services

(April 10, 2018):  On April 2, the Centers for Medicare and Medicaid Services (CMS)... [Read more of this review]

The PSAVE Pilot Program: Should You Self-Audit Your Medicare Claims?

(April 2, 2018):  Our nation’s demographics are changing.  In less than... [Read more of this review]

Veterans Administration and CMS Announce Partnership to Address Fraud Prevention

(January 25, 2018): On January 23rd, the Veteran Administration (VA) and the Centers... [Read more of this review]

Personal Care Services Are Under the Government’s Microscope

(January 22, 2018): The Department of Health and Human Services, Office of... [Read more of this review]

Revocation of Your Medicare Billing Privileges.

The revocation of your Medicare billing privileges can subject your practice... [Read more of this review]

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

(November 29, 2017):  The Medicare and Medicaid programs are managed by the... [Read more of this review]

Pain Management Prescribing Practices and Audits.

(August 16, 2017): Earlier this summer, the U.S. Department of Justice (DOJ) executed... [Read more of this review]

Indiana Opioid 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]

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... [Read more of this review]

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... [Read more of this review]

Medicare Home Services (CPT® codes 99341-99350) are Being Audited

(June 20, 2017):  As the Department of Health and Human Services (HHS), Office of... [Read more of this review]

UPIC Claims Audits of Medicare Services are Underway! Are You Ready?

(June 12, 2017):  Historically, the Centers for Medicare and Medicaid Services... [Read more of this review]

Medicare Chiropractic Audits are Increasing!

(June 5, 2017):   Despite the fact that only three treatment services are... [Read more of this review]

Private Insurance Payors are Aggressively Conducting Acupuncture Audits

(May 26, 2017):  Over the past decade, the number of patients utilizing one... [Read more of this review]

Exclusion Screening-OIG Screening: The New “Seventh Element” of Compliance.

(May 17, 2017): Exclusion screening-OIG screening duties are now more important... [Read more of this review]

Read More Posts From This Category

Regulatory Issues | Privacy

Sexual Harassment: Cases Against Texas Physicians in 2017

(January 26, 2018): From Churches to Congress, sexual harassment and assault... [Read more of this review]

Maryland Limits on Opioid Prescriptions

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

Cell Tower Ground Lease Renewals and Purchases

(September 15, 2015): A landowner/ground lessor considering a renewal or easement... [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... [Read more of this review]

Peddling and Soliciting, Municipal Regulations These Issues Can be Complex. Is Your City Clear on These Points?

(January 8, 2013):  As a general rule cities can regulate hawking, canvassing,... [Read more of this review]

What is Civil Fraud?

(November 29, 2012):  Civil fraud cases are complex and can have substantial effects... [Read more of this review]

Guide to Efficient Business Transactions: Part III

(July 6, 2012):  This article is a continuation of our discussion on how a... [Read more of this review]

Guide to Efficient Business Transactions: Part II

(June 24, 2012): How a business person can manage attorneys and other professionals... [Read more of this review]

Guide to Efficient Business Transactions: Part I

(June 18, 2012):  How a business person can manage attorneys and other professionals... [Read more of this review]

NFLPA Collusion Suit Against NFL Alleges Conspiracy

(May 24, 2012): Are the Washington Redskins and Dallas Cowboys, the greatest... [Read more of this review]

Contract Basics – What is a Contract? Is Your Agreement Legally Binding?

(May 21, 2012): People unknowingly enter into contracts all the time – many... [Read more of this review]

Non-Disclosure Agreement – Checklist for the Recipient of Confidential Info.

(April 12, 2012): You are considering a business transaction. The other party... [Read more of this review]

Liquidated Damages – Don’t Take a Bath When You Cancel a Contract

(April 5, 2012): Your business may often enter into contracts for services,... [Read more of this review]

“What Do You Really Owe When a Debt Collector Calls?”

(March 6, 2012):  You receive a phone call in which a rude person on the other... [Read more of this review]

Beware of Small Print – It Can be Bad for Your Wallet.

(February 6, 2012): You consult with an attorney, do all the necessary due... [Read more of this review]

“There is a Fiduciary Duty Here. It’s Really Inconceivable to Us.”

(February 3, 2012): Many folks or businesses agree to manage another person’s interests,... [Read more of this review]

“A Verbal Contract Isn’t Worth the Paper on Which it is Written.”

(November 21, 2011): After twenty years of practicing law, I still receive many... [Read more of this review]

Arbitration Provisions in City Contracts

(September 6, 2011):  When is the last time you examined the contractual... [Read more of this review]

Hotel Occupancy Tax Funds – Management and Duty – Part III of III

(March 30, 2011): In Part I, the Hotel Occupancy Tax (“HOT”) was defined... [Read more of this review]

Hotel Occupancy Tax Funds and Proper Use – Part II of III

(March 22, 2011): In Part I the term Hotel Occupancy Tax was defined, and... [Read more of this review]

Read More Posts From This Category