"Nationwide Healthcare Lawyers"
Out of the thousands of Federal criminal laws currently in effect, there are handful of rarely cited offenses that have been “resurrected” so to speak, by the government in health care fraud and other white-collar prosecutions. One of these criminal laws is the “Misprision of a Felony” statute. This law has a long and storied […]
Misprision of a Felony – 18 U.S.C. § 4 Read More »
(March 27, 2019): We live in trying times. As the coronavirus disease (COVID-19) has spread both globally and throughout the United States, the government has taken a number of steps to address the current pandemic. On March 13, 2020, President Donald Trump officially declared that the COVID-19 outbreak constitutes a national emergency.[1] Within 72 hours
(October 16, 2019): A Federal District Court Judge recently sentenced a Murfreesboro, TN dentist to prison and ordered that he pay restitution to TennCare (Tennessee’s Medicaid program). Regrettably, the types of improper billing practices cited by the government in the criminal Information filed against the defendant dentist aren’t that uncommon. This recent prosecution serves as
(October 4, 2018): Last week, the Centers for Medicare & Medicaid Services (CMS), confirmed that it intends to initiate the Review Choice Demonstration for Home Health Services project on December 10, 2018. The Review Choice Demonstration project is slated to initially begin in Illinois. This initiative is the renamed, repackaged version of the prior Pre-Claim
(June 28, 2017): The Medicare program is enormous. As of 2016, more than 56 million individuals participated in the program, with more than 10,000 additional individuals enrolling in the program each day. The Centers for Medicare and Medicaid Services (CMS) is the agency responsible for managing this costly program. To direct this $640 billion program,
NBI MEDIC Referrals to Boards, OIG and DOJ are Here! Read More »
(October 11, 2016): More than 45 million children receive government-funded dental care served under Medicaid and CHIP programs. This equates to approximately 1 out every 3 children in the country. The dental care provided includes screening services and other preventive, diagnostic, and treatment services that are medically necessary and properly documented. Under the mandatory Early
Dental Practice Audits are on the Rise — Protect your Interests! Read More »
In 1970, the Occupational Safety and Health Act [1] created the Occupational Safety and Health Administration (OSHA), a regulatory body commissioned to protect private employees against workplace health and safety hazards. At the time OSHA was created, Congress reported that nearly 14,000 people per year died in job-related accidents. [2] Moreover, workplace injuries had risen
OSHA Requirements and Training Read More »
(February 7, 2014): A new report from the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) finds that the Centers for Medicare and Medicaid Services (CMS) and its contractors have adopted few Medicare program integrity practices to address electronic health record (EHR) fraud vulnerabilities. These EHR fraud vulnerabilities include
CMS and Contractors Must Address EHR Fraud Vulnerabilities Read More »
(December 26, 2013): The Department of Health and Human Services (HHS) has long viewed the adoption of Electronic Health Records (EHRs) as a way to better coordinate care, improve the quality of care, reduce unnecessary paperwork, and eliminate duplicative medical testing. Based, at least in part, on these beliefs, Congress authorized incentive payments to encourage
EHR Cloning Practices Can Lead to Medicare Audits Read More »
Author: Ashley Morgan, Annabella Denzel (September 28, 2023): Providers participating in the Medicare and Medicaid programs are currently subject to audit by numerous Federal and State regulatory and law enforcement agencies. Additionally, the Centers for Medicare and Medicaid Services (CMS) has entered several contractual arrangements with private contractors to handle various aspects of administrative integrity
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