What Is Healthcare Billing Compliance?
Healthcare Attorneys and Billing Experts Assist with Medical Billing and Coding Questions Of the many ways someone can get into trouble in the healthcare space, incorrect billing and coding are definitely on the top of the list. After all, all the efforts of a physician or business owner to be...
Read moreCommon Mistakes with OWCP Billing
DOL Attorneys and Experienced OWCP Billing Specialists Are Available to Help You Today Are you overutilizing ultrasound applications? Are you certain your billing accurately reflects the important distinctions between codes 99214 and 99215? Are you billing the Department of Labor physical therapy services through a massage therapist, chiropractor, or physical...
Read moreHow Should I Bill OWCP Healthcare Claims?
DOL Attorneys and Expert Billing Consultants Are Available to Help Your Federal Workers Comp Clinic Home Health Medicare Fraud DOL Attorneys and Expert Billing Consultants Are Available to Help Your Federal Workers Comp Clinic Did You Know that Just 10 Incorrect Billing Claims to DOL Can Result in $ 100,000...
Read moreMedicare Revalidation: What Do Healthcare Providers Need to Know?
All Medicare-participating healthcare providers and medical businesses are subject to revalidation. The revalidation process involves confirming the accuracy of the provider’s enrollment data (or making updates, if necessary), and it must be completed upon request from the Centers for Medicare and Medicaid Services (CMS). According to CMS: “Medicare providers must...
Read more25 Key Facts about Federal Drug Diversion Investigations
Facing a federal drug diversion investigation is an extremely serious matter. If you have received a target letter or subpoena, or if any employee of your business or practice has been contacted by a federal agent, here are 25 key facts you need to know: 1. Combatting Drug Diversion (and...
Read morePodiatrists are Being Investigated for Billing Fraud in Connection with Grafts and Other Wound Treatment Procedures
As a podiatrist, you know that promptly treating a patient’s wounds can be critical to mitigating the risk of infection and other potentially-debilitating complications. However, you likely also know that obtaining authorization for these treatments and the skin substitutes used during these treatments can be extremely challenging. Obtaining authorization can...
Read moreWith Questcor Pharmaceuticals and Mallinckrodt Facing Prosecution for Medicare Fraud, the Doctors Who Prescribed H.P. Acthar Gel May Be Next
When the news broke of a 97,000% price hike for a medication used to treat infantile spasms, a rare form of epilepsy, in 2018, almost no one knew that the drug’s manufacturer was already being targeted by the U.S. Department of Justice (DOJ). While the news media published heart-wrenching stories...
Read moreWhat Are the Penalties in Healthcare Kickback Cases?
Here is Why Healthcare Marketing Specialists, Physicians, and Healthcare Business Owners from Across the United States Want Oberheiden P.C. on Their Defense Team Oberheiden PC is a team of former DOJ Officials, presidentially appointed and U.S. Senate confirmed attorneys, former Special Agents with significant healthcare law enforcement backgrounds. Our team...
Read moreIs It Legal to Purchase Medicare Leads?
This summary, co-written by former DOJ healthcare fraud prosecutors, attempts to answer a question of increasing importance: under what circumstances is it legal to purchase patient leads? What is the difference between a raw and a qualified lead—and why does it matter? What is the Justice Department’s position on the...
Read moreCan the Government Take My Money in a Healthcare Fraud Case?
Recently, Federal Authorities have been Relying on a New Tactic to Target Healthcare Providers and Other Individuals and Organizations Accused of Medicare, Medicaid, Tricare, and Department of Labor (DOL) Fraud: Civil or Criminal Asset Forfeiture. As if healthcare providers and medical companies didn’t have enough to worry about. Although fraud...
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