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What Dentists Should Do When They Receive a “Notice of Intent to Exclude”

Oberheiden, P.C. Former Medicare Prosecutors & Defense Counsel A "Notice of Intent to Exclude" is among the most serious warnings any healthcare provider can receive. Exclusion, in this context, means a prohibition from serving federally funded patients. This is particularly devastating if Medicare and Medicaid patients represent a substantial portion...

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Government & Internal Investigation

The Government Continues to Add Arrows to Its Anti-Fraud Quiver Experienced Healthcare Fraud Defense Attorneys Discuss Anti-Fraud Information with Professionals Former Medicare Prosecutors & Defense Counsel Since 1990 the Government Accountability Office (GAO) has provided a report that calls attention to agencies and program areas that are at high risk...

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HIPAA and the Age of Cloud Computing

HIPAA Compliance Defense Attorneys Discuss the Age of Cloud Computing Computers are so ubiquitous that most people cannot imagine muddling through everyday life without finding some reason to fire one up.  Computers have evolved over time from huge machines that could take up an entire room into devices that easily fit...

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Who Is The No 1 Enemy Of A Physician?

While many physicians (rightfully) worry about competition taking away patients, hospital administrators or insurance companies limiting the treatments they can provide, and patients who threaten to leave bad online reviews or, worse, file a malpractice lawsuit or complain to the medical board, none of these participants in your practice can...

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5 Fraud & Abuse Laws That Every Physician Should Know

Dr. Nick Oberheiden, Esq. Direct: 888-680-1745 The purpose of this overview is raise awareness among physicians (or to remind them) of important laws that apply to their practice and underlying business transactions. Due to the constraints of this paper, a detailed account or legal analysis cannot be provided. For...

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How Physicians Can Protect Against Former Employees

Physicians who are faced with the need to terminate an employee often worry about the repercussions of such an action. What if the employee steals from you or causes a scene on his or her way out the door? Worse, what if the employee sues for wrongful termination? In general,...

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Physicians vs. Insurance Companies

One of the primary challenges facing physicians today is dealing with insurance companies. Increasingly, insurance companies have become aggressive in denying reimbursements for procedures that are covered by the physicians’ provider agreements. In some cases, the insurers even go so far as to demand that physicians return money that the...

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Government Investigations

In recent years, the government has increased its enforcement efforts against physicians, accusing them of a variety of offenses. Most commonly, the federal or state government investigates physicians for alleged fraudulent billing practices, including looking into the number of patients seen, the types of tests ordered, and any upcoding or...

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