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What Happens When You Receive an ADR from a CMS Auditor?
If you have received an additional documentation request (ADR) from your CMS auditor (i.e., a MAC, RAC, UPIC, or SMRC), you might be wondering what happens next. At this stage, the short answer is, “It’s up to you.” If you respond to the ADR letter and provide documentation to support...
Read moreFlorida Department of Health Investigations
Experienced Defense Counsel for Health Care Professionals Facing Florida Department of Health Investigations Facing an investigation from the Florida Department of Health presents substantial risks. These Florida Department of Health investigations can target a wide range of allegations—and, depending on the allegations you are facing, your professional license could be...
Read moreSovereign Immunity Attorney
Experienced Federal Defense Counsel for Sovereign Immunity Matters in the United States Sovereign immunity laws protect federal personnel and foreign diplomats against personal liability in a wide range of circumstances. However, while their protections are broad, they are not absolute. As a result, federal personnel and foreign diplomats representing their...
Read moreCan I Change My White Collar Federal Defense Attorney?
When you are facing white collar criminal charges in federal court, one of the most important choices you need to make is your choice of legal representation. You are facing years (if not decades) of prison time and hundreds of thousands (if not millions) of dollars in fines. As a...
Read moreUnemployment Insurance Fraud: Understanding the Risks
Unemployment insurance (UI) fraud costs taxpayers tens of billions of dollars per year—if not more. This includes fraud perpetrated by both individuals and organizations. Even if the dollar amount involved in any one particular case may be relatively low, the costs of unemployment insurance fraud add up, and this means...
Read moreDOJ Targets Medicare Fraud Involving Ambulance and Ambulette Transportation Services
The U.S. Department of Justice (DOJ) has recently pursued multiple cases involving allegations of Medicare fraud against the owners of ambulance and ambulette companies. The U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) has pursued similar cases in recent years as well. As a result, it...
Read moreForfeiture and Restitution in Federal Criminal Cases
Forfeiture and Restitution are Mandatory Penalties in Many Federal Criminal Cases Along with facing fines and incarceration, individuals targeted for prosecution can also face forfeiture and restitution. Criminal forfeiture involves the government seizing or restraining assets as a form of punishment, while restitution compensates crime victims for their losses. With...
Read moreDefense Lawyers for Cardiologists Accused of Medicare Fraud Involving Sestamibi and Tetrofosmin
Our Lawyers Are Available to Represent Cardiologists Accused of Overbilling Novitas Solutions, Inc. Two cardiologists in New Jersey have filed a massive qui tam lawsuit under the False Claims Act accusing more than a thousand other cardiologists of improperly billing Novitas Solutions, Inc. ("Novitas") for sestamibi and tetrofosmin. The U.S....
Read moreIRS Whistleblower Office Highlights Importance of Whistleblowing & Efforts to Improve Whistleblower Program
The Internal Revenue Service (IRS) Whistleblower Office recently released its first-ever multi-year operating plan. While the IRS Whistleblower Office (the “Office”) began operating in 2007, it remained relatively unknown—and thus relatively inactive—until its current Director, John Hinman, took over in 2022. In the fiscal year 2024, the IRS Whistleblower Office...
Read moreDefense Logistics Agency (DLA) Contracting: Understanding the Risks for Debarment, Suspension, and Other Penalties
The Defense Logistics Agency (DLA) manages tens of billions of dollars in defense spending annually. It works with thousands of suppliers through programs like DLA Aviation to deliver food, clothing, construction equipment and materials, and medical supplies to support the armed forces worldwide. It supports global humanitarian and disaster relief...
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