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Physician’s Group Settles Medicaid False Billing Claim Related to Sleep Studies

A whistleblower complaint triggered the investigation, resulting in a $1.2 million settlement. Last year, Millennium Physicians Association, PLLC, paid the United States government $1,248,964 to settle a false billing claim related to allegations that the company billed Medicare for studies that were conducted without certified specialists. The case highlights how...

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Cardiovascular Genetic Testing Compliance: What Do Doctors Need to Know?

Cardiovascular genetic testing is a rapidly-growing, and extremely valuable, area of modern medicine. Providers seeking to offer these services to their patients must prioritize billing compliance in order to avoid recoupments, pre-payment review, and other penalties for health care fraud. For health care providers that offer cardiovascular genetic testing (hereditary...

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What Doctors Need to Know Before Billing for Cardiovascular Genetic Testing

When billing Medicare and other payors for cardiovascular genetic testing, a key issue is whether the testing is "medically necessary" under the applicable billing guidelines. Cardiovascular genetic testing is a breakthrough form of diagnostic screening that allows doctors to help patients plan for – if not prevent – potentially-serious health...

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Healthcare Fraud Involving Mobile Clinics Defense

Experienced Defense Team If you need advice regarding charges of healthcare fraud involving mobile clinics, do not hesitate to contact one of our healthcare defense attorneys as soon as possible. As the coronavirus pandemic continues to take its toll on society, healthcare fraud has grown increasingly rampant. The DOJ is...

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I Was Served with a Subpoena. Now What?

If you have been served with a subpoena, you need to respond, and at this point crafting your response should be among your top priorities. But, how should you respond, exactly? What information do you need to be prepared to provide? What information are you entitled to withhold? Do you...

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How Do I Get Out of a Subpoena to Testify?

If you have been served with a federal subpoena, there are various reasons why you might prefer not to testify. Under any circumstances, providing testimony before a federal agency or in federal district court presents risks, and there is no reason to face these risks unnecessarily. Of course, if you...

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Does a Subpoena Have to Be Served in Person?

Being served with a subpoena immediately leaves you with lots of questions, and the subpoena itself provides very few answers. It also provides you with very little time to get your bearings and make the decisions you need to make in order to protect yourself. If you received your subpoena...

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What Happens if You Ignore a Subpoena?

Receiving a federal subpoena can raise lots of questions: Why have you been subpoenaed? What information or records do you need to provide? Are you entitled to withhold privileged information or records? What happens if you simply ignore it? With regard to this last question, ignoring a federal subpoena is...

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DOJ Announces Nationwide Opioid Fraud Takedown Involving $6 Billion in Alleged False and Fraudulent Claims

On September 30, 2020, the U.S. Department of Justice (DOJ) announced what it is calling a "historic nationwide enforcement action" that has resulted in charges against 345 defendants who are all accused of playing a role in an alleged $6 billion opioid fraud network. According to the DOJ’s press release:...

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What is “Risk Management” in the Healthcare Setting?

Working in healthcare inherently presents several types of risk. Risks such as those associated with treating patients, storing confidential patient records, maintaining a safe work environment, and maintaining emergency response capabilities are front-and-center for many providers and facility administrators, but the reality is that these only represent one subset of...

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