Healthcare Law Archives - Federal Lawyer
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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 Healthcare Providers Need to Know About the Anti-Kickback Statute

The federal Anti-Kickback Statute is one of the most important laws for healthcare providers in the United States. It is also one of the most misunderstood. The Anti-Kickback Statute prohibits the payment of compensation (or "remuneration") for referrals or other business that results in the receipt of federal funds. This...

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Filing a Qui Tam Lawsuit: An Overview of the Process

The qui tam provisions of the False Claims Act allow private citizens to help the federal government hold government contractors, healthcare providers, and other entities accountable for fraud, waste, and abuse (FWA). By filing a qui tam lawsuit, private citizens can notify the government of FWA under federal contracts, grants,...

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How to Win a Medicare Appeal

If you own or operate a medical practice or other business in the healthcare industry and have questions about Medicare appeals, you are not alone. According to data from the U.S. Department of Health and Human Services (DHHS), about 10% of all Medicare fee-for-service claims are denied, and about 3%...

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DOJ Targets COVID-19 Test Fraud

While federal authorities are continuing to aggressively investigate and prosecute Paycheck Protection Program (PPP) and Economic Injury Disaster Loan (EIDL) fraud—which has been called the "biggest fraud in a generation"—this isn't the only form of COVID-19 fraud that remains on the government's radar. The U.S. Department of Justice (DOJ) is...

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What are Some Compliance Standards That IV Therapy Providers Have to Meet?

Intravenous (IV) therapy is one of the newest popular trends in medicine, particularly among the wealthy and celebrities. Common therapies are IV drips of vitamins, which purport to boost the immune system, and low-level painkillers that claim to cure a hangover. Enough people have sought them out that many spas...

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4 Common Mistakes When Creating a Corrective Action Plan

Healthcare companies that have been found to be in noncompliance with their billing systems are often required to create and implement a Corrective Action Plan in order to continue to work with the private insurer or the public healthcare program that initiated the investigation. The fact that it is up...

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The U.S. Supreme Court Just Overturned Two Doctors’ Opioid Convictions. What Does This Mean for You?

In a notable decision for doctors who prescribe opioid medications to their patients, the U.S. Supreme Court recently overturned the convictions of two doctors who were charged with illegally dispensing opioids—potentially filling hundreds of thousands of unlawful prescriptions between 2011 and 2015. The Supreme Court's decision in Ruan v. United...

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U.S. Department of Justice (DOJ) Targets Podiatrists for Alleged Foot Bath Schemes

The U.S. Department of Justice (DOJ) has recently targeted multiple podiatrists suspected of defrauding Medicare and other healthcare benefit programs. Each case has involved allegations of operating an unlawful “foot bath scheme” with medically unnecessary treatments that are not eligible for reimbursement. It seems that podiatrists are now squarely within...

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CMS and DOJ Target Healthcare Providers Offering Sanexas Pain Management and Treatment Services

The Centers for Medicare and Medicaid Services (CMS) and U.S. Department of Justice (DOJ) are targeting healthcare providers that offer Sanexas pain management and treatment services to their patients. Targeted healthcare providers face substantial risks—including the risk of recoupment liability, Medicare exclusion, criminal fines, and even federal imprisonment in some...

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