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How CGX Laboratories Can Be Compliant

Medicare began providing coverage for genetic cancer screening (CGX) in 2018. While this was a positive development for testing laboratories, some labs that have been billing Medicare for CGX have run into compliance issues. If your testing laboratory bills Medicare for CGX, this article provides an overview of what you...

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CBD Compliance for Pharmacists

More patients are coming to you every day asking about CBD oil and other cannabis-based treatments and medications. Here’s what you need to know in order to maintain federal compliance. When the federal Agriculture Improvement Act of 2018 (commonly known as the “Farm Bill”) was passed late last year, hemp...

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Alzheimer’s Testing Compliance

According to the National Institutes of Health (NIH), it is estimated that more than 5.5 million Americans may suffer from Alzheimer’s disease. Among other things, this means that diagnosing and treating seniors with Alzheimer’s disease presents a significant opportunity for neurologists, psychiatrists, geriatricians, and other health care providers to help...

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Continuous Glucose Monitoring (CGM) Medicare Compliance

In 2018, the Centers for Medicare and Medicaid Services (CMS) expanded Medicare coverage for continuous glucose monitoring (CGM). While this is good news for program beneficiaries who need CGM, billing compliance has proven to be a challenge for many pharmacies and other health care providers. When continuous glucose monitoring (CGM)...

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Medicare Revalidation: What Do Health Care Providers Need to Know?

All Medicare-participating health care 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...

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Why DOL Providers Should Absolutely Have a Corporate Compliance Program

Former DOL Prosecutors and Experienced DOL/Workers Compensation Lawyers Protect Business Owners and Medical Providers Nationwide Oberheiden, P.C. is one of the few firms with substantial experience in the areas of federal workers compensation regulations. Attorney Dr. Nick Oberheiden and his team have advised DOL providers across the country how to...

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DEA Registration Applications, Denials & Show Cause Hearings

  Federal Defense Attorneys Assisting with DEA Application Denials In order to prescribe or dispense controlled substances as a health care provider in the United States, you must first register your practice, business, or facility with the U.S. Drug Enforcement Administration (DEA). DEA registrations also need to be renewed on...

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Safe Harbors and Healthcare Compliance

  Dr. Nick Oberheiden, Esq. www.federal-lawyer.com (214) 469-9009 Available on Weekends Safe Harbors Explained In healthcare, a safe harbor is a recognized exception to the Anti-Kickback Statute. While the Anti-Kickback Statute prohibits financial relationships between referral sources and business partners in general, safe harbors offer avenues to structure the exchange...

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What Are “Suspect Arrangements” in the Context of Physician Joint Ventures?

  Dr. Nick Oberheiden, Esq. www.federal-lawyer.com (214) 469-9009 Available on Weekends Physician Joint Ventures Joint ventures between physicians and healthcare businesses have become common in nearly all sectors of the healthcare industry. Many physicians are looking for new and additional revenue streams in light of reduced income generated from their...

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How the “Emergency Defense Package” Can Expedite Healthcare Compliance

  Dr. Nick Oberheiden, Esq. www.federal-lawyer.com (214) 469-9009 Available on Weekends Healthcare fraud investigations by the Office of Inspector General (OIG) are at an all time high. Toxicology laboratories, pharmacies, compound pharmacies, home health, hospice care centers and other healthcare businesses are experiencing a noticeable increase of pressure from federal...

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