Oberheiden & McMurrey, LLP Blog

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Medicaid & Medicare Audits for Dentists – What You Need to Know

Categories: Health Care Law

Experienced Legal Defense for Dental Medicare and Medicaid Audits Like all licensed health care professionals and health care service facilities, dentists, and dental offices are subject to the vast web of rules and regulations that govern Medicaid and Medicare billings. Failing to comply with these rules and regulations can have severe consequences, including financial penalties,…

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What are the Penalties for Medicare Fraud?

Categories: Health Care Law

Medical professional with a stethoscope

Federal Defense Attorneys Discuss Medicare Fraud Penalties Medicare fraud costs the federal government billions of dollars every year. As Medicare fraud schemes become more sophisticated, federal authorities are increasingly pouring resources into combating fraud and abuse. While this means that more organized fraud schemes are being uncovered, it also means that legitimate health care providers…

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What is an MAC Audit?

Categories: Health Care Law

MAC audit

Experienced Medicare Administrative Contractor Audit Defense Attorneys The Centers for Medicare and Medicaid Services (CMS) refer to Medicare Administrative Contractors (MACs) as the “hub” of CMS’s fee-for-service audit program. This program, established under the Medicare Modernization Act of 2003, is one of the federal government’s primary tools for fighting Medicare fraud and abuse, and it…

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What Is an RAC Audit?

Categories: Health Care Law

RAC Audit preparation

Trust the Experience and Expertise of our Recovery Audit Contractor Defense Attorneys Every year, Medicare pays billions of dollars in false and fraudulent claims. The federal Medicare system is so vast – and the billing rules and regulations are so complex – that even with their vast resources, the Centers for Medicare and Medicaid Services…

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What is the ZPIC Audit Appeals Process?

Categories: Health Care Law

ZPIC Audit Appeals

Help with  ZPIC Audit Appeals from Experienced Federal Defense Attorneys Zone Program Integrity Contractors (ZPICs) are among the Centers for Medicare and Medicaid Services’ (CMS) most-potent weapons for combating Medicare fraud and abuse. These private government contractors are compensated for uncovering false and fraudulent claims on a contingency-fee basis, which means that they are financially…

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