Oberheiden, P.C. Blog

Federal CGX and PGX Investigations

Categories: Medicare & Medicaid Fraud

Oberheiden P.C. Represents Laboratories, Distributors, and Business Owners in CGX and PGX Investigations Nationwide Are you worried about current PGX and CGX investigations? Did one of your former business partners get raided or indicted? Did the FBI or agents from the Office of Inspector General (OIG) stop by to interview you? Were you served a…

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Penalties in Home Health Medicare Fraud

Categories: Medicare & Medicaid Fraud

Medicare Fraud Defense Attorneys Available Now Everyone knows how dangerous it is to mess with Medicare billing. Few, however, are aware what actual penalties and consequences Medicare fraud allegations can trigger. Of all industries, owners of home health care centers are disproportionately high exposed to audits, investigations, and even criminal charges. Whether it is Form…

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Is It Legal to Purchase Medicare Leads?

Categories: Medicare & Medicaid Fraud

Doctor talking on phone

This summary, co-written by former DOJ healthcare fraud prosecutors, attempts to answer a question of increasing importance: under what circumstances is it legal to purchase patient leads? What is the difference between a raw and a qualified lead—and why does it matter? What is the Justice Department’s position on the sale of Medicare or Tricare…

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The Growing Threat of Zone Program Integrity Contractor (ZPIC) Audits

Categories: Health Care Law

Health care providers face immense scrutiny for allegations of fraud and abuse in the current regulatory climate. Consequently, they encounter significant threats to their future business viability, including recoupment and civil/criminal penalties, when undergoing audits conducted by the federal government. It is essential that you as a healthcare provider, servicing the Medicare market, fully understand…

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Hyperbaric Oxygen Therapy Fraud Investigations

Categories: Health Care Fraud

medicare fraud

Federal Prosecutors Have Raided Medicaid and Medicare Providers for Alleged Fraud in Connection with Oxygen Therapy Devices Medicare and Medicaid reimburse well for hyperbaric oxygen therapy devices and several business owners and providers have promoted the idea to beneficiaries. Unfortunately, however, the dispensing of oxygen devices is a decision of medical necessity that requires the…

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