Oberheiden, P.C. Blog

When Can a Mobile Ambulance Ride Lead to Charges for Medicare Fraud?

Categories: Health Care Law

Medicare’s Strict Billing Rules for Mobile Ambulance Services Create Significant Risks for EMS Providers Emergency medical services (EMS) providers serve a critical role in our health care system. However, like all health care providers that bill Medicare for their services, they are subject to strict billing rules and regulations, and failure to adhere to these…

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How Can I Avoid Criminal Charges in a Medicaid Fraud Audit?

Categories: Health Care Law

medicaid audit gavel and money

The Current Reality of Medicaid Enforcement Did your practice receive a request for patient charts? Are you under audit? Did a Medicaid intermediary send you a letter or did investigators from the Medicaid Fraud Control Unit tried to interview you? Are you concerned you could be under Medicaid investigation? If so, this is what you…

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

Categories: Health Care Law

Dental professional working on a patient

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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