Medicare & Medicaid Fraud Archives - Page 2 of 2 - Federal Lawyer
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Is It Legal to Purchase Medicare Leads?

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...

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What Cardiologists Should Know About Medicare Fraud Prosecutions

CMS & FBI Targets Cardiologists for Stress Tests, Opioid Abuse, and Billing Fraud. Prosecutions Nationwide. Are you a cardiologist? Is your business under audit? Did a patient threaten to complain against you? Did you receive a ZPIC audit request? Are you consider an "outlier?" Have you received notice from the...

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Hyperbaric Oxygen Therapy Fraud Investigations

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...

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

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 healthcare system. However, like all healthcare providers that bill Medicare for their services, they are subject to strict billing rules and regulations, and failure to...

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