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Hospice Care Fraud Defense

Dr. Nick Oberheiden (Managing Partner) Oberheiden, P.C. More than half of all Medicare patients who die do so while they are a hospice patient.  It is little surprise, then, that the federal government is cracking down on perceived Medicare fraud relating to hospices.  In fact, since 2006, the federal government has...

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Exclusion from Participation in Federal Healthcare Programs

The United States Department of Health and Human Services Office of the Inspector General (OIG) is tasked with identifying and eliminating fraud, waste, and abuse in the Department’s federal healthcare programs. The OIG carries out this mission by conducting audits, inspections, and investigations. The OIG also has the authority to...

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How to Report Medicare Fraud

Identifying Fraud Medicare Fraud is extremely complex and can require the help of experienced and knowledgeable attorneys. In order to stop acts of Medicare fraud against the government, whistleblowers may bring a civil lawsuit under the False Claims Act. Any person or entity that has encountered fraud against federal programs...

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Government Investigations

In recent years, the government has increased its enforcement efforts against physicians, accusing them of a variety of offenses. Most commonly, the federal or state government investigates physicians for alleged fraudulent billing practices, including looking into the number of patients seen, the types of tests ordered, and any upcoding or...

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Physicians vs. Insurance Companies

One of the primary challenges facing physicians today is dealing with insurance companies. Increasingly, insurance companies have become aggressive in denying reimbursements for procedures that are covered by the physicians’ provider agreements. In some cases, the insurers even go so far as to demand that physicians return money that the...

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How Physicians Can Protect Against Former Employees

Physicians who are faced with the need to terminate an employee often worry about the repercussions of such an action. What if the employee steals from you or causes a scene on his or her way out the door? Worse, what if the employee sues for wrongful termination? In general,...

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