Brian Kuester
Former U.S. Attorney
Lynette Byrd
Former Assistant
U.S. Attorney
John Sellers
Former DOJ
U.S. Attorney
Joe Brown
Former U.S. Attorney
(Local Counsel)
Dr. Nick Oberheiden
Attorney & Founder
Telemedicine and Cardiovascular Genetic Testing: What Do You Need to Know?
While telemedicine is gaining widespread acceptance – due in no small part to the impacts of the recent pandemic – when it comes to billing for telemedicine services, providers still face many challenges. Telemedicine billings often face enhanced scrutiny, and there are various issues that do not exist when providing...
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Cardiologist Defense: Cardiovascular Genetic Testing Fraud
For cardiologists, the introduction of cardiovascular genetic testing presents both new opportunities and new risks. Already, many cardiologists are facing scrutiny for Medicare billing fraud, and financial relationships with testing laboratories and other entities are leading to federal enforcement actions as well. As a cardiologist, anything you can use to...
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Department of Justice Renews Crack Down Fraudulent Billing and Unlawful Kickbacks
Healthcare professionals must ensure total compliance with Medicare, Medicaid, and other federally-funded government programs to avoid liability. Federal prosecutors are again focusing their efforts on preventing healthcare fraud. However, as prosecutors hone in on reducing fraud, law-abiding healthcare professionals may get caught in the government's wide net. Two of the...
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Physician’s Group Settles Medicaid False Billing Claim Related to Sleep Studies
A whistleblower complaint triggered the investigation, resulting in a $1.2 million settlement. Last year, Millennium Physicians Association, PLLC, paid the United States government $1,248,964 to settle a false billing claim related to allegations that the company billed Medicare for studies that were conducted without certified specialists. The case highlights how...
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After Major Takedown, DOJ Continues to Target Cardiovascular Genetic Testing Fraud
As cardiovascular genetic testing continues to garner widespread use, the DOJ is targeting health care providers that fraudulently bill for predictive testing and preventative services. In September 2019, the U.S. Department of Justice (DOJ) announced a major takedown involving doctors, testing laboratories, and telemarketing companies accused of fraudulently billing Medicare...
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Cardiovascular Genetic Testing Compliance: What Do Doctors Need to Know?
Cardiovascular genetic testing is a rapidly-growing, and extremely valuable, area of modern medicine. Providers seeking to offer these services to their patients must prioritize billing compliance in order to avoid recoupments, pre-payment review, and other penalties for health care fraud. For health care providers that offer cardiovascular genetic testing (hereditary...
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What Doctors Need to Know Before Billing for Cardiovascular Genetic Testing
When billing Medicare and other payors for cardiovascular genetic testing, a key issue is whether the testing is "medically necessary" under the applicable billing guidelines. Cardiovascular genetic testing is a breakthrough form of diagnostic screening that allows doctors to help patients plan for – if not prevent – potentially-serious health...
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Healthcare Fraud Involving Mobile Clinics Defense
Experienced Defense Team If you need advice regarding charges of healthcare fraud involving mobile clinics, do not hesitate to contact one of our healthcare defense attorneys as soon as possible. As the coronavirus pandemic continues to take its toll on society, healthcare fraud has grown increasingly rampant. The DOJ is...
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I Was Served with a Subpoena. Now What?
If you have been served with a subpoena, you need to respond, and at this point crafting your response should be among your top priorities. Attorney Nick OberheidenSubpoena Defense Team Lead But, how should you respond, exactly? What information do you need to be prepared to provide? What information are...
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What Happens if You Ignore a Subpoena?
Receiving a federal subpoena can raise lots of questions: Why have you been subpoenaed? What information or records do you need to provide? Are you entitled to withhold privileged information or records? What happens if you simply ignore it? With regard to this last question, ignoring a federal subpoena is...
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