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...Read more
Federal Authorities are Targeting Addiction Clinic Owners in Tricare Fraud Investigations Under the False Claims Act
Addiction clinics that serve military personnel, veterans, and their family members who are Tricare beneficiaries are at risk of being targeted in federal healthcare fraud investigations. In just one of many recent examples, on March 14, 2019, the U.S. Department of Justice (DOJ) announced that a physician hired to serve...Read more
What Do Healthcare Providers Need to Know about Tricare Audits and Investigations?
For healthcare providers who serve military servicemembers, veterans, and their families, ensuring compliance with the Tricare billing requirements is just as important as complying with the Medicare and Medicaid regulations. Even if treating Tricare beneficiaries makes up only a relatively small percentage of your practice, you are held to the...Read more
What to do in a Tricare Audit?
Oberheiden, P.C. Federal-Lawyer.com Direct: 888-680-1745 Including Weekends The federal government has dramatically increased the number of investigations against Tricare healthcare providers. The Tricare Pharmacy Program is administered by Express Scripts. Many Tricare providers such as physicians, pharmacies, compound pharmacies, and toxicology groups affected by these audits are confronted with an...Read more