Tricare Audit & Fraud Archives - 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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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...

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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...

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