For health care providers nationwide, few laws raise more compliance concerns than the Health Insurance Portability and Accountability Act (HIPAA). Enacted in 1996, HIPAA changed the way that health care providers managed virtually all aspects of their businesses; and constant...Read More
A Shocking Case of Deception and Abuse… But Are the Allegations All Fair? As medical fraud defense lawyers, our blog frequently focuses on overzealous prosecutors and the cases in which innocent health care providers are target unfairly. There’s a good...Read More
Like all health care providers and medical facilities that bill Medicaid and Medicare for reimbursement, dentists and dental practices are subject to constant scrutiny. Federal authorities including the U.S. Department of Justice (DOJ) and the Centers for Medicare and Medicaid...Read More
In the United States, federal antitrust laws prohibit companies from engaging in commercial practices that have an anticompetitive effect on the market. Laws such as the Sherman Act include “private right of action” provisions that allow competitors and other interested...Read More
Tips for Avoiding Them as a Provider (And Handling Them When They Arise) If you treat even a handful of Medicare / Medicaid patients at your medical practice, the amount of paperwork you process back and forth with the government...Read More
The civil investigative demand (or “CID”) is a powerful tool that various agencies of the federal government can use to collect information about the targets of their investigations. One agency that is well known for its extensive use of civil...Read More
If your health care business or medical practice is facing recoupments and other penalties as a result of a Zone Program Integrity Contractor (ZPIC) audit, you need to quickly assess your options for filing an appeal. Flawed audit determinations are...Read More
It’s Just the Latest Case in a String of Dallas Health Care Fraud Investigations Dallas doctors are no strangers to health care fraud fines, audits, or even criminal prosecutions. We’re a big city, with a lot of providers and even...Read More
Medicaid is unique among the major government health care benefit programs because it is jointly funded by each state and the federal government. States administer Medicaid locally according to federal requirements, which means that both state and federal laws govern...Read More
The Criminal Defense Firm is a health care fraud defense law firm that consists of former Department of Justice health care fraud prosecutors and experienced federal defense attorneys. We represent clients that find themselves in the middle of a sober...Read More
