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Has Your Business or Practice Been Contacted by a Recovery Audit Contractor (RAC)? Here is What You Can Expect.

Experienced Healthcare Defense Attorney Helping Health Care Providers Prepare for RAC Audits While most health care providers do their best to ensure that they remain in compliance with Medicare’s strict and constantly-changing requirements for services and medical equipment reimbursement, widespread...Read More

ZPIC Audit Lawyers

What is a ZPIC Audit? Healthcare Fraud Defense Lawyers Explain ZPIC Audit Procedures Zone Program Integrity Contractors (ZPICs) are non-governmental entities who get paid to uncover improper and fraudulent billings under the federal Medicare system. Facing a ZPIC audit is...Read More

What is a ZPIC Investigation?

Healthcare Fraud Defense Attorneys Explain ZPIC Investigations If your medical practice, hospice, nursing home, home health agency, or other Medicare-reimbursed health care practice is being investigated by a Zone Program Integrity Contractor (ZPIC), it is critical that you gain a...Read More

Nursing Homes Must Take a Proactive Approach to Defending ZPIC Audits

Defense Attorneys Assisting Nursing Facilities with ZPIC Audits Zone Program Integrity Contractor (ZPIC) audits can expose nursing homes to recoupment requests, denial of future Medicare payments, and federal prosecutions that can lead to civil fines and criminal penalties. If your...Read More

Is Your Home Health Agency Being Targeted in a ZPIC Audit?

Health Care Defense Lawyers Working through ZPIC Audits with Home Health Agencies Home health agencies in the United States are subject to strict regulatory scrutiny, and data-driven investigative practices are causing an increasing number of home health care providers to...Read More

ZPIC Audits: How to Deal with Medicare Contractors

Health Care Attorneys Handling ZPIC Medicare Audits? 3/27/2017 For hospitals, physician-owned entities, hospices, durable medical equipment (DME) manufacturers, and other entities in the healthcare industry, Zone Program Integrity Contractor (ZPIC) audits can often lead to drastic consequences. Not only can...Read More

Hospice Compliance

Hospice Compliance Discussed by Experienced Nationwide Medicare Attorneys The Department of Health and Human Services (HHS) is one of many federal agencies tasked with enforcing federal Medicare regulations, including hospice compliance. The Office of Inspector General (OIG) is HHS’s primary...Read More

What Hospice Facility Owners and Administrators Need to Know About ZPIC Audits

Facing a Zone Program Integrity Contractor (ZPIC) audit can have serious consequences for hospice facilities and their owners and administrators. When faced with a ZPIC audit, taking a proactive approach is critical, and hospices should be prepared to dispute their...Read More

Seven Key Facts for Health Care Providers About the ZPIC Audit Appeals Process

If a Zone Program Integrity Contractor (ZPIC) has determined that you or your company is liable for repayment of Medicare payments, you have the right to file an appeal. In this article, the healthcare fraud defense attorneys at Oberheiden, P.C....Read More

What All Medical Providers Should Know About RAC Audits

Health Care Defense Attorneys Offer a Legal Perspective on RAC Audits In addition to the risk of facing a federal investigation, healthcare providers who participate in Medicare and Medicaid are also at risk for being targeted in a Recovery Audit...Read More