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health care fraud

  • Telemedicine: What It Is & How It Affects Licensure

    With the advent of mass telecommunications, the medical industry has reached a whole new frontier of practice. As information sharing, cloud-based computing, and videoconferencing technology all improve at a rapid pace, a doctor’s ability to provide care and diagnosis remotely ... Read Article
  • Qui Tam Lawsuits and Violations of the Federal False Claims Act

    From its earliest beginnings, the False Claims Act (FCA) has been a valuable resource in uncovering fraud against the federal government. In fiscal year 2010, the FBI estimated that health care fraud cost American tax payers over $80 billion a year. Of that amount, $2.5 billion ... Read Article
  • What is involved in a healthcare fraud investigation?

    It’s no secret that the medical industry is highly regulated and scrutinized. Because healthcare fraud costs the government and taxpayers billions of dollars every year, the federal government as well as the Texas State Attorney General’s Office and the Texas Department of ... Read Article
  • Medicare Overpayment Corrections

    A payment made by Medicare in excess of the amount properly payable by law is an overpayment. If Medicare identifies an overpayment, it becomes a debt that you owe to the federal government. Under applicable federal law, CMS (Centers for Medicare Services) will attempt to recover ... Read Article
  • Medicaid/Medicare Fraud and Dental Practices

    If you are a dentist or manage dental clinics in Texas, you are very likely aware of the increase in governmental regulation in the form of Medicaid/Medicare fraud prevention. In 2013, David Heath for the Center for Public Integrity wrote: "Texas has been embroiled in a Medicaid ... Read Article
  • What to Expect When the AG/OIG Shows Up at Your Door

    If you're dodging the OIG, the theory goes, there's a reason. In other words, if you have a request for information (like a subpoena) and you ignore it, the government is only going to make it worse. What does worse look like? More sanctions, more expense to you and your ... Read Article
  • Healthcare billing practices are under increased scrutiny

    In July 2014, a federal jury found a Texas businessman guilty of 15 counts of health care fraud. The jurors found that the man had directed the billing coders at his hospital to illegally change diagnoses in up to $1.1 million worth of claims to Medicare. The businessman could ... Read Article
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