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Articles Posted in Healthcare Fraud

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Post 2 of 2: The Pretrial Diversion Program in Georgia: Answering Questions Relating to the Offense

This is the second post in a series related to the Pretrial Diversion Program in Georgia.  The first post provided an overview of the Pretrial Diversion Programs in Georgia and the potential impact on a successful participant’s criminal record.  This post focuses on how successful completion may impact a participant’s…

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Post 1 of 2: The Pretrial Diversion Program in Georgia: An Overview

Our healthcare and business law firm works with many providers and other professionals who have been arrested and charged with misdemeanors.  Our clients will, of course, hire criminal defense counsel to handle the criminal proceedings but professionals generally hire our firm navigate the professional consequences of an arrest.  Many of…

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3 Tips if You’re Facing an Insurance Audit

Many of our healthcare and business law firm’s clients periodically face audits by insurance companies or governmental organizations, usually through a contractor.  Audits can be unnerving times for a practice to go through.  This blog post outlines 3 tips for handling an insurance audit.  The Centers for Medicaid and Medicare…

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The Anti-Kickback Statute’s Rules on Per-Use or Per-Click Rental Equipment Leases

Many of our healthcare and business law firm’s clients are in the business of renting expensive medical equipment for use by medical practices.  Generally, these arrangements raise compliance questions under the Physician Self-Referral Act, referred to as Stark Law, and the Anti-Kickback Statute (“AKS”).  Should a regulator find an arrangement…

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Stark Law’s Rules on Per-Use or Per-Click Rental Equipment Leases

Many of our healthcare and business law firm’s clients are in the business of renting expensive medical equipment for use by medical practices.  Generally, these arrangements raise compliance questions under the Physician Self-Referral Act, referred to as Stark Law, and the Anti-Kickback Statute (“AKS”).  Should a regulator find an arrangement…

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NAVIGATING THROUGH A CMS PAYMENT SUSPENSION- UPIC AUDITS

About 20% of United States tax dollars are spent on heathcare.  Naturally, reducing improper payments has been a priority of CMS. Thus, all medical practice managers and healthcare providers should be aware of CMS’s process of contracting with Uniform Program Integrity Contractors (UPIC’s), private entities hired by CMS to audit…

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