Jul 3, 2024 | Health Care
The Justice Department has continued to intensify its investigative efforts to combat fraud draining billions of dollars from the United States health care system annually. On Thursday, Attorney General Merrick Garland announced charges against 193 people for their...
Jul 1, 2024 | Medicare and Medicaid
Medicare has recently intensified its focus on durable medical equipment (DME) due to concerns about fraud and overpayments. Common schemes of DME fraud include billing for equipment that was never provided, upcoding to more expensive items, or prescribing medically...
Jun 28, 2024 | Commercial Payor Audits, Medicare and Medicaid, Overpayment Appeals
As most healthcare providers know, Medicare, like most payors, operates on a “pay and chase” system; meaning, they pay the vast majority of claims promptly, and then audit and attempt to recoup overpayments later should they discover information that calls the...
Jun 27, 2024 | Code Enforcement
Navigating the intricacies of code enforcement in Georgia can be daunting for property owners and business operators. Whether you’re a homeowner, a landlord, or a commercial property owner, it’s crucial to be aware of the local regulations and the...
Jun 27, 2024 | Health Care
Earlier this month, we represented a podiatry practice in a Medicare Part B overpayment appeal before an Administrative Law Judge. The appeal involved the use of amniotic fluid injections used on patients in 2021. Medicare demanded an overpayment over $95K plus...
