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...
Jun 25, 2024 | White Collar Crime
A federal jury found Dr. Merideth Norris guilty of 15 counts of unlawfully distributing controlled substances. Norris was originally arrested and indicted in October 2022 as one of the first arrests and charges made by the New England Prescription Opioid Strike Force....
Jun 25, 2024 | Criminal Matters, Government Investigations, Health Care, Health Care Fraud
On June 24, the Department of Justice (DOJ) announced the sentencing of two pharmacy owners in a case involving allegations of false claims submitted to Medicare and subsequent money laundering. Peter Khaim, 44, and his brother Arkadiy Khaimov, 41, both from Forest...