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Medicare Overpayment Appeals: Successful Strategies – Presented by Scott Grubman

May 27, 2025 | Medicare and Medicaid

Follow along with our interactive transcript below. By entering email and watching this free webinar, you give Chilivis Grubman permission to periodically contact you via email with additional educational and informational material.  We will not share your email with...

Trump Moves to Delay Medicare Drug Pricing—A Win for Big Pharma

Apr 16, 2025 | Medicare and Medicaid

Donald Trump signed an executive order on Tuesday directing the Department of Health and Human Services to work with Congress on amending a key component of Medicare’s new drug price negotiation authority. The directive specifically targets a timeline that drugmakers...

Department of Justice Files False Claims Act Lawsuit Against Wound Care Provider

Apr 14, 2025 | False Claims Act, Fraud Investigations, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid

On April 4, 2025, the Department of Justice announced that it had filed a lawsuit under the federal False Claims Act against Vohra Wound Physicians Management and its founder, Dr. Ameet Vohra.  According to the DOJ, Dr. Vohra and his company allegedly submitted false...

MEDICARE’S “WITHOUT FAULT” PROVISION: A PROVIDER’S SECRET WEAPON?

Mar 24, 2025 | Administrative Law, Health Care, Medicare and Medicaid, Overpayment Appeals

Because Medicare processes over one billion fee-for-service claims annually, it is impossible for CMS and its contractors to review every claim – or even a substantial percentage of claims – on a pre-payment basis.  Accordingly, Medicare has set up various...

Dr. Oz Faces Scrutiny During Senate Confirmation Hearing for CMS Administrator

Mar 18, 2025 | Healthcare Transactions, Medicare and Medicaid

On March 14, Dr. Mehmet Oz, President Donald Trump’s nominee for the Centers for Medicare and Medicaid Services (CMS) Administrator, appeared before the Senate Finance Committee for his confirmation hearing. During the two-and-a-half-hour session, Dr. Oz navigated a...

Spectra Clinical Labs Operator Convicted for Role in Defrauding Medicare of Over $4 Million

Mar 4, 2025 | Medicare and Medicaid

A federal jury in Detroit convicted Sherif Khalil, a 50-year-old man from Redondo Beach, California, for his involvement in a fraud scheme that put Medicare out of over $4 million. The fraud stemmed from the submission of false claims for medically unnecessary urine...
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Recent Posts

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  • Medicare Overpayment Appeals: Successful Strategies – Presented by Scott Grubman
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  • Texas Rheumatologist Sentenced to 10 Years for $118 Million Health Care Fraud Scheme That Falsely Diagnosed Patients
  • The Georgians Sentenced up to 15 Years in Prison for $30 Million COVID-19 Scheme

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