Amanda S. Marshall
Former U.S. Attorney
(Local Counsel)
Lynette Byrd
Former Assistant
U.S. Attorney
Roger Bach
Former Special
Agent
(OIG & DEA)
Joe Brown
Former U.S. Attorney
Dr. Nick Oberheiden
Attorney & Founder
What Cardiologists Should Know About Medicare Fraud Prosecutions
CMS & FBI Targets Cardiologists for Stress Tests, Opioid Abuse, and Billing Fraud. Prosecutions Nationwide. Are you a cardiologist? Is your business under audit? Did a patient threaten to complain against you? Did you receive a ZPIC audit request? Are you consider an "outlier?" Have you received notice from the...
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Hyperbaric Oxygen Therapy Fraud Investigations
Federal Prosecutors Have Raided Medicaid and Medicare Providers for Alleged Fraud in Connection with Oxygen Therapy Devices Medicare and Medicaid reimburse well for hyperbaric oxygen therapy devices and several business owners and providers have promoted the idea to beneficiaries. Unfortunately, however, the dispensing of oxygen devices is a decision of...
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When Can a Mobile Ambulance Ride Lead to Charges for Medicare Fraud?
Medicare's Strict Billing Rules for Mobile Ambulance Services Create Significant Risks for EMS Providers Emergency medical services (EMS) providers serve a critical role in our healthcare system. However, like all healthcare providers that bill Medicare for their services, they are subject to strict billing rules and regulations, and failure to...
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What to Do in a Medicaid Dental Audit?
Experienced Medicaid Fraud Defense Lawyers Assisting Dentists during Dental Medicaid Audits Former Medicare Prosecutors & Defense Counsel A recent report from the American Academy of Pediatric Dentistry (AAPD) highlights the increased attention law enforcement agencies are focusing on healthcare fraud within the field of pediatric dentistry. State and federal...
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What to Do When You Receive a Medicare Overpayment Notice
Healthcare Fraud Defense Attorneys Help Medical Professionals Deal with Overpayment Notices Receiving “Notice of Overpayment” from Medicare is an intimidating and likely scary experience for any medical service provider. Not only does the provider face financial repercussions, the notice is also the first sign that the provider may be involved...
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How To Prevail in Medicare Fraud Cases
Dedicated Defense Attorneys Fighting Medicare Fraud Charges in the Federal Courts Oberheiden, P.C. Former U.S. Prosecutors & Experienced Counsel “How can your lawyer effectively negotiate with the government if that lawyer is not 100% familiar with all Medicare rules and regulations— and their relevant exceptions?” Dr. Nick Oberheiden Medicare Attorney...
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Medicare Appeal FAQs: Answers from Our Healthcare Lawyers
Medicare audit determinations, impositions of civil monetary penalties (CMPs), and criminal Medicare fraud convictions are all subject to appeal. In this article, the healthcare fraud defense attorneys of Oberheiden, P.C. answer common questions about Medicare fraud appeals. If your business or practice’s Medicare billings have been scrutinized by a Zone...
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The Obligation To Report And Refund Medicare Overpayments
Oberheiden, P.C. Former U.S. Prosecutors & Defense Counsel About Oberheiden, P.C. Oberheiden, P.C. represents Medicare providers, physicians, clinics, home health and hospice agencies, and other Medicare healthcare providers in audits and investigations. Healthcare providers have an obligation to report and refund federal program overpayments. This duty stems from the Affordable...
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What to Do About Medicare Overpayments
One of the mistakes that organizations make involves Medicare overpayments, whether intentionally or accidentally. If, despite your best efforts to remain in ZPIC compliance, you find that you have received more money than you were owed for a Medicare claim, don't panic. The world hasn't ended. The best thing to...
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Cardiologists: The New Targets of Medicare Fraud Investigations
Oberheiden, P.C. Protects Cardiologists Against Unjust Allegations Years ago, being a successful cardiologist was a sign of expertise. Today, if one wants to believe the government's story, being a successful cardiologist means that you are under general fraud suspicion. Perhaps the biggest change in healthcare fraud and Medicare fraud investigations...
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