What You Should Do When a Qui Tam Lawsuit Has Been Filed Against Your Business
Qui tam lawsuits result in billions of dollars of loss to companies every year (in 2015, False Claims Act qui tam lawsuits resulted in over $2.8 billion in payments to the federal government). If you believe a qui tam lawsuit may have been filed against your company, it is important...
Read moreWhat You Should Do When You Are Under Stark Law Investigation?
About the Stark Law The Stark Law (42 U.S.C. § 1395nn), also known as the Physician Self-Referral Law, imposes limitations on a physician’s right to refer patients to medical service providers in which the physician (or a family member of the physician) has a financial interest or a financial relationship....
Read moreWhat You Should Do When You Suspect That Your Healthcare Company Is Under Federal Investigation
Healthcare companies face constant scrutiny from the federal government and are frequently the target of federal investigations. These investigations may be civil or criminal in nature and can cover a broad range of issues: from fraud or false claims to kickbacks or other prohibited financial arrangements, controlled substance violations, and...
Read moreWhat Is an OASIS Assessment?
Oberheiden, P.C. Former Medicare Prosecutors & Defense Counsel An Outcome and Assessment Information Set (OASIS) assessment is a periodic physical examination of a home health patient that is required for all Medicare and Medicaid beneficiaries. The OASIS assessment is conducted pursuant to standardized data set criteria developed by the...
Read moreHow to Report Medicare Fraud
Identifying Fraud Medicare Fraud is extremely complex and can require the help of experienced and knowledgeable attorneys. In order to stop acts of Medicare fraud against the government, whistleblowers may bring a civil lawsuit under the False Claims Act. Any person or entity that has encountered fraud against federal programs...
Read moreExclusion from Participation in Federal Healthcare Programs
The United States Department of Health and Human Services Office of the Inspector General (OIG) is tasked with identifying and eliminating fraud, waste, and abuse in the Department’s federal healthcare programs. The OIG carries out this mission by conducting audits, inspections, and investigations. The OIG also has the authority to...
Read moreA New Trend in Healthcare Enforcement: Hospice Fraud
Dr. Nick Oberheiden (Managing Partner) Direct: 888-680-1745 Hospice fraud investigations are on the rise. The Department of Justice, the United States Department of Health and Human Services, the Office of Inspector General, the Federal Bureau of Investigation, the Medicaid Fraud Control Unit and other state and federal agencies have...
Read moreHow to Defend Hospice Fraud in Texas?
Serious Enforcement. Over the last couple of years, the US government has intensified its efforts to prosecute hospice care owners and affiliated physicians, nurses, and other staff members across the country. Recent cases demonstrate the seriousness of the prosecution and the consequences for the hospice care owners and affiliated medical...
Read moreDefending Tricare Fraud: Choosing the Right Lawyer
Dr. Nick Oberheiden, Esq. Attorney-at-Law Tricare Fraud is a serious offense. Penalties range from civil monetary damages to years of incarceration in federal prison. The government is aggressively prosecuting Tricare Fraud cases and no time should be wasted to develop a smart and effective defense strategy for those that find...
Read moreDefending Compound Pharmacies in Tricare Fraud Investigations
Dr. Nick Oberheiden, Esq. (Managing Partner) Direct: 888-680-1745 In early 2015, Tricare, which provides insurance coverage to U.S. military members and their families, held a meeting with representatives of the compounding and pharmaceutical industries. The impetus for this meeting was Tricare’s realization that the average compounded drug billed to Tricare...
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