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The Firm successfully defended the Firm’s nurse practitioner client against allegations that the nurse practitioner had submitted false claims to the Medicaid Program in connection with medical and diagnostic services provided at the client’s medical clinic.  After a lengthy investigation, the Medicaid Fraud Control Unit closed the investigation with no action being taken against the Read more →

The Firm and its Tennessee co-counsel secured a preliminary injunction in federal district court in Tennessee that precludes CMS (and its contractors) from initiating recoupment with respect to approximately $7 million in alleged Medicare overpayments against the Firm’s DME supplier client.  In 2017, the firm’s client – a national DME supplier based in Memphis – Read more →

In connection with the Firm’s defense of a Department of Defense procurement fraud investigation concerning the sale of confidential government contract information, the Firm was able to negotiate a resolution of the case to a misdemeanor plea with a $1,000 fine.  As anyone who practices in the area of Federal Criminal defense can attest, misdemeanor Read more →

After submitting a detailed appeal on behalf of our client’s medical practice, the Firm secured a complete reversal of an overpayment demand from the Medicaid contractor.  The Medicaid contractor initially challenged the coverage for the allergen immunotherapy services provided by the medical practice.  However, after addressing the support for the allergy services found in the Read more →

As part of its fight against fraud, waste and abuse, CMS contracted with supplemental medical review contractors to perform and/or provide support for a variety of tasks, including performing audits.  As part of their responsibilities, these contractors perform audits to identify overpayments.  Among the many projects being worked by these contractors, is a current review Read more →