Blog

Department of Justice Obtains $400k Settlement Based Upon Failure to Timely Repay a Known Overpayment

Posted on Firm News by Robert Nicholson

On October 13, 2017, the Department of Justice announced a False Claims Act settlement with First Coast Cardiovascular Institute, a Florida based health clinic, under which the practice will pay $448,821.58 for failing to timely refund $175,000 in overpayments to Medicare, Medicaid, TRICARE, and the Department of Veterans Affairs. The settlement is noteworthy because it Read more →

License Investigation Against Chiropractor Closed with Letter of Guidance

Posted on Firm News by Erin Ferber

The Firm successfully defended a Chiropractor against allegations that the Chiropractor had engaged in billing fraud and used inadequately trained personnel to provide certain services. The Firm investigated the allegations at issue and prepared a response to the investigative complaint that highlighted evidence that demonstrated that the Chiropractor had acted properly, had not engaged in Read more →

License Investigation Against Licensed Mental Health Counselor Closed with Finding of No Probable Cause

Posted on Firm News by Parker Eastin

The Firm successfully defended our LMHC client against allegations that the LHMC engaged in unprofessional conduct; misdiagnosed a client; and engaged in excessive UA testing.  This result is especially notable because the complaint at issue was initiated by a competing provider in the community. The Firm investigated the allegations at issue and prepared a rebuttal Read more →

Redetermination Appeal Results in Substantial Reduction of Medicare Overpayment

Posted on Firm News by Erin Ferber

After submitting a detailed redetermination appeal on behalf of our client’s medical practice, the Firm secured a significant reduction in the overpayment demand – more than a 95% reduction.  In addition to addressing the support for the billed services found in the relevant medical records, the Firm also addressed the statistical sampling methodology used by Read more →

D.C. Circuit Court Reverses Directives to HHS Regarding Appeals Backlog

Posted on Health Care Law News by Robert Nicholson

In a 2-1 Decision, the D.C. Circuit Court of Appeals reversed the district court’s order to HHS to clear the backlog of administrative appeals within four years. The appellate court found that the district court failed to adequately test HHS’s assertion that this mandate was impossible. After considering the merits of a group of hospitals Read more →