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Medicare Overpayment Reversed in Rare Application of Provider Being Found to be Without Fault by Administrative Law Judge

Posted on Firm News, Medicare Reimbursement by Robert Nicholson

After almost seven years of navigating the administrative appeals process, the Firm secured the complete dismissal of a $1,000,000 dollar Medicare overpayment for a South Florida physician.  Following the physician’s receipt of untimely overpayment demands, the Firm secured the reinstatement the provider’s appellate rights.  The gist of the overpayment demand was that the provider failed Read more →

License Investigation Alleging Gross Negligence By Anesthesiologist Closed with Finding of No Probable Cause

Posted on Firm News, Professional Licensure Investigations by Robert Nicholson

The Firm successfully defended an anesthesiologist against allegations that he “grossly mismanaged” a patient’s anesthesia care during a procedure that ultimately resulted in the patient having heart failure and the procedure being aborted.  The patient expired several days later. The Firm fully investigated the allegations at issue, engaged an expert witness, and prepared a rebuttal Read more →

License Investigation Against Physician Assistant Closed with Finding of No Probable Cause

Posted on Firm News by Robert Nicholson

In the latest licensure case success, the Firm successfully defended a Physician Assistant against allegations that she improperly ordered an unlicensed and unqualified person to perform a CT scan on a patient. The Firm investigated the allegations at issue and prepared a rebuttal statement that highlighted evidence that confirmed that the Physician Assistant had acted Read more →

License Investigation Alleging Diversion of Controlled Substances by Physician Closed with Finding of No Probable Cause

Posted on Firm News, Professional Licensure Investigations by Robert Nicholson

The Firm successfully defended a physician against allegations that he traded drugs for sex. The allegations, which were made by a competitor, were successfully refuted by the Firm. After consideration of the rebuttal statement prepared by the Firm on behalf the physician, the Probable Cause Panel for the licensing board determined that probable cause did Read more →

Overpayment Retention Results in False Claims Act Penalty

Posted on Health Care Law News by Robert Nicholson

Three hospitals within New York’s Mount Sinai Health System recently agreed to pay $2.95 million to resolve allegations that they knowingly retained Medicaid overpayments, violating both federal and New York False Claims Acts. This case serves as a critical reminder to healthcare providers and facilities of their legal obligations under the 60-day overpayment rule, a Read more →