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After attempting to appeal the implementation of a 100% prepayment review by Medicare, a therapy/rehabilitation clinic hired the Firm to assist in challenging the prepayment review. Despite that fact that the client was successfully appealing the denied claims, the Medicare contractor was continuing the prepayment review. The Firm intervened on behalf of the client, using Read more →

In connection with a Medicare EHR incentive payment meaningful use audit, the Firm successfully argued our healthcare practitioner client was in compliance with all requirements for receipt of the Medicare EHR Incentive at the time its attestations were submitted. As such our client was not subject to an overpayment for the monies received. The Client Read more →

According to a recent HHS-CMS directive that went into effect on January 15, 2014, “CMS has learned from contractors that providers are abusing the program and not changing inappropriate behavior even after extensive education to address these behaviors.” Such providers have now been deemed “recalcitrant,” and the “recalcitrant” category is one into which Medicare providers Read more →

The Florida Department of Health has closed an investigation against a pharmacist client of the firm after a no probable cause finding was made regarding allegations that the pharmacist diverted controlled substances. The investigation initially began as a DEA criminal investigation, and the firm represented the pharmacist in that investigation as well. The criminal investigation Read more →

Under a recent settlement with the U.S. Department of Health and Human Services (HHS), Affinity Health Plan, Inc., settled potential violations of the HIPAA Privacy and Security Rules for $1,215,780. HHS-OCR’s investigation revealed that Affinity impermissibly disclosed (without consent) the protected health information of up to 344,579 individuals when it returned multiple photocopiers to a Read more →