Medicaid Fraud Investigation Against Nurse Practitioner Closed with No Charges

Posted on Firm News, Fraud Investigation October 2, 2018 by Robert Nicholson

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 →

Nicholson & Eastin, LLP Obtains Preliminary Injunction Prohibiting CMS From Recouping Alleged Medicare Overpayments from DME Supplier

Posted on Firm News September 25, 2018 by Parker Eastin

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 →

Government Procurement Fraud Investigation Resolved for $1,000 Fine

Posted on Fraud Investigation February 12, 2018 by Robert Nicholson

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 →

Claims Appeal Results in Reversal of Alleged Medicaid Overpayment

Posted on Firm News December 5, 2017 by Parker Eastin

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 →

Firm Helps Chiropractic Clinic Successfully Hold Off Audit by Supplemental Medical Review Contractor

Posted on Firm News November 14, 2017 by Erin Ferber

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 →