Blog - Archive for Firm News

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

Posted on Firm News October 9, 2018 by Parker Eastin

The Firm successfully defended the Firm’s physician client against allegations that the physician had practiced below the standard of care and had failed to keep adequate records in connection with a medical marijuana patient.  The case against the physician was closed with no action being taken against the physician. The Firm investigated the allegations at Read more →

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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 →

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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 →

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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 →

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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 →

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