Blog - Archive for Firm News

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 →

Tags : False Claims Act

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 →

Tags : Letter of Guidance

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 →

Tags : Letter of Guidance , Licensed Mental Health Counselor

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 →

Tags : Medicare Audit

A federal civil fraud case filed against a medical services provider client of the Firm has been dismissed by the plaintiff after the Firm provided the plaintiff with a detailed demand letter setting forth the deficiencies in the plaintiff’s case.  The Firm also put the plaintiff on notice of the Firm’s intent to seek its defense fees if the Read more →

Tags : Health Care Fraud