Blog - Tag archives for medicaid audit

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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Overpayment Retention Results in False Claims Act Penalty

Posted on Health Care Law News September 24, 2016 by Robert Nicholson

Last week, New York Attorney General Eric T. Schneiderman announced that three hospitals in New York’s Mount Sinai Health System are paying a total of $2.95 million to resolve allegations that the hospitals knowingly retained over $844,000 in overpayments made by Medicaid in violation of the federal and New York False Claims Acts.  The case Read more →

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All Charges Dismissed in Medicaid Fraud Case Against Physician

Posted on Firm News September 24, 2016 by Robert Nicholson

After a trial jury voted 5 to 1 to acquit the Firm’s physician client in a Medicaid fraud case defended by Managing Attorney Robert Nicholson, the Florida Attorney General’s Office dismissed the remainder of the charges pending in the case.   The Firm’s client had been charged with Medicaid fraud for allegedly providing medically unnecessary services, Read more →

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United States Court of Appeals Orders District Court to Address Medicare Appeals Debacle

Posted on Health Care Law News February 14, 2016 by Robert Nicholson

On February 9, 2016, the U.S. District Court of Appeals for the District of Columbia Circuit determined that a District Court has jurisdiction to order HHS to address the significant backlog in the Medicare appeals process.  This decision follows an appeal to the U.S. District Court of Appeals by the American Hospital Association, which brought Read more →

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Medicaid Suspension Reversed for Florida Medical Provider

Posted on Firm News January 11, 2016 by author

A South Florida Medicaid provider’s Medicaid suspension was reversed following a formal appeal filed by the Florida health law Firm of Nicholson & Eastin, LLP. The Agency for Health Care Administration suspended all Medicaid payments to a South Florida provider after the Agency suspected the provider was associated with another provider facing federal charges. After Read more →

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