Posts in Medicaid and Medicare fraud

Oct 19 An Undue Burden? The 5 Levels of Medicare’s Standard Appeals Process

Fraud, waste, and improper payments are a serious problem within the Medicare network. As a response, the U.S. Congress passed a ...

Jul 13 Preventing Medicare Overpayments

In 2013, the Recovery Audit Contractor (RAC) program collected nearly $3.75 billion in incorrect payments to hospitals and doctors ...

Jun 20 What is Involved in a Health care Fraud Investigation?

It’s no secret that the medical industry is highly regulated and scrutinized. Because health care fraud costs the government and ...

Mar 01 Navigating the RAC Program - From Prevention to Audit Protection

In an effort to identify improper payments made on claims of health care services provided to Medicare beneficiaries, the U.S. ...

Nov 21 Preventing a Medicare Recoupment Audit

Preventative Counsel from Houston Health Care Lawyers Health care providers serving the Medicare population face considerable ...

Nov 14 Responding to a Civil Investigative Demand: The Do's and Don'ts

The False Claims Act, also referred to as the Lincoln Law, is a long-standing federal statue that imposes liability on persons and ...