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Medicare Revocation Appeals

There are five levels of appeals: determination, redetermination, ALJ Hearing, Medicare Appeals Council Review and Judicial Review. Click here to learn more.

Anti-Kickback Law

Just as it is illegal for you to take money from providers and suppliers in return for the referral of your Medicare and Medicaid patients, it is illegal for you to pay others to refer their Medicare and Medicaid patients to you. Click here to learn more.

RAC Program

The Tax Relief and Health Care Act of 2006 required a national RAC program for 2010. Whether or not you intended to overbill, the red flags are raised when health care providers submit claims that are not aligned with CMS coding policy. Click here to learn more.

HIPPA Compliance

The HIPAA Security Rule requires appropriate Administrative, Physical, and Technical Safeguards to ensure the confidentiality, integrity, and security of protected health information (PHI). Click here to learn more.

Latest Healthcare Law News

November 10, 2018 in Healthcare Law

Medicare Fraud Attorney Atlanta

Medicare Fraud Attorney Atlanta If you have been charged with medicare fraud, contact our office to discuss you options and rights. What is now considered the largest single instance of medicare fraud took place in Decatur, just outside of Atlanta. The U.S. Attorney is seeking charges related to doctors and…
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November 10, 2018 in Healthcare Law

Atlanta Dentist Medicaid Fraud Attorney

Atlanta Dentist Medicaid Fraud Attorney If you have been arrested for Medicaid fraud in Atlanta, contact our office to understand your rights and options. A $1M fraud was just invested by the U.S. Attorney's office in October of this year. Dr. Oluwatoyin Solarin, who had offices in Doraville and Duluth,…
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July 30, 2018 in Healthcare Law

Medical Necessity and RAC Audits

Medical Necessity and RAC Audits What is a medical necessity? According to a RAC Auditor (RA), it is something that is justifiably reasonable and necessary according to evidence-based clinical standards of care. According to who? Is this one-size fits all? How is this even possible? If you are not scratching…
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July 30, 2018 in Healthcare Law

Red Flags In Physical Therapy RAC Audits

Reg Flags In Physical Therapy RAC Audits Even if you're not currently under a RAC Audit, you might be wondering just how to stay out of trouble or not be "flagged" for an audit. ¬†As much as you might have heard about the random nature of an audit, experience tells…
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