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False Claims Act

Changes to the False Claims Act and their Impact on CMHCs

The civil False Claims Act (31 U.S.C. 3729) is the primary civil enforcement tool... 

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HEAT Enforcement

Health Care Providers in Brooklyn NY, Tampa FL and Baton Rouge LA, Find Themselves in DOJ’s Cross-Hairs

Late last May, Attorney General Eric Holder (U.S. Department of Justice) and Secretary... 

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Medicare Audits

Recent Changes in Recoupment Limitations and the Impact on ZPIC / PSC Medicare Overpayment Appeals Cases  

CMS has recently published its Final Rule addressing limitations on the recoupment of alleged overpayments by its contractors.  This Final Rule finalizes (at least for now) how contractors are to proceed when pursuing recoupment actions.   “Recoupment” is defined as the recovery of a Medicare overpayment by reducing present or future... [Read more of this review]

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