Healthcare Billing Compliance: A Guide for Medical Practices
Healthcare billing and coding represent critical compliance areas for medical practices. Proper billing practices are essential for maintaining a healthy revenue cycle and ensuring regulatory compliance to avoid medical billing fraud charges. At Lowther | Walker, we help healthcare providers establish and maintain robust billing compliance programs, protecting their practices against potential exposure to federal […]
What Kinds of Billing Practices Constitute Healthcare Fraud?
With increasing federal resources allocated to healthcare fraud investigations, your healthcare firm’s billing practices must be faultless. In running your healthcare practice, you may not have a clear insight into the billing procedures that lead to a federal investigation and potentially criminal prosecution for healthcare fraud. Lowther | Walker’s experience in healthcare fraud billing investigations […]
A Guide to the Anti-Kickback Statute and Stark Law
The Anti-kickback Statute and Stark Law prohibit medical providers from paying or receiving kickbacks, remuneration, or any asset of value in exchange for referrals of patients who will receive treatment paid for by government programs such as Medicare or Medicaid. We’ll explain the Anti-Kickback Statute and how healthcare providers can mitigate the risk of fraud violations.
DEA Investigations
DEA fraud investigations involving prescription medications and fraudulent billing practices can damage your reputations and ultimately may lead to a criminal conviction. Learn how to approach DEA investigations with the experienced fraud defense team at Lowther | Walker.
Federal Health Care Fraud Statute
Healthcare professionals facing charges under the “Federal Healthcare Fraud Statute” 18 U.S.C. 1347 are at-risk of damaging investigations and potentially long prison sentences under federal law. Learn the defenses to charges under 18 U.S.C and examples of potential legal charges includes under the statute.
Defenses in Medicare Fraud Cases
The National Health Care Anti-Fraud Association reports that Medicare fraud costs the U.S. economy $100 billion annually. Investigators at the FBI and OIG are now targeting healthcare professionals for Medicare fraud, backed by greater federal resources to recoup the government’s losses. Understanding the potential defenses for Medicare fraud charges is crucial in protecting your professional […]