The wound care industry faces unprecedented scrutiny as Medicare Part B expenditures for skin substitutes exceeded $1.6 billion in the fourth quarter of 2023 alone. The spending surge has triggered a wave of skin substitute...more
7/18/2025
/ Audits ,
Best Practices ,
Centers for Medicare & Medicaid Services (CMS) ,
Compliance ,
Documentation ,
Enforcement Actions ,
Fraud ,
Health Care Providers ,
Health Insurance ,
Healthcare Fraud ,
Medical Devices ,
Medical Records ,
Medicare ,
Medicare Part B ,
Popular ,
Regulatory Requirements ,
Reporting Requirements
Receivership is often considered when other remedies would be inadequate, providing a flexible alternative to more rigid legal processes like traditional litigation. It's particularly valuable when parties are unable to...more
Prescription drug fraud has long been a focus for government regulators, but it has taken on new significance in the wake of America’s opioid crisis. The U.S. Department of Justice (DOJ), Department of Health and Human...more
3/22/2024
/ Anti-Kickback Statute ,
Civil Investigation Demand ,
DEA ,
Department of Health and Human Services (HHS) ,
False Claims Act (FCA) ,
FBI ,
Fraud ,
Healthcare ,
Medicaid ,
Medicare ,
Medicare Administrative Contractors (MAC) ,
Opioid ,
Pharmaceutical Industry ,
Pharmacies ,
Popular ,
Prescription Drugs ,
Telemedicine ,
TRICARE
Telemedicine companies are supposed to facilitate medically necessary services to beneficiaries over the telephone via licensed medical professionals. In reality, however, many of these “telemedicine companies” are...more
3/11/2024
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Civil Monetary Penalty ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Durable Medical Equipment ,
False Claims Act (FCA) ,
Fraud ,
Health Care Providers ,
Medicaid ,
Medical Testing ,
Medicare ,
OIG ,
Physicians ,
Prescription Drugs ,
Telemedicine ,
TRICARE
When it comes to protecting their interests – or the interests of the corporation – shareholders have unique rights to take legal action. They can file suit either on behalf of the corporation itself, known as a derivative...more
11/15/2022
/ Board of Directors ,
Breach of Contract ,
Breach of Duty ,
Closely Held Businesses ,
Corporate Counsel ,
Derivative Suit ,
Fiduciary Duty ,
Fraud ,
Shareholder Litigation ,
Shareholders ,
Trade Secrets ,
Unjust Enrichment
SIU stands for Special Investigation Unit, and nearly all insurance companies have one, especially health insurers. SIUs exist to investigate complaints of fraud, waste or abuse, and train claims personnel to recognize and...more