Call: (407) 331-6620 or (850) 439-1001
Toll-free: (888) 331-6620
Seven Things To Know When You Receive A Notice Of Investigation From The Department Of Health
The industry that is the most regulated in the United States, with a myriad of complex state and federal laws and regulations, is the health care industry. It is also the industry, next to the defense industry, which has the largest expenditure of government funds.
Receiving notice from a patient that the patient was contacted by an investigator
Receipt of a subpoena for records from the Office of the Inspector General (OIG), U.S. Attorney or State Attorney General
Being approached and questioned by a government agent
The arrest of other professionals with whom you do business
The execution of a search warrant for your records
Receiving notice from an employee or former employee that he/she was contacted by an investigator
The seizure of your bank accounts by a government agency
Receipt of a demand letter in a Medicare False Claims Act case
Receipt of a target letter from the U.S. Attorney’s Office notifying you that you are a possible target in a criminal investigation
Receiving a telephone call from a government agent or local law enforcement official to ask you questions
Representing Medicare providers in responding to subpoenas
Representing Medicare providers in questioning by investigators
Representing Medicare providers in responding to Medicare audits
Representing Medicare providers in defending qui tam (False Claims Act or “whistle blower” law suits)
Representing Medicare providers in responding to ZPIC and RAC audits
Representing Medicare providers in defending litigation for civil monetary penalties
Representing Medicare providers in federal criminal actions against them
Representing Medicare providers in becoming “cooperating witnesses” to assist them in targeting the correct criminal
Billing for services that were not rendered
Billing for services provided by someone not properly licensed or trained to provide that service
Billing for services provided by someone who was not a Medicaid provider Over-billing or upcoding (billing for more services, more time or a higher level of care than was actually delivered)
Billing for items, services, drugs, or treatments which the state’s Medicaid program that it does not specifically cover
Billing for those who should not receive treatment (dead patients, mentally incapacitated patients)
Billing for drugs, equipment or supplies that were previously provided to the Medicaid provider at no cost
Being excluded from the Medicare Program for one year or many years
Being terminated as a state Medicaid provider
Being placed on the U.S. government’s “debarred list” and barred form all government contracting activities
Action against the state license
Action against the facility licenses of any other health facilities or organizations in which the person is an owner, officer or employee
Loss of DEA registration
Loss of hospital or health facility clinical privileges
Having participation on provider panels of health insurers terminated
Main Office • 1101 Douglas Avenue, Suite 1000, Altamonte Springs, FL 32714 Telephone: (407) 331-6620
By Appointment • 37 N. Orange Avenue, Suite 500, Orlando, FL 32801 Telephone: (888) 331-6620
By Appointment • 201 E. Government Street, Pensacola, FL 32502 Telephone: (850) 439-1001 • Telefax: (407) 331-3030
By Appointment: 201 St. Charles Avenue, Suite 2500, New Orleans, LA 70170
Medicare/Medicaid Audits, Health Care Law, Contracts, Hospital Privileges Hearings, Investigations, DEA Defense, Board of Medicine Defense, Healthcare Fraud Defense, Medical Staff Fair Hearings, Administrative Hearings, PRN, IPN, Professional Licensing, Medicare/Medicaid Fraud Defense, Nursing Law, Hospital Peer Review, Hospital Law, Board of Dentistry, Board of Nursing Complaint Defense, Board of Pharmacy, Medicaid Fraud Control Unit (MFCU) Defense, Search Warrant and Subpoena Defense, NBME Representation, USMLE Challenges, ABIM Representation, Resident Physician Defense, VA & Military Physician Defense, Department of Health Investigation Defense, and more…
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