False Claims Act –  Has the state or federal government reached out to your professional office alleging violations of the False Claims Act?  Call Conaway & Strickler, PC as soon as possible if so.  It is imperative to have help at the first indication that the government is looking into your billing for Medicare.  Are they alleging upcoding?  Overbilling?  Phantom billing?  The U.S. Attorney’s Office and /or the State will attempt to sue you under the False Claims Act, but also, will attempt to bring criminal charges.  They may be alleging that some billing was not done in compliance with Medicare rules. Having a lawyer involved will help throughout the process and can dramatically reduce the amount the government alleges were wrongfully billed.   

Physicians and practice groups that have either received a letter or a “knock and talk” from the government should not attempt to deal with the allegations of improper billing without legal help.  We can help you show the government that the all costs billed to Medicare were for services provided and that no costs were inflated.  We can also enter into negotiations to settle claims of violations of the False Claims Act with the Department of Health and Human Services and the Officer of the Inspector General.  

The government has worked hard in recent years in combating health care fraud under the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative, which was announced by the Secretary of the Department of Health and Human Services in May 2009.  And one of the most powerful tools in the government’s arsenal is the False Claims Act. 

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