The attorneys at Chilivis Grubman represent a wide variety of healthcare providers and suppliers in connection with Medicare audits and overpayment appeals. Clients often ask us how long a CMS contractor has to reopen a claim for purposes of conducting a post-payment audit. Like most legal questions, the answer is: it depends. As an initial […]
Read MoreOn December 6, the Department of Justice announced that a federal court ordered Elk Pharmacy Inc., a pharmacy in Elkin, North Carolina, to pay a $500,000 penalty and comply with an injunction to prevent the unlawful dispensing of controlled substances. The injunction prohibits the pharmacy and its pharmacists from filling prescriptions, including for opioids, without […]
Read MoreAs most healthcare providers know, Medicare, like most payors, operates on a “pay and chase” system; meaning, they pay the vast majority of claims promptly, and then audit and attempt to recoup overpayments later should they discover information that calls the propriety of the claim into question. When Medicare attempts to recoup an alleged overpayment, […]
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