Fraud and Abuse Compliance
Federal and State Laws
The health care industry is governed by a complex array of laws and regulations at both the federal and state levels. The health care attorneys at Houston Harbaugh are well versed in these laws and regulations and are ready to assist you in achieving your goals while remaining compliant.
Fraud and Abuse
Financial relationships between health care providers and referral partners can be fraught with potential fraud and abuse. The health care attorneys of Houston Harbaugh have experience in reviewing all types of financial relationships between health care providers and referral partners to ensure that these relationships are structured in a manner that will survive fraud and abuse scrutiny.
Billing and Ethics
Health care providers who participate in the Medicare and Medicaid programs are required to maintain compliance plans to ensure ethical billing practices. In addition, maintaining a thriving business often requires conforming to the complex network of policies and procedures imposed by private third party payors. Whether it is preparing office policies to assist with compliance, or assisting with audits and overpayment demands, the health care attorneys at Houston Harbaugh have experience in navigating these complex processes.
Value Based Payment Models
We have been hearing about payment for value instead of volume for years. As payors begin to transition to these new Value Based Payment Models, the health care lawyers of Houston Harbaugh are ready to assist you in implementing the practice changes necessary to maximize your productivity and profitability in this new environment.
Whether you require a HIPAA Compliance Plan, training, or assistance with responding to an investigation by the Office of Civil Rights, our health care attorneys have extensive HIPAA experience and can work with you on a wide array of HIPAA issues