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Wachler & Associates
Member Since: 29th May 2009
Occupation: Attorney
No of Articles: 7
About Me: Wachler & Associates, P.C., is a law firm providing healthcare legal services to healthcare providers, suppliers and entities nationwide. Since 1980, the attorneys of Wachler & Associates, P.C., have successfully defended thousands of Medicare, Medicaid and other third party payor audits. Our lawyers are recognized as authorities in this area of healthcare law.

FERA Gives Health Care Fraud Enforcement a Boost

19th October 2009
By Andrew B. Wachler & Amy K. Fehn, Wachler & Associates, P.C. The Federal False Claims Act (FCA) has long been a key weapon in the government's arsenal to fight health care fraud and abuse. With the passage of the Fraud Enforcement and Recovery Act ...

Third Party Payor Audits – Impact on Physician and Health Care Provider Clients

08th July 2009
Overview A health care provider's claims for medical services may be audited by payors (e.g., Medicare, Blue Cross Blue Shield of Michigan ("BCBSM") and Medicaid) for a number of reasons. Some audits are a result of random selection or some result fro...

Be There Or … Pay Up: Developing a Patient No-Show Policy for Your Practice

08th July 2009
"No-show" patients are a part of any medical practice. Over the years, physicians and other practitioners have developed numerous policies in an attempt to prevent no-shows. Most practices institute such policies as a deterrent rather than for the purpose...

Detroit Medical Center Wayne State University Joint Residency Programs: Progress Made, But Work

07th July 2009
On November 22, 2006, the Detroit Medical Center ("DMC") and Wayne State University ("WSU") announced a temporizing resolution to a long-standing contractual dispute. This dispute threatened both the future of the DMC/WSU jointly sponsored residency progr...

The 2009 Medicare Physician Fee Schedule: The Anti-Markup Rule and IDTF Developments Impacting Diag

06th July 2009
In recent years, the Centers for Medicare and Medicaid Services ("CMS") has heavily scrutinized the terms and conditions under which Medicare will pay for diagnostic testing services, resulting in heightened regulatory action targeting certain diagnostic ...

Recovery Audit Contractors and Medicare Audits: Successful Strategies for Defending Audits

06th July 2009
I. INTRODUCTION Attention radiology providers and suppliers: Get ready for increased Medicare auditing activity. The Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program has been made permanent and is expanding natio...
Medical Malpractice

2008 Medicare Physician Fee Schedule: Final Rule Has Far Reaching Implications

05th June 2009
The 2008 Medicare Physician Fee Schedule (MPFS) was published in the Federal Register on November 27, 2007. For the most part, the 2008 MPFS final rule will take effect January 1, 2008. This article will focus on two areas of the MPFS final rule that will...