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Sutter Health office in Sacramento, CA, USA

Sutter Health Secures Victory in $519 Million Whistleblower Case Alleging Double-Billing Healthcare Fraud

By Art Kalantar |

In a significant legal development, Sutter Health, a major healthcare provider based in Sacramento, California, recently secured a victory in a whistleblower case that initially alleged $519 million in damages for double-billing and healthcare fraud. This case, part of a broader scrutiny of Sutter Health’s billing practices, underscores the complexities of healthcare fraud litigation… Read More »

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medicare or medi-cal audit

The Consequences of Failing a Medicare or Medi-Cal Audit

By Art Kalantar |

Medicare and Medi-Cal audits are a routine part of the healthcare landscape, intended to ensure compliance with billing regulations and the proper use of funds. However, for healthcare providers, the prospect of an audit can be daunting, and the stakes are high. Failing a Medicare or Medi-Cal audit can have severe consequences, including financial… Read More »

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Closeup of judge gavel of stethoscope doctor in background writing notes. Concept of legal aspects of healthcare and medical insurance payments

Defending Against Allegations of Kickback and Self-Referral Violations in California Healthcare

By Art Kalantar |

Healthcare professionals operate under rigorous regulations designed to ensure fair practices and maintain the integrity of patient care. However, despite best efforts, allegations of kickbacks and self-referrals, often under the Stark Law and Anti-Kickback Statute, can arise. These allegations can severely impact a healthcare provider’s reputation, professional license, and financial stability. The Law Offices… Read More »

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Understanding the Implications of False Claims Act Violations for Healthcare Providers

By Art Kalantar |

The healthcare industry is heavily regulated, with numerous laws and regulations in place to ensure that patients receive quality care and that government funds are used appropriately. One of the most significant pieces of legislation in this context is the False Claims Act (FCA), which has far-reaching implications for healthcare providers. Without a proper… Read More »

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Legal Aspects of Buying or Selling a Healthcare Practice in California

By Art Kalantar |

The decision to buy or sell a healthcare practice is a significant one, with far-reaching implications for your professional and financial future. Whether you are a doctor, pharmacist, or another healthcare provider, understanding the legal aspects of this process is crucial to ensure a smooth transaction and to protect your interests. In this blog… Read More »

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Protecting Your Professional License: Legal Strategies for California Healthcare Providers

By Art Kalantar |

For doctors, pharmacists, and other healthcare professionals, perhaps nothing is more important than maintaining a professional license. Unfortunately, your medical practice can come under attack from many different corners, and the medical license is often a casualty of such attacks. Below, we discuss some of the legal strategies you can employ to protect your… Read More »

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medical audit

Preparing for and Responding to Medicare and Medi-Cal Audits in California

By Art Kalantar |

Healthcare providers in California face a challenging regulatory environment. One of the critical aspects of this environment is the scrutiny imposed by Medicare and Medi-Cal audits. These audits are conducted to ensure compliance with billing and coding practices and to prevent fraud and abuse. The stakes are high, and thorough preparation can be key… Read More »

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Compliance

Compliance With Anti-Kickback Statute and Stark Law: What California Healthcare Providers Need to Know

By Art Kalantar |

Medical providers in California must comply with a long list of state and federal laws that touch every aspect of their practice. These laws can be intricate and complex, and legal violations can be costly. One of the more intricate areas with steep fines per violation involves the Anti-Kickback Statute and Stark Law. These… Read More »

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Protecting Your Practice: Proactive Measures to Prevent Healthcare Fraud

By Art Kalantar |

An allegation of healthcare fraud, if proven, could mean the end of your medical practice, the loss of your medical license, and countless other adverse consequences. Even without an employee committing outright intentional fraud, a pattern of mistakes or questionable activities can bring your practice under unwanted scrutiny and force you on the defensive…. Read More »

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Terminating a Physician-Patient Relationship

By Art Kalantar |

The physician-patient relationship is a cornerstone of healthcare, built on trust, mutual respect, and professional integrity. However, there may be circumstances when a physician wishes to terminate this relationship. In California, the process is governed by specific legal and ethical guidelines to protect both parties and avoid liability for patient abandonment. Read more about… Read More »

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