Covered by NYDaily News. Las Vegas man accused of threatening a prominent attorney and making vile remarks.
Covered by New York Times, and other outlets. Fake heiress accused of conning the city’s wealthy, and has an HBO special being made about her.
Accused of stalking Alec Baldwin. The case garnered nationwide attention, with USAToday, NYPost, and other media outlets following it closely.
Juror who prompted calls for new Ghislaine Maxwell trial turns to lawyer who defended Anna Sorokin.
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The Spodek Law Group understands how delicate high-profile cases can be, and has a strong track record of getting positive outcomes. Our lawyers service a clientele that is nationwide. With offices in both LA and NYC, and cases all across the country - Spodek Law Group is a top tier law firm.
Todd Spodek is a second generation attorney with immense experience. He has many years of experience handling 100’s of tough and hard to win trials. He’s been featured on major news outlets, such as New York Post, Newsweek, Fox 5 New York, South China Morning Post, Insider.com, and many others.
In 2022, Netflix released a series about one of Todd’s clients: Anna Delvey/Anna Sorokin.
Why Clients Choose Spodek Law Group
The reason is simple: clients want white glove service, and lawyers who can win. Every single client who works with the Spodek Law Group is aware that the attorney they hire could drastically change the outcome of their case. Hiring the Spodek Law Group means you’re taking your future seriously. Our lawyers handle cases nationwide, ranging from NYC to LA. Our philosophy is fair and simple: our nyc criminal lawyers only take on clients who we know will benefit from our services.
We’re selective about the clients we work with, and only take on cases we know align with our experience – and where we can make a difference. This is different from other law firms who are not invested in your success nor care about your outcome.
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Last Updated on: 28th July 2023, 07:22 pm
Our New York-based law firm has a great deal of experience when it comes to the regulations, which impact both home health agencies and also hospice. We are the ones to call first regarding issues with Medicaid and Medicare certifications. Compliance with these federal and state requirements is stringent; not to mention the importance of remaining HIPPA compliant. Our lawyers know the regulations and have the knowledge to represent both hospice and home health agencies with their legal needs.
We provide the following legal support to hospice:
•Certification and Re-certification for both Medicare and Medicaid
•Compliance with Medicare
•Assistance with Corrective Action Plans
•Coding and Payment Regulations with Medicare and Medicaid
•Beneficiary Elections and Termination of Certification
•Home Health Agency face-to-face Encounters
•Requirements for Nursing Services
•Private Payee Audits
•Fraud and Abuse
•Regulations Regarding Health Care Matters
Fraud and Abuse Claims
Our team of lawyers has handled comprehensive compliance work for some of the largest hospice agencies in New York. We have extensive knowledge of state and federal regulations, as well as certification issues. It is not uncommon to find an agency under civil or criminal investigations these days. This can be due to services billed that were not necessary, or it can be for billing incorrectly. We work with the government agency to resolve any fraud or abuse claims against our clients. We are able to do this while the hospice business remains functional. The goal is to ensure compliance, yet avoid future liabilities for the agency.
Third Party Claims
Physician ownership issues are often the cause of many fraud and abuse lawsuits. This includes the relationship that hospice has with their medical directors. If a third party is brought in as a referral, it can cause all sorts of problems with the billing. A cross-over in responsibilities can look fraudulent on the billing side, but it is a justifiable expense. Most of the problems we handle can easily be explained. We simply enact proper compliance measures to proceed with safeguards in place.
Vendor compliance issues are another area that seems to cause a great deal of debate. Thankfully, we have significant experience in handling these types of claims too. We are able to draft contracts that will help the hospice with their business needs. These contracts are in compliance with the laws and prevent fraud and abuse. We also try to implement compliance with vendors to thwart the problem of improper billing.
Audits are part of the dreaded process that all hospice agencies must face. These audits bring officials in to go through the files with a fine-tooth comb. We use the third party payor audit defense to help our clients. We can help ensure that files are ready for audits. These audits are a big deal, and not being in compliance means the doors could close.
Home Health Support
We provide the following legal support to home health agencies:
•Face-to-Face Necessities and Records
•Criteria for Services
•Medical Necessity Issues
•The Need For Observation and Assessment services
•Therapy Coverage Services
•Requirements for Plan of Care
We ensure that our home health agency clients remain in compliance. Our compliance program ensures that the face-to-face obligations are met, as well as the documentation of medical necessity.
Anti-kickback Statute Violations
Our knowledgeable team has a great deal of experience when it comes to both civil and criminal suits regarding the home health agency. We can negotiate settlements with a favorable outcome. Some of the cases we resolved have included improper referrals and other anti-kickback alleged statute violations.
In the past decade, we have appealed numerous audits or claims presented on behalf of our home care agency clients. Audit risk areas can be over documentation, coverage criteria, plan of care, “homebound” requirements, and face-to-face documentation.
We understand how difficult it can be to run an agency that deals with government funding. We want to help with your legal issues or to address any other healthcare law related need you may have. Call us today for further assistance.
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