Law Office of Markus P. Cicka, LLC

How We Helped Our Clients Through Our Legal Services

Presentations

“Complying With the Conditions of Participation: How to Avoid Top Survey Citations”

Markus P. Cicka presented to the Illinois HomeCare & Hospice Council’s Annual Conference | Chicago, Illinois | March 4, 2020.

“The OIG Is Loosening Up: Providing Free Services Within Legal Parameters” 

Co-Presented With Jeff Baird to the American Association for Homecare (via Webinar) | August 20, 2019

“Kickbacks, Inducements, False Claims, and Other Fraud Landmines to Avoid”

Co-Presented With Jeff Baird to the American Association for Homecare (via Webinar) | June 26, 2019

“Managed Care Contracts: How to Negotiate in Your Favor”

Co-Presented With Pam Colbert to the Medtrade Spring Conference | Las Vegas, Nevada | April 17, 2019

“Accessing Another Supplier’s Contract: Working With Manufacturers, Patient Incentive Programs, and Other Arrangements”

Co-Presented With Todd Moody to Medtrade Spring Conference | Las Vegas, Nevada | April 16, 2019

“‘Hub and Spoke,’ Centralized Intake, and Other Steps to Streamline Operations”

Co-Presented With Jeff Baird to the American Association for Homecare (via Webinar) | January 15, 2019

“Surviving Medicare Audits”

Presented to the American Society for Clinical Laboratory Science – Missouri/Clinical

Laboratory Management Association – St. Louis Chapter | Chesterfield, Missouri | April 5, 2016

“Cultivating a Culture of Compliance Following the Sarbanes Oxley Act”

Presented to LeadingAge Annual Meeting and Expo | Nashville, Tennessee –|October 19, 2014

“A Guide to Medicare Payment Suspensions”

Presented to the Missouri Association of Rural Health Clinics Fall

Conference | Lake of the Ozarks, Missouri | October 7, 2014

“The 2014 OIG Workplan – Home Health and Medicare Suspension of Payments”

Presented to the Missouri Council for In-Home Services" | Lake of the Ozarks, Missouri | September 16, 2014

“The 2014 OIG Workplan – Home Health and Medicare Suspension of Payments” 

Presented to the Missouri Council for In-Home Services Annual Conference | Lake of the Ozarks, Missouri | September 16, 2014

“How to Negotiate Your First Employment Contract After Residency”

Presented to St. Louis University Residents Association | St. Louis, Missouri | September 9, 2014

“The Importance of a Compliance Program in Healthcare” 

Presented to Midwest Health Care, Inc.’s RHC Billing Training Seminar for Provider-Based and Independent Clinics | Cape Girardeau, Missouri | May 13, 2014

“An Overview of RAC Audits of DME Providers”

Presented to the MO HealthNet DME Advisory Board | Jefferson City, Missouri | April 30, 2013

“An Update From the Missouri Medicaid Audit and Compliance Unit” 

Presented to the Missouri Association of Osteopathic Physicians and Surgeons House of Delegates Conference | Lake of the Ozarks, Missouri | April 24, 2013

“Overview of the Missouri Medicaid Audit and Compliance Unit” 

Presented to the ADP CDS Vendor Resource Conference | St. Louis, Missouri | March 14, 2013

“An Update From the Missouri Medicaid Audit and Compliance Unit" 

Presented to the Missouri Coalition of Community Mental Health Centers | Jefferson City, Missouri | March 13, 2013

“Detecting and Preventing Fraud and Abuse in Medicaid Managed Care Plans”

Presented to the Medicaid Innovations Forum | Orlando, Florida | February 7, 2013

“Medicaid Fraud”

Presented to the Missouri House of Representatives Appropriations Committee on Health, Mental Health and Social Services | Jefferson City, Missouri | January 29, 2013

“Best Practices in Case File Development”

Presented to the "Interactions Between Medicaid Fraud Control Units and Program Integrity Units" Symposium | Medicaid Integrity Institute | Columbia, South Carolina | January 23, 2013

“Medicaid Program Integrity Issues – RACs and MICs”

Presented to the Seventh National RAC (and MAC) Summit | Washington, DC | December 5, 2012

“Question and Answer Session”

With the Missouri Centers for Independent Living | Jefferson City, Missouri | November 5, 2012.

“An Overview of the Missouri Medicaid Audit and Compliance Unit and the RAC” 

Presented to the BJC Compliance Forum | St. Louis, Missouri | October 30, 2012

“An Overview of the Medicaid Recovery Audit Contractor (RAC) Program”

Presented to the Missouri Medical Management Association Monthly Meeting | Cape Girardeau, Missouri | October 24, 2012

"Enrollment and Screening of Providers"

Presented to the 2012 Annual Conference of the Missouri Association of County Developmental Disability Services | Lake of the Ozarks, Missouri | October 11, 2012

“The Detection of Medicaid Fraud, Waste and Abuse”

Presented to the 43rd Annual LeadingAge Missouri Conference | Lake of the Ozarks, Missouri – September 27, 2012

“Preparing for Medicaid Audits”

Presented to the Missouri Council for In-Home Services | Lake of the Ozarks, Missouri | September 11, 2012

“Auditing Consumer Directed Services and In-Home Services Providers”

Presented to the Services for Independent Living Monthly Meeting | Jefferson City, Missouri | July 2, 2012

“Medicaid Audits of Missouri Department of Mental Health Providers”

Presented to the Missouri Association of County Developmental Disabilities Services | Lake of Ozarks, Missouri | June 27, 2012

“Medicaid Audits of In-Home Services”

Presented to the Missouri Council for In-Home Services | Jefferson City, Missouri | June 20, 2012

“Coordinating Medicaid Audits: RAC, MIC, and OIG”

Presented to the National Medicare-Medicaid Payment Incentives and Penalties Summit | Arlington, Virginia | May 31, 2012

“An Overview of Missouri Medicaid Audit and Compliance and Auditing Adult Day Care Facilities”

Presented to the Missouri Adult Day Services Annual Conference | Lake of the Ozarks, Missouri | May 4, 2012

“Missouri Medicaid Audit and Compliance and Auditing Physician Practices”

Presented to the Missouri Association of Osteopathic Physicians and Surgeons 114th Missouri Osteopathic Annual Convention | Lake of the Ozarks, Missouri | May 3, 2012

“Missouri Medicaid Audit and Compliance”

Presented to the Missouri Alliance for Home Care Annual Conference and Home Care Exhibition | Lake of the Ozarks, Missouri |

April 25, 2012

“Missouri Medicaid Audit and Compliance”

Presented to the Missouri Assisted Living Association Spring Meeting | Branson, Missouri, April 24, 2012

“Overview of the Missouri Recovery Audit Contractor (RAC) Program”

Presented to the American Association of Healthcare Administrative Management – Missouri Hawthorn Chapter #8 | Jefferson City, Missouri | April 20, 2012

“Overview of the Missouri Recovery Audit Contractor (RAC) Program”

Presented to the Healthcare Information and Management Systems Society – Midwest Gateway Chapter's 2012 Force of Data Anthology for Missouri Hospitals Meeting | Rolla, Missouri | March 8, 2012

“Missouri Medicaid Audit and Compliance”

Presented to the Missouri Association of Public Administrators (Mini-Training) | Clarence, Missouri | February 29, 2012

“Overview of the Missouri Recovery Audit Contractor (RAC) Program”

Presented to the Healthcare Financial Management Association's Ethics, Compliance and Regulatory Conference | Springfield, Missouri | February 24, 2012

“Missouri Medicaid Audit and Compliance”

Presented to the Missouri Bar's 2011 Annual Government Practice Institute | Jefferson City, Missouri, December 2, 2011

“Overview of the Missouri Recovery Audit Contractor (RAC) Program”

Presented to the Missouri Alliance for Home Care Board of Directors' Meeting | Jefferson City, Missouri | February 9, 2012

“Missouri Medicaid Audit and Compliance: Suspension of Medicaid Payments"

Presented to the Missouri Bar's Health and Hospital Law Committee | Jefferson City, Missouri | November 18, 2011

“Missouri Medicaid Audits and Investigations: Compliance Ideas and Strategies”

Presented to Missouri Society of Health Care Attorneys | Lake of the Ozarks, Missouri, November 10, 2011

“Overview of Missouri Medicaid Audit and Compliance and the Detection of Fraud, Waste, and Abuse”

Presented to the Saint Louis College for Health Careers | St. Louis, Missouri | August 5, 2011

“Overview of Missouri Medicaid Audit and Compliance”

Presented to the MO HealthNet Oversight Committee | Jefferson City, Missouri | June 7, 2011

"Overview of Missouri Medicaid Audit and Compliance and the Recovery Audit Contractor (RAC) Program"

Presented to Thompson Coburn, LLP | St. Louis, Missouri | May 31, 2011

“Overview of Missouri Medicaid Audit and Compliance and the Recovery Audit Contractor (RAC) Program”

Presented to Healthcare Financial Management Association – Annual Joint Spring Conference | Saint Louis, Missouri | May 19, 2011

Testified Before the Missouri House Judiciary Subcommittee on the Proposed measure to Establish a False Claims Act for Missouri | March 9, 2011

“What Your State Medicaid Director Should Have Told You”

Presented to the Medicaid Integrity Institute – Program Director’s Meeting – National Advocacy Center | Columbia, South Carolina | December 2010

“Medicaid Provider Enrollment and Termination/Exclusions”

Presented to Saint Louis Area Health Lawyers’ Association | St. Louis, Missouri | October 2010

“MO HealthNet: Custom Program and Policy Analysis”

Presented to National Association for Medicaid Program Integrity | New Orleans, Louisiana | September, 2010

“Overview of Medicaid's Program Integrity, DME, and Home Health Programs”

Presented to Bryan Cave LLP | September 2010

“Program Integrity and Program Integrity's Relationship with the Medicaid Fraud Control Unit”

Presented to Polsinelli Shughart PC | June 2010

“Program Integrity, Cost Recovery and the Medicaid Integrity Program”

Presented to the Missouri Society of Health Care Attorneys – April 2010

Testified Before the Missouri Senate Judiciary and Civil/Criminal Jurisprudence Subcommittee on the Proposed Measure to Establish a False Claims Act for Missouri | April 6, 2010

Testified Before Missouri House Committee on General Laws on the Measure to Modify Provisions Regarding Missouri Medicaid's Authority to Collect Payment From Third-Party Payers | April 6, 2010

Publications

Markus P. Cicka prepared "Fraud and Abuse Laws: Administrative Sanctions", June 30, 2020. 


Markus P. Cicka prepared "Fraud and Abuse Laws: the Federal False Claims Act", June 29, 2020.


Markus P. Cicka prepared "Fraud and Abuse Laws: the Federal Physician Self-referral Statute or 'Stark Law'", June 28, 2020. 


Markus P. Cicka prepared "Fraud and Abuse Laws: the Federal Food, Drug and Cosmetic Act", June 27, 2020. 


Markus P. Cicka prepared "Fraud and Abuse Laws: Federal Criminal Statutes (Part 2)", June 26, 2020.


Markus P. Cicka prepared "Fraud and Abuse Laws: Federal Criminal Statutes (Part 1)", June 25, 2020. 


Markus P. Cicka prepared "Who Is Watching How Healthcare Dollars Are Spent? Federal Contractors", June 24, 2020. 


Markus P. Cicka prepared "Who Is Watching How Healthcare Dollars Are Spent? State Enforcement Agencies", June 23, 2020. 


Markus P. Cicka prepared "Who Is Watching How Healthcare Dollars Are Spent? The Department of Justice", June 22, 2020. 


Markus P. Cicka prepared "Who Is Watching How Healthcare Dollars Are Spent? The Department of Health and Human Services", June 21, 2020. 


Markus P. Cicka's article "Medicare Recognition of Interstate License Compacts" was published in the Illinois Home and Hospice Council, Communicator Express, June 18, 2020. 


Markus P. Cicka’s article “Home Health Agency Audits: Architectural Features Of A Patient’s Home May Be Relevant In Determining Homebound Status” was published in the Illinois Communicator, Communicator Express, Illinois Homecare & Hospice Council, May 22, 2020. 


Markus P. Cicka's article " "Billing for Polysomnography Services: Make Sure You Know the Legal Requirements for Sleep Testing Services", was published by HomeCare magazine, May 13, 2020. 


Markus P. Cicka prepared "Home Health Agency Audits: Hidden Gems from a Recent OIG Audit", May 6, 2020. 


Markus P. Cicka prepared "Home Health Agency Audits: What Has the OIG Recently Found?", May 1, 2020.


Markus P. Cicka prepared "Make Sure Your Home Health Medicare Claims Match Your OASIS Data", April 25, 2020. 


Markus P. Cicka prepared “A Reminder About Advanced Beneficiary Notices of Noncoverage for Home Health Agencies and DMEPOS Suppliers”, April 13, 2020. 


Markus P. Cicka prepared "Required Elements of a Written Order For All DMEPOS Items: CMS Recently Created One Standard", April 8, 2020. 


Markus P. Cicka prepared "The OIG Loosened Restrictions for Reducing or Waiving Cost-Sharing Obligations for Telehealth Services due to COVID19: But What Were the 'Pre-COVID19' Restrictions?", April 6, 2020. 


Markus P. Cicka prepared "Make Sure Your Medicare Lumbar Sacral Orthosis Items are Reimbursable", March 26, 2020. 


Markus P. Cicka joined First Healthcare Compliance, LLC for their blog "Billing for Chronic Care Management: What Are the Problematic Issues?" March 12, 2020. 


Markus P. Cicka prepared “Make Sure Your Medicare Telehealth Services are Reimbursable”. March 11, 2020. ​


Markus P. Cicka prepared "Clinical Laboratory Billing for Travel Expenses”, February 29, 2020. 


Markus P. Cicka prepared “Billing Medicare For Clinical Laboratory Services: Specimen Validity Tests Combined with Urine Drug Tests”. February 18, 2020. 


Markus P. Cicka’s article “Sentencing of Home Health Owner for Payment of Kickbacks for Referrals Is a Reminder to Properly Market Your Services” was published in the Illinois Communicator, Communicator Express, Illinois Homecare & Hospice Council, February 6, 2020. 


Understanding Place of Service Requirements Under Medicare Part B

HomeCare Magazine, January 10, 2020

Comprehensive Error Rate Testing (CERT) Identifies 87 High-Risk HHAs: Where Are the Deficiencies? 

Communicator Express, Illinois Homecare & Hospice Council, January 8, 2020

Lack of Face-to-Face Encounters Garners Federal Prosecutorial Scrutiny

HomeCare Magazine, December 10, 2019

Addressing the Corporate Practice of Medicine Prohibition

Communicator Express, Illinois Homecare & Hospice Council, January 8, 2020

Home Health Agencies and Provisional Period of Advanced Oversight

Communicator Express, Illinois Homecare & Hospice Council, November 21, 2019

Provider Compliance Tips for Glucose Monitors & Diabetic Supplies

HomeCare Magazine, October 21, 2019

Federal Court in Texas Decides When a Manufacturer's Responsibility for Medication Guides Terminates

Missouri Pharmacist, July/September 2019, Volume 93, Issue III

Effective October 21, 2019, CMS Expands Prior Authorizations of Pressure Reducing Support Surfaces.

Communicator Express, Illinois Homecare & Hospice Council, Issue 18, September 10, 2019

Surety Bonds for Home Health Agencies Makes OIG’s List of Top 25 Unimplemented Recommendations

Communicator Express, Illinois Homecare & Hospice Council, Issue 16, August 13, 2019

What Do You Need to Know About Medicaid Fraud Control Units? A Primer for Home Health and HME Providers

HomeCare Magazine, July 30, 2019

CMS Now Prohibits States from Making Certain Medicaid Payments to Third Parties: An Update to Last Edition’s Article

Communicator Express, Illinois Homecare & Hospice Council, Issue 14, July 16, 2019

CMS Now Prohibits States From Making Certain Medicaid Payments to Third Parties: What the Home Health Practitioner Needs to Know

Communicator Express, Illinois Homecare & Hospice Council, Issue 13, July 2, 2019

Understanding Proof of Delivery Documentation: Safeguard Your Company From Negative Audit Findings

HomeCare Magazine, June 2019

Don’t Forget to Check for DMEPOS Prior Authorization: CMS Recently Updated the List

Communicator Express, Illinois Homecare & Hospice Council, Issue 11, June 4, 2019

Missouri’s Physician Self-Referral Statute

Missouri Pharmacist, April/June 2019, Volume 93, Issue II

Loan Closet Agreement with Hospital

Medtrade Monday, March 25, 2019 (With Jeff Baird)

South Florida Pharmacist Sentenced to Over Six Years in Prison For Role in $5 Million Compounding Pharmacy Scheme

Missouri Pharmacist, January/March 2019, Volume 93, Issue I

CMS Updates Guidance for Overpayment Statistical Sampling: What the Medicare Supplier Needs to Know,

Illinois Pharmacist, 1st/2nd Quarter 2018, Published February 11, 2019

Medicaid State Program Integrity Departments

Medtrade Monday, February 4, 2019 (With Jeff Baird)

CMS Rolls Out “Targeted Probe and Educate” Nationwide: What the DME Supplier Needs to Know

Missouri Pharmacist, October/December 2018, Volume 92, Issue IV

Physician Ownership and Use of In-Office Advanced Diagnostic Imaging Equipment: Are IDTF Standards a Meaningful Response to Overutilization, Quality and Costs? 

Journal of Health and Life Sciences Law, Volume 2, Number 2, January 2009

A Collection of States' Medicaid Self-Disclosure Protocols

Assisted in Drafting Missouri Senate Bills 842 and 1007 and Missouri House of Representatives Bill 1868 Modifying Provisions Regarding Missouri Medicaid's Authority to Collect Payment From Third-Party Payers. 

Signed Into Law by Missouri Governor Jeremiah Nixon, June 30, 2010


“Understanding Place of Service Requirements Under Medicare Part B”

HomeCare Magazine, January 10, 2020

“Comprehensive Error Rate Testing (CERT) Identifies 87 High-Risk HHAs: Where Are the Deficiencies?” 

Communicator Express, Illinois Homecare & Hospice Council, January 8, 2020

“Lack of Face-to-Face Encounters Garners Federal Prosecutorial Scrutiny”

Communicator Express, Illinois Homecare & Hospice Council, January 8, 2020

“Addressing the Corporate Practice of Medicine Prohibition”

HomeCare Magazine, December 10, 2019

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