Law Office of Markus P. Cicka, LLC

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#1stTalkCompliance - Catherine Short speaks with a St. Louis healthcare attorney, Markus P. Cicka, J.D., LL.M. about “Billing for Chronic Care Management: What Are the Problematic Issues?” The two discuss what is #chroniccaremanagement, having an understanding of who exactly can bill for providing chronic care management services, and discover what recent chronic care management #billing issues have been flagged by the OIG.  September 14, 2020.


Markus P. Cicka prepared "Arbitration and Mediation of Healthcare Disputes: (Part 2 - Mediation)", September 10, 2020.  Link.


Markus P. Cicka prepared "Arbitration and Mediation of Healthcare Disputes: (Part 1 - Arbitration)", September 9, 2020.  Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Voluntary Disclosures of Overpayments (Part 4 - OIG Provider Self-Disclosure Protocol)", September 4, 2020.  Link.


We Are Honored! “We assisted our client, a Georgia-based durable medical equipment supplier, in growing its business by drafting an agreement between our client and another durable medical equipment supplier which allowed the non-client to access our client’s network provider agreement with a commercial insurance carrier.”


We Are Honored! We assisted a New York-based healthcare management company assess agreements between Covered Entities and Contract Pharmacies under the 340B Drug Pricing Program. The 340B Drug Pricing Program is a US federal government program created in 1992 that requires drug manufacturers to provide outpatient drugs to eligible health care organizations and covered entities at significantly reduced prices.


Markus P. Cicka prepared "Fraud and Abuse Laws: Voluntary Disclosures of Overpayments (Part 3 - Stark Law Violations)", September 1, 2020.  Link.


Markus P. Cicka prepared ""Fraud and Abuse Laws: Voluntary Disclosures of Overpayments (Part 2 - Disclosures to MACs)", August 31, 2020.  Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Voluntary Disclosures of Overpayments (Part 1 - Benefits and Risks)", August 30, 2020.  Link.


Markus P. Cicka prepared "The Federal Government Has Issued a Renewed Advanced Beneficiary Notice of Noncoverage Form (ABN), But What Is An ABN for Purposes of a Home Health Agency?" August 29, 2020.  Link.


Markus P. Cicka prepared "Billing Medicare for Orthotic Braces", August 28, 2020.  Link.


Markus P. Cicka prepared "You've Heard of CLIA.  But What Is it?", August 27, 2020.  Link.


We Are Honored! We assisted our client, a Medicaid provider, in having its Medicaid payment suspension lifted. Our actions helped the client stay in business and continue to serve Medicaid patients until a hearing on the merits of the case occurs.


We Are Honored! We assisted an immigrant from the former Soviet Union in obtaining benefits from the Missouri Department of Mental Health (DMH). DMH initially rejected our client’s application for benefits due to an issue pertaining to records possibly located in the former Soviet Union. We provided the evidence DMH required, resulting in DMH reversing its initial denial of benefits.


Markus P. Cicka prepared "The Use of Telemedicine Services by Texas Medicaid Providers", August 26, 2020.  Link.


Markus P. Cicka prepared "Are You Prepared To Correctly Bill for Home Infusion Therapy Services After January 1, 2021?", August 18, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Medicare Appeal Process (Part 6 - Medicare Consent Settlement Procedures)", August 16, 2020.  Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Medicare Appeal Process (Part 5 - Judicial Review in Federal Court)", August 15, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Medicare Appeal Process (Part 4 - Appeal To The Medicare Appeals Council)", August 14, 2020.  Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Medicare Appeal Process (Part 3 - Review By An Administrative Law Judge)", August 7, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Medicare Appeal Process (Part 2 - Reconsideration By A Qualified Independent Contractor)", August 6, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Medicare Appeal Process (Part 1 - Redetermination)", August 5, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Use of Statistical Sampling In An Audit (Part 2 -Areas to Challenge)", August 4, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Use of Statistical Sampling In An Audit (Part 1 - An Overview)", August 1, 2020.  Link.


Markus P. Cicka's article "Expect Audits After the Emergency Ends" was published by HomeCare magazine, July 31, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Government Requests for Information (Part 4 - What to Expect When the Government Knocks on the Door)", July 27, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Government Requests for Information (Part 3 - Responding To Government Requests for Information)", July 26, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Exclusion of Individuals or Entities (Part 5 - Determining Whether a Person is Excluded)", July 25, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Exclusion of Individuals or Entities (Part 4 - Effect of Exclusions)", July 24, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Government Requests for Information (Part 2 - Procedural Safeguards)", July 15, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws:  Government Requests for Information (Part 1 - Overview)", July 14, 2020.  Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Exclusion of Individuals or Entities (Part 3 - Section 1156 Exclusions)", July 12, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Exclusion of Individuals or Entities (Part 2 - Section 1128 Exclusions)", July 8, 2020. Link.


Markus P. Cicka prepared "Fraud and Abuse Laws: Exclusion of Individuals or Entities (Part 1 - The Process)", July 1, 2020.  Link.