Medicare audit challenges can seriously affect even the most robust group practices. In this episode of Your Group Practice, Dan King talks with Dr. Mohamed Rifai, founder of BlueMountain Psychiatry, to share his experience navigating federal investigations, legal battles, and eventual vindication.
Dr. Rifai, who is board certified in internal medicine, psychiatry, and addiction medicine, built his Pennsylvania-based practice to serve over a million residents in the Lehigh Valley. As an early telehealth adopter, he pioneered psychiatric care for nursing homes years before the COVID-19 pandemic. However, misunderstandings surrounding medical coding led to allegations of fraud from the Department of Justice, risking his career and freedom. After facing trial, he was acquitted and now uses his story to educate practice owners.
In this episode, you’ll learn:
- The hidden risks of Medicare audit challenges and telehealth billing
- Why compliance systems and coding audits are vital for sustainability
- How proactive insurer communication can safeguard your practice
- Strategies to protect your team through compliance manuals and training
Dr. Rifai also introduces SHIELD, his new consulting firm helping healthcare providers navigate legal and regulatory challenges, and shares how self-care helped him rebuild after the stress of his trial.
Transform Your Group Practice
Actionable insights for practice owners and clinicians who want to lead, grow, or exit with purpose. This is the podcast shaping a stronger mental health system — one practice at a time.
- Subscribe and listen to more episodes: https://yourgrouppractice.com/
- Want to be a guest? Reach out: info@yourgrouppractice.com
About the Host
Dan King is a lawyer turned private equity founder with a passion for fixing burnout in mental health. With a background in M&A, Shark Tank deals, and psychology, he now leads Fireside Strategic — investing in group practices that put people first.
- LinkedIn: linkedin.com/in/danmking
- Website: firesidestrategic.com
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