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Our attorneys are highly experienced in reimbursement litigation, audits and appeals involving claims denials, cost report disputes, enrollment controversies, redeterminations, payment suspension and recoupment actions.

  • Routinely represent all provider types to defend audits by both government and commercial payers
  • Represent hospitals and health systems, physicians and other providers in conducting internal billing compliance audits and self-disclosure submissions to Medicare and Medicaid
  • Represent clients in state actions and administrative litigation to recover alleged Medicaid Program overpayments, resulting in substantial reduction in the overpayment demand and a favorable settlement for client
  • Represent health systems in appeals concerning single and multiple claims, extrapolation of statistical sampling and appeals involving a wide variety of billing issues and providers/physicians
  • Represent various healthcare providers before the OIG in negotiations, implementation and ongoing monitoring of corporate integrity agreement following criminal and civil settlements

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