Should your clinic or practice be subjected to a government contractor review or audit by either a Recovery Audit Contractor or a Program Safeguard Contractor, it is imperative that you fully understand how the appeal process works so that you can properly assert any and all arguments and defenses in support of payment.
Learn More
Despite the successes achieved by PSCs, Congress believed that additional measures to safeguard the Medicare Trust Funds were needed. As part of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Congress directed CMS to conduct a three year pilot project examining the use of…
Learn More
Congress has taken a number of actions in an effort to address Medicare fraud and reduce the extent of improper claims being paid each year. The Medicare Integrity Program (MIP) was established as part of HIPAA in 1996 to strengthen CMS’ ability to reduce fraud and abuse in the Medicare program. In 1999, CMS began transferring…
Learn MoreAccording to the White House, President Obama has announced that he intends to back bipartisan plans to stamp out waste in government-run medical programs for the elderly and needy. The White House said the new effort to root out… [Read more of this article]
Last September, the Centers for Medicare and Medicaid Services (CMS) published its Final Rule addressing limitations on the recoupment of alleged overpayments by its Medicare contractors (e.g. Medicare Administrative Contractors and Qualified Independent Contractors). This Final Rule finalizes how Medicare… [Read more of this article]
The number of auditors, reviewers, investigators and prosecutors going after health care providers is increasing and signals an alarming, unprecedented effort by the government to uncover and recover alleged overpayments to health care providers.
Health care… [Read more of this article]
"This website is not endorsed by or associated with the Medicare program, CMS, HHS or any other government agency. This site is intended for informational purposes only. Our law firm provides legal defense representation in connection with Medicare audits and extrapolations."
4400 MacArthur Blvd. NW 
