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.
We routinely guide clients through audits and investigations conducted by the Centers for Medicare and Medicaid Services (CMS), Zone Program Integrity Contractors (ZPICs), Recovery Audit Contractors (RACs) Medicare Administrative Contractors (MACs), Medicaid Integrity Contractors (MICs), the U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG), and state inspector generals and regulatory agencies throughout the country. We assist our clients in conducting internal investigations and identifying potential error rates, responding to records requests, and providing written and oral advocacy before enforcement authorities to avoid enforcement actions.