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Medicaid Audit DefenseThe Health Law Firm and its legal professionals represent health care providers in virtually every aspect of Medicaid program audits, investigations and litigation. These include physicians, medical groups, mental health professionals, pharmacies, nursing homes, home health agencies, hospitals and other health facilities. It is extremely important that the health care provider obtain experienced professional representation in responding to a Medicaid Program audit notice. There are many problematic legal issues that a Medicaid audit seeks to identify in such audits. Correct responses to audit questionnaires and the provision of complete, legible, well-organized, responsive medical records (and other supporting documentation) must be provided. This is crucial from the very beginning. The receipt of the Provisional Agency Audit Report (PAAR) is another opportunity to provide documents, explanations, medical authority, legal authority and other documentation that may reduce or eliminate any repayment to the Medicaid Program. After receipt of a demand for an overpayment that may be alleged to be due to the Medicaid Program (in Florida, administered by the Florida Agency for Health Care Administration or "AHCA," and its contractors), it may still be possible to negotiate a repayment or settlement of the matter on favorable terms. If not, then The Health Law Firm and its attorneys are experienced in representing the health care provider in formal administrative hearings, in civil litigation or in appeals, on such matters. In the event that a health care professional receives a subpoena or search warrant for records concerning a Medicaid criminal investigation, our attorneys are experienced in dealing with investigators and state's attorneys, including attorneys and investigators working for the Attorney General's Medicaid Fraud Control Unit, in defending the health care provider and attempting to resolve the case before criminal charges are filed. We assist providers in obtaining Medicare and Medicaid provider status
(provider identification numbers), as well as, in proceedings seeking
to revoke or terminate a health care provider's Medicare and Medicaid
provider status. We also advise clients on performing internal audits
of Medicare and Medicaid services, billing, reimbursement and on how to
make voluntary refunds of overpayments to the Medicare and Medicaid Progams. |
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| The Health Law Firm is a "Participating Provider" in the "FP Assist Program" of the American Academy of Family Physicians The
Health Law Firm was a Member of the American Medical Association's Doctors
Advisory Network
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Main Office • 1101 Douglas Avenue, Altamonte Springs, FL 32714 Copyright © 1996-2010 The Health Law Firm. All rights reserved. |
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