New York Health Care Professionals Medicare Lawyer

The scrutiny around Medicare payments is stringent and only getting more intense. More and more outside contractors are being hired by Medicare. In each Medicare region, the Centers for Medicare & Medicaid Services (CMS) appoints an outside contractor, essentially a large collection agency, to audit for overpayment to health care providers. These recovery audit contractors (RACs) are paid on a contingency basis to recover funds based upon waste, fraud and abuse by medical providers. As such, the auditing companies have a significant business incentive to uncover these issues and the frequency of these audits grows year after year. (Although they say they also audit for underpayment, you can believe this when you see your first check from them.)

As a result, health care providers must be diligent in monitoring areas that may be subject to RAC scrutiny while increasing compliance efforts in these areas. Additional audit issues are continually being approved, making the issues surrounding compliance more and more intense. When providers are selected for an RAC audit, the result is a resource-draining process that can be catastrophic if improperly handled.

If you or your organization is involved in an audit or wants to prepare for the possibility of one, it is important to work with a firm that provides a comprehensive knowledge of health care law.

New York City Regulatory Defense Law Firm

The health law attorneys at Brill Legal Group, P.C., are ready to help you work through any RAC-related issue, including:

• Addressing communications with the RAC
• Tracking record requests and claim denials
• Ensuring timely responses
• Preparing for and handling appeals
• Improving documentation
• Reviewing admissions, procedures and coding practices

Contact us today for a free initial consultation. Our Medicare lawyers are available to provide an initial no-cost evaluation of the legal issues you may face.

Manhattan 212-233-4141 — Suffolk 631-204-8254 — Nassau 516-206-2002 —East Hampton — 631-204-8254

Toll free 888-315-9841.