Criminal Defense • Disciplinary Investigations & Hearings

Medicare/Medicaid Audits

New York Medicare/Medicaid Audits Lawyer

The centerpiece of the growing Medicare and Medicaid scrutiny from municipal agencies are the Recovery Audit Contractor (RAC) and Medicaid Integrity Contractors (MIC) programs, respectively. These new programs are in addition to already existing audits conducted by the Medicare Affiliated Contractors (i.e., Carriers and Fiscal Intermediaries), Zone Program Integrity Contractors (i.e., Program Safeguard Contractors), Medicaid Integrity Program (MIP) and the Centers for Medicare & Medicaid Services (CMS).

Ultimately, these programs require agencies to work with contractors to cover several functions including:

  • Provider action review
  • Claim audits
  • Overpayment identification
  • Provider education

One of the major differences between RACs and MICs is that the latter are not paid on contingency based on audit results. That said, the combination of this new regulatory action has resulted in an unprecedented era of scrutiny in the health care field.

Failure on the part of medical providers to address these issues can result in legal or financial catastrophe. If you are unsure if your organization is ready for audits, we encourage you to get in touch.

New York City Health Law Attorney For Medicare/Medicaid Audits

We at Brill Legal Group, P.C., fuse comprehensive knowledge of Medicare/Medicaid audits with a hands-on approach and a receptiveness to business goals. We are committed to efficiently and cost-effectively helping you ensure compliance without compromising business processes.

Contact our New York City health care provider defense law firm today; our Medicaid fraud 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.

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