State and local government audits of medical reimbursement programs such as Medicaid and Medicare are on the rise. Individual and institutional healthcare providers and suppliers of medical equipment and services are increasingly subject to scrutiny, and in the current economy government payers are expected to seek reimbursement of alleged overpayments at an unprecedented rate. We at Cray Huber have helped providers and suppliers respond to initial audit requests, and defend administrative proceedings seeking reimbursement or termination from government payment programs. We have also defended providers in government actions involving medical quality control. Often, these government actions require responses from the provider or supplier under a strict deadline. Providers and suppliers should seek counsel immediately after receiving a government communication to avoid waiving any of their rights.
A provider or supplier’s best defense to a government action seeking reimbursement or exclusion is a proactive approach to compliance. To this end, we can help suppliers and providers develop compliance programs to ensure that their billing procedures are thorough, correct and invulnerable to an overpayment audit. We provide advice on HIPAA compliance, on anti-kickback laws and on other health care regulations. Cray Huber attorneys include a former general counsel at a group of medical transportation companies and a former in-house counsel for an owner and manager of long-term care facilities. Our attorneys can provide real-world, practical advice on making compliance a part of your practice or company’s culture.