Former Top Prosecutors, Federal Investigators & Government Regulators Working for You

25+ Years of Experience

Medicare Audit Defense Specialists–Safeguard Your Business & License

Medicare audits can lead to severe financial penalties and compliance risks for healthcare providers. Without expert legal representation, your practice may face unwarranted sanctions or worse. At Health Law Alliance, we specialize in defending healthcare providers during Medicare audits. Our experienced team helps you navigate the audit process, mitigate risks, and defend your reputation.

  • Comprehensive Audit Defense: Full representation throughout the audit, from document submission to appeals. As former regulators for the federal government, we use our knowledge of the government's playbook to protect your interests.
  • Minimize Financial Exposure: Our proven strategies are designed to reduce penalties and protect your revenue. We work closely with billing and coding scientists to combat statistical extrapolations that have no real world applicability.
  • Medicare Compliance Expertise: Before questions arise, we can help you ensure ongoing compliance with Medicare regulations to avoid future audits and licensing sanctions.
  • Customized Legal Strategy: Tailored defense based on the unique details of your Medicare audit. We hold audits like Safeguard and Qlarant responsible to their obligations under law.
  • Post-Audit Support: Guidance on implementing corrective measures to prevent future audit issues and ensure compliance, including remedial policies and training.
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    Past Experience

    Why Health Law Alliance?

    Our team is your best defense.

    Healthcare Specialty Attorneys and Consultants - Health Law Alliance specializes in healthcare law and is dedicated to defending healthcare providers and their licenses from overreach.

    Tenacious Defense - Health Law Alliance has gone after – and beaten – much bigger opponents. When faced with a seemingly daunting legal issue, our attorneys are the ones to call.

    Proven Track Record - The attorneys at Health Law Alliance have a demonstrated track record of success against the most aggressive government regulators and industry behemoths.

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    FAQs

    Do Medicare audits target specific business types?

    Medicare auditors often unfairly focus on independent providers versus larger health systems. But all provider types must contend with aggressive Medicare audits. Having experienced legal advocates levels the playing field.

    Can your guidance help prevent future unfair targeting by Medicare audits?

    Absolutely. We provide tailored Medicare audit compliance recommendations so providers can reinforce areas prone to Medicare audit scrutiny. Proper documentation is critical to rebutting Medicare audit allegations.

    Will filing Medicare appeals or settlements impact my network contracts?

    Retaliation for exercising Medicare audit appeal rights is prohibited. We incorporate proper legal protections into Medicare audit responses and settlements. Maintaining existing contracts is always a priority.

    What recourse exists if advance Medicare audit notice isn't provided?

    Lack of 30-day written Medicare audit notice violates statute in many states. We leverage penalties around insufficient Medicare audit notice periods into negotiation leverage.

    Can you help if my license or network participation is jeopardized by a Medicare audit?

    Yes. We ensure that Medicare audit sanctions comply with applicable federal and state laws. Medicare auditors are prohibited from acting in bad faith or arbitrarily under applicable law and Medicare audit manuals.

    What are the costs of legal representation for Medicare audits?

    We offer flexible fee arrangements based on the scope of Medicare audit representation required and Medicare audit stage. The earlier we are involved the better, as we can shape and limit Medicare audit scope, making legal representation more effective and less costly.

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