In today's challenging regulatory climate, business deals are structured to leverage or avoid the consequences of unique and discrete Medicare and Medicaid billing and claims administration rules. Our team uses its experience in decoding these rules and communicating with regulators to provide clear guidance on Medicare and Medicaid payment issues.
Our lawyers regularly help clients respond to government audits by conducting reviews of clinical and billing practices, compiling and analyzing data for defense of claims, and representing clients throughout the response and appeals process. We understand, from experience over many years of practice in this highly specialized discipline, how important it is to maximize client reimbursement while also complying with payor rules and regulations. Clients turn to us to provide practical advice on billing and coding conventions, the use of modifiers and location codes and supervision requirements for ancillary services.
In connection with client transactions and expansion, we assist healthcare providers with Medicare and Medicaid provider enrollment, changes of ownership, application updates and reassignment. In addition, our lawyers are formidable and effectual advocates who routinely represent clients before state and federal agencies related to overpayments and recoupment actions involving Medicare and Medicaid claims.