Overview

We possess substantial experience advising clients on responding to draft audit reports and fighting disallowances. We advise hospital clients in addressing third-party reimbursement and billing errors. We assist hospital, nursing home, and ambulatory care clients with developing and implementing audits involving third-party reimbursement. We have worked with numerous clients on audits, assisted them in repaying overpayments, and advised them on questions of reporting misconduct to the OIG. We have also represented clients in OIG audits.

The attorneys of our practice group have also drafted numerous self-disclosures for health care clients, including hospitals, physician practices, and OPWDD/OMH facilities/organizations. We have experience in all aspects of submitting self-disclosures for situations including practices not meeting billing or documentation standards for claims and thus violating the FCA, Stark violations for excessive physician compensation, payment of program dollars to excluded individuals, as well as others.