rs=w_640 (20)

Provides Regulatory Support to White Collar Litigation Team

  • Defends clients in connection with allegations of false claims act violations alleged by actions brought by whistleblowers (Qui Tam cases)
  • Defends clients in connection with government investigations into non-compliance with rules and regulations
  • Provides regulatory support to white collar defense litigators
  • Reviews complaints and does regulatory research in connection with defending against those complaints
  • Supports the litigation team by reviewing and, when necessary, revising, motions and briefs

Resolves Disputes Between Providers and Medicare Part A, B, and C as well as Commercial Payers

  • Reviews demand letters from Medicare and other payers
  • Assists clients in responding to demand letters
  • Negotiates and executes settlements with payers in connection with demands for refunds
rs=w_640 (19)
pexels-pavel-danilyuk-7654579

Responds to Medicare & Commercial Payer Audits and Assists in Appealing Claim Denials

  • Reviews audit requests
  • Assists in responding to audits and appealing claims denials resulting from audits
  • Assists in preparing complete responses to audits and drafting legal briefs and memoranda of law in support of appeals
  • Appears before Administrative Law Judges (ALJs)