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
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)