HEALTH CARE REIMBURSEMENT AUDITS & APPEALS

 

The attorneys at Suarez Gaitan, The Health & Business Law Group have experience representing physicians, suppliers and other licensed health care providers in both Medicare and Medicaid reimbursement appeals, overpayments, audits and fraud investigations.

We have the litigation experience, agency experience, advocacy skills, and regulatory understanding necessary to effectively analyze and appeal complex Medicare and Medicaid reimbursement and compliance disputes.

Under the Medicare statute, 42 U.S.C. § 405(h), the courts do not have jurisdiction over claims arising under the Medicare Program until the provider/supplier has exhausted its administrative remedies. Our health care attorneys represent clients throughout every stage of the administrative process, including appeals to the Medicare Contractor (Redetermination), Qualified Independent Contractors (QIC) (Reconsideration), the Office of Medicare Hearings and Appeals (ALJ), Medicare Appeals Counsel (MAC), as well as subsequent litigation in federal court.

Similarly, our experienced health care attorneys regularly handle Medicaid reimbursement appeals before the Agency for Health Care Administration (AHCA), AHCA contractors, the Florida’s Division of Administrative Hearings and Appeals (DOAH), as well as appeals to state court.

Our Medicare and Medicaid reimbursement audit attorneys focus on the following areas:

 

To speak with an established health care attorney, e-mail Suarez Gaitan — The Health & Business Law Group at info@suarezgaitanlaw.com or call us at 786.440.8115. We offer flexible fee arrangements.

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