|
|
Healthcare providers throughout the country turn to Waller Lansden for assistance with reimbursement disputes, overpayment audits, Medicare enrollment and other regulatory matters that directly impact their bottom line.
Waller Lansden’s experienced team of healthcare lawyers and paralegals helps hospitals, surgery centers, imaging centers, home health, hospice, physician groups and dialysis clinics obtain payment from Medicare, Medicaid and commercial third party payers. Whether you are seeking payment for a new facility or service as a participating or out-of-network provider, addressing issues with an existing facility or seeking to continue cash flow for a facility emerging from bankruptcy, Waller Lansden can help expedite the reimbursement process.
Waller Lansden provides customized assistance as well as turn-key payer services covering a broad range of reimbursement challenges facing healthcare providers:
- Medicare enrollment services, including the preparation and filing of enrollment forms (855A, 855B, 855R, 855S and others) for new providers and suppliers
- Medicare revalidation
- Contracting with third party payers
- Advice and strategies for navigating out-of-network issues for commercial payers
- Advice, negotiation and conflict resolution of payer disputes, including “medical necessity” challenges and coding and recovery audits
- Billing advice (excluding coding)
- Internal investigations
- Facility licensing
- Assistance in resolving disputes related to survey and EMTALA certification, plans of corrects and statements of deficiencies
Waller Lansden also assists providers throughout the country with timely and appropriate responses to statements of deficiency, administrative enforcement actions, audits and appeals. We have also successfully assisted Medicare providers in responding to requests from Medicare Carriers. The RAC program collected more than $356 million in improper Medicare payments from providers in 2007, while only reviewing claims in five states. An additional 24 states will enter program in 2008, and the program is required by federal law to become nationwide on Jan. 1, 2010. Waller Lansden assists providers during the audit process as well as in responding to and appealing Medicare determinations, including RAC determinations. Our experienced attorneys can help you to minimize the disruption to patient care and business operations caused by such audits.
Our attorneys have successfully defended healthcare providers in False Claims Act/qui tam litigation throughout the country involving both Medicare and Medicaid fraud allegations. We frequently represent clients in government investigations by the U.S. Department of Justice, the Office of the Inspector General and State Attorneys General. We assist clients with internal investigations and corporate compliance matters. Additional information on Waller Lansden’s Healthcare Litigation experience is available at this link.
|
|
|
