Health Law Firm | Medicare
The Martin Law Firm | Pennsylvania Medicare Attorney | Audits and Appeals
The Martin Law Firm is a health law firm that represents health care providers nationwide with Medicare audits and appeals and other reimbursement and compliance concerns. Attorney Jason B. Martin represents is a Pennsylvania Medicare Attorney who represents health care providers with Medicare compliance and reimbursement matters, including Medicare audits and Medicare appeals.
Medicare Audit Background
The Centers for Medicare & Medicaid Services (CMS) has consistently increased efforts to identify and pursue overpaid claims from health care providers. With budget concerns and the push to detect and rid government spending of fraud and waste, the federal government has increased budgets and legislation designed to find and punish those who are inappropriately paid for services. CMS wants to ensure that health care providers are paid only for services that (1) meet requirements as originally established within the Social Security Act and subsequent regulations, (2) meet Medicare provider contractual obligations (Conditions of Participation) and (3) meet CMS payment criteria or Medicare coverage criteria.
The Medicare auditing effort is advanced, well funded and far reaching. With the advent of Recovery Audit Contractors to an already well established arsenal of law enforcement, Medicare Recovery Auditors, Zone Program Integrity Contractors (ZPICs), Medicare Administrative Contractors (MACs), Program Safeguard Contractors, Medicaid Integrity Contractors, health care providers must ensure that their billing, coding and documentation of services is compliant. The Martin Law Firm helps all types of health care providers with compliance in order to prevent the problems associated with audits, recoupment, and prosecution.
The Martin Law Firm can help provide solutions for you by engaging the provider and helping the provider to focus efforts on compliance. The Martin Law Firm can also help defend the provider with audits, appeals, recoupment, and prosecution efforts by the federal government or its contractors. Visit the following pages for more Medicare information:
Do not hesitate to call us for a FREE CONSULTATION at 215-646-3980 or TOLL FREE at 877-777-9373.
We represent providers on a national level along with our volume of Pennsylvania clients. Click here to return to our health law home page. Click here to contact The Martin Law Firm.