Healthcare Insurance Reimbursement Law Services
Our highly trained attorneys work to partner with clients on the full range of insurance payment and reimbursement issues. We consider it our business to understand the opportunities and challenges that face the industry and, more importantly, our clients’ businesses. We have extensive experience with Medicare and Medicaid appeals and audits, including Recovery Audit Contractors (RACs), Zone Program Integrity Contractors (ZPICs), hospice CAP appeals, and state enforcement agencies, such as the Texas Health and Human Services Office of Inspector General (OIG) and Texas Attorney General’s office.
We have been successful in challenging the government’s use of extrapolation (using a small sample and applying it against a larger universe of claims) to determine over-payments. We rely on our particular expertise in the areas of private and public reimbursement, from individual claim negotiation through audit and over-payment litigation.