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Medicare and Medicaid Reimbursement and Audits

We have extensive knowledge and experience in analyzing the Medicare and Medicaid reimbursement rules and responding to audits and investigations while achieving excellent results.  Operational knowledge is key to advising our clients on providing the necessary documentation and explanation in response to investigations. Most importantly, we can guide you in determining which issues deserve pursuit and which do not, and our credibility and guidance will help you achieve results.

Medicare and Medicaid Reimbursement and Audits

  • Advising on Reimbursement Matters
  • Responding to Medicaid and Medicare Audits
  • Creating Internal RAC Response Processes
  • Negotiating Settlements Resulting from Audits and Investigations
  • Appealing State and Federal Overpayment Determinations
  • Graduate Medical Education Issues
  • Cost Reporting
  • Discounts, Rebates and Warranties
  • PRRB and ALJ hearings
  • Voluntary Self Disclosure Protocols
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