New York Health Care Lawyers Who Have Decades Of Combined Experience

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Experienced Representation For Commercial Carrier Audits And Overpayment Allegations


Health care providers must navigate a complex web of regulations when providing services to clients. This challenge becomes even more difficult if a commercial carrier, such as an insurance provider, decides to audit or investigate a health care provider because of alleged overpayment or other misconduct. If your business is facing an audit from a commercial carrier, it is essential that you have an experienced legal advocate protecting your rights and limiting the scope of the audit.

At Rivas Goldstein, LLP, our experienced health care lawyers represent health care providers in New York and New Jersey who face audits and overpayment accusations from commercial carriers. Our attorneys have decades of experience defending clients who are under investigation from federal and commercial entities. You can schedule your consultation with an attorney at our New York City office now by calling 800-761-5190.

Understanding Commercial Carrier Audits

An audit starts with a notification letter from the commercial carrier to the health care provider informing them of an impending audit. The audit letter generally includes a request for pertinent documents and strict deadlines for a response. Failing to respond to an audit letter or not providing the correct documentation could result in losing future payments, a request for repayment, loss of participation in an insurance plan and, in the worst-case scenario, fraud or abuse charges.

As soon as your business receives this letter, you should contact our office. We will handle the response letter and begin organizing the requested information on your behalf. In some instances, we can limit the scope of the audit and ensure that the process is completed quickly. If an audit’s findings are not accurate, we can appeal the audit and help you plan your next steps.

Preventing And Preparing For Audits

In addition to handling the audit process, we also help clients avoid these burdensome audits and fraud accusations in the first place. Our attorneys can help you review your billing practices and eliminate problematic processes. With our assistance, you will be able to handle any future audits with ease.

Talk To A New York Commercial Carrier Audit Attorney Now

We urge you to contact our lawyers about your commercial carrier audit as soon as possible. We will guide you through every step of the process and ensure that you get the best possible outcome. Call us now at 800-761-5190 or send us an email to schedule your consultation.

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