We successfully defended a home health agency in appealing a $9.3 million extrapolated overpayment resulting from a Zone Program Integrity Contractor (“ZPIC”) audit. Through the Medicare claims appeal process, we successfully argued that the statistical sampling methodology was invalid and should be set aside, resulting in the demand being reduced to under $175,000 before individual claims arguments were considered.
Successful Defense of Home Health Agency in Overturning Extrapolated Overpayment Resulting from Medicare Claims Audit
You Also May Be Interested In:
Co-counsel to Methodist Le Bonheur Healthcare (MLH) in its efforts to obtain a Certificate of Need (CON) to initiate radiation therapy at its hospital campus located in Germantown, Tennessee
Represented Tivity Health, Inc. in its acquisition of Nutrisystem, Inc.
Represented Consonance Capital Partners in the recapitalization of Orsini Pharmaceutical Services, LLC