Blog - Archive for Firm News

The Firm successfully defended our LMHC client against allegations that the LHMC engaged in unprofessional conduct; misdiagnosed a client; and engaged in excessive UA testing.  This result is especially notable because the complaint at issue was initiated by a competing provider in the community. The Firm investigated the allegations at issue and prepared a rebuttal Read more →

Tags : Letter of Guidance , Licensed Mental Health Counselor

After submitting a detailed redetermination appeal on behalf of our client’s medical practice, the Firm secured a significant reduction in the overpayment demand – more than a 95% reduction.  In addition to addressing the support for the billed services found in the relevant medical records, the Firm also addressed the statistical sampling methodology used by Read more →

Tags : Medicare Audit

A federal civil fraud case filed against a medical services provider client of the Firm has been dismissed by the plaintiff after the Firm provided the plaintiff with a detailed demand letter setting forth the deficiencies in the plaintiff’s case.  The Firm also put the plaintiff on notice of the Firm’s intent to seek its defense fees if the Read more →

Tags : Health Care Fraud

After almost seven years of navigating the administrative appeals process, the Firm secured the complete dismissal of a $1,000,000 dollar Medicare overpayment for a South Florida physician.  Following the physician’s receipt of untimely overpayment demands, the Firm secured the reinstatement the provider’s appellate rights.  The gist of the overpayment demand was that the provider failed Read more →

Tags : Medicare Reimbursement

The Firm successfully defended an anesthesiologist against allegations that he “grossly mismanaged” a patient’s anesthesia care during a procedure that ultimately resulted in the patient having heart failure and the procedure being aborted.  The patient expired several days later. The Firm fully investigated the allegations at issue, engaged an expert witness, and prepared a rebuttal Read more →

Tags : Professional Licensure Investigations