Many of our healthcare and business law firm’s clients periodically face audits by insurance companies or governmental organizations, usually through a contractor. Audits can be unnerving times for a practice to go through. This blog post outlines 3 tips for handling an insurance audit. The Centers for Medicaid and Medicare recently published that the flexibilities allowed during COVID-19 will soon end and practices should ensure compliant safety and billing practices. As a result of this change after two and half years, practices may see increased audits. If you have questions regarding this blog post or need counsel navigating an audit, you may contact us at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com. You may also learn more about our law firm by visiting www.littlehealthlaw.com.
- Take it Seriously at the Initial Record Request (and Not Just When They Ask for Repayment).
Many practices call us after the auditor requests repayment. Almost always, the process starts before then with the auditor initiating an investigation by requesting additional records and information. After the repayment is requested, however, there is an uphill battle to argue on behalf of your practice that no or less repayment is warranted. The best chance that your practice has of both reducing any requested overpayment and persuading the auditor not to expand its investigation to more patients or a larger time period is during the response to the initial request for records and documentation.
Our healthcare and business law firm previously published a blog post on the 
At the 2022 Annual Augusta Arts Awards Dinner held in June, Little Health Law Partner Lee Little led her final meeting as President of the Greater Augusta Arts Council and passed the role to incoming President Rhian Swain. The event honored many individuals and groups whose talents and contributions are crucial to the arts community in Augusta. Ms. Little awarded the President’s Award – recognizing outstanding work in the arts in Augusta – to Russell Joel Brown, who performed a medley of songs at the event.
Our healthcare and business law firm previously published a blog post on the 
Our healthcare and business law firm previously published a blog post on the 
Both concierge medicine and direct primary care practices have become popular alternatives to the traditional insurance medical practice model. In a previous post, we 
There are numerous adverse actions that can be taken against a provider’s Medicare ordering and referring or billing privileges. In general, however, deactivation is not considered such an “adverse action” that will reflect on the providers PECOS; however, it does “stop” your ability to use your Medicare privileges. If you have experienced an adverse action on your privileges, such as your privileges being revoked or excluded, please investigate yourself or call counsel to understand the rules and strict deadlines around what to do to