NEW JERSEY CRIMINAL LAWYERS

NJ Medicare Audit Lawyer

Get Help from Experienced Legal Counsel to Deal with a Medicare Audit

In today’s world, the federal government is scrutinizing Medicare spending, causing doctors, nurses, medical equipment companies and others to be targets of Medicare audit investigations. These investigations can seriously affect not just the provider’s reputation professionally but also personally. Supposing you find yourself being investigated ‘guiltily’ or ‘non-guiltily,’ you will need legal representation that knows how to deal with such complex cases. Our law firm of Potashnik and Associates has vast years of experience dealing with these types of matters, and we are not intimidated by any aspect of Medicare audit against our clients.

Various Factors That Trigger a Medicare Audit
There are many factors that may lead to an investigation being launched against a doctor or other healthcare providers. If they have the notion that billing was done for services that were never provided or if records were falsified in order to justify treatments given, it can raise suspicion among investigators leading them to investigate service providers. Unfortunately for these classes of workers, most inspections are done without their awareness – often undercover procedures where investigators hop into provider offices hoping they might see something wrong incriminating the provider or their staff. In some instances, the investigator goes ahead to trigger unnecessary courses intending to bait healthcare providers onto illegal acts. At Potashnik and Associates firm, we do not let government developers trick our clients into incriminating themselves; because with many years of experience on how ‘innocent until proven guilty cases’ play out; we know every investigative move.

Who Participates in Audit Investigations?
When a Medicare audit is conducted, several government agencies may take part in it; including FBI (Federal Bureau of Investigation), DOHHS (Department of Health and Human Services), Office of Inspector General (OIG), US Attorney General’s Office among many others involved in auditing governance dealing with particular businesses within the healthcare sector. Because there might be quite a number of agencies involved, it is essential to have strong legal counsel such as the team at Potashnik following and backing you up all the way. Investigations can be stressful events that make one lose track; however, with attorneys skilled in their trade, they will ensure you keep your calm throughout possible threats. Several intimidation tactics may be taken by investigators once accused of wrongdoing in investigations involving Medicare audits so it helps to stay mindful at all times.

Don’t Minimize Your Risks
Healthcare providers must not minimize any risk they face when facing an audit; because since the government prioritizes eliminating as much Medicare fraud, sensitive data investigators might inspect ‘if found guilty,’ and this, unfortunately, could possibly hurt careers/ income/ reputation or result in professional licensures being disengaged from loss of work morale. Potashnik and Associates advises that even in cases where “no further violations are intended,” a mistake made merely on compliance under Medicare regulations could lead inspectors to gravitate toward the notion that something was amiss or intentionally manipulated leading to investigation. Once determined as intentionally triggered inspection leading investigators down various paths assuming guilt over innocence, chances are high of a licensed practitioner facing serious consequences in business operations – it’s important to retain legal firms such as ours.

What To Do During an Audit?
It’s vital healthcare providers maintain their composure while thinking clearly about everything taking place around them amidst an audit process underway which has remained elusive, both subjectively objective to most thus far given complex documentations’ conventions that might lead investigators into more time-searching for evidence before issuing critical judgment calls. In fact here are some essential things healthcare providers should avoid doing throughout this period:
(a) Avoid altering records before they get examined by investigators.
(b) Refrain from falsifying medial or financial records.
(c) Prevent removal of files from your office by anyone lacking warrant privilege
(d) Avoid discussing matters relating to your case with non-directly involved parties.

It helps when law firms provide a healthy working environment where direct clients might rely and adaptively apply the strategies under discussion. Potashnik and Associates advises that keeping investigators resolute by putting the burden of proof on them proves effective since it allows investing further time to search for evidence. Once proven, innocence returns healthcare providers to retaining their services ongoing uninterrupted; making us invaluable in harsh compliance times with Medicare investigations.

Contact Us Promptly
When there is evidence of a Medicare audit inspection around your practice, timely engagement with highly experienced legal representation remains crucial in helping plan defense strategy inclusive of documentation preparation. Contact us immediately when audited instead of procrastinating further because losing essential response times could lead to overwhelming difficulty during proceedings. Potashnik and Associates offers free no-obligation consultations providing clients with opportunities to discuss how ‘innocent until proven guilty cases’ play out concerning individualized versions leading up to current Medicare audits.