Speak with healthcare attorneys defending wound care providers in UPIC and SMRC audits, OIG reviews, and other government investigations.
Response and appeal deadlines may be extremely short. Contact the firm as soon as possible after receiving a notice.
The healthcare attorneys with Calhoun Bhella LLP represent wound care clinics, mobile wound care providers, physician practices, suppliers, and home health agencies around the country.
Responding to Unified Program Integrity Contractor (UPIC), Supplemental Medical Review Contractor (SMRC), and Medicare Administrative Contractor (MAC) audits and other types of document requests targeting claims for skin substitutes and other advanced wound care services.
Aggressively representing wound care providers that have received Medicare overpayment notices for their skin grafting and advanced wound care claims through the CMS administrative appeals process and in federal court.
Representing wound care providers that have received "Requests for Information or Assistance" or subpoenas from the HHS Office of Inspector General (OIG) seeking documents and other materials related to the provision of advanced wound care services.
Providing effective counsel and representation to wound care providers that have received Civil Investigative Demands (CIDs) or other requests from the U.S. Department of Justice (DOJ) for documentation or other materials related to claims for skin grafting and advanced wound care services submitted to federal healthcare programs.
Advising wound care providers on regulatory compliance matters, including but not limited to issues arising under the Anti-Kickback Statute and the Stark Law, as well as potential disputes with product vendors.
Some notices allow only a limited period to submit a rebuttal, appeal or supporting documentation. Missing a deadline may significantly reduce the options available to a provider.
The Firm
Calhoun Bhella LLP defends wound care providers facing Medicare audits, payment suspensions, enrollment actions, overpayment demands and government investigations. The firm helps providers understand the allegations, preserve their appeal rights and prepare an appropriate legal response.
Step 1
Provide the notice type, date received and any known response deadline.
Step 2
The firm reviews the situation and discusses the available legal options.
Step 3
Where the firm accepts the matter, the attorneys can help prepare the response, rebuttal, appeal or defense strategy.
Tell us briefly about the notice, audit or enforcement action your wound care practice has received. Use the form above or call the firm directly.
(607) 391-2404Our healthcare attorneys have extensive experience with audits and investigations involving claims for skin grafts and other advanced wound care services. We understand the coverage, billing, and documentation rules and can work closely with you to design a strategy that minimizes your liability and risk in any enforcement action.
Cellular and tissue-based product billing carries high per-claim value, and enforcement activity around amniotic and other graft products has increased sharply. Product selection, application frequency, wound measurement and wastage documentation are all common audit targets.
Calendar the deadline, preserve records without altering charts, limit internal discussion of the matter, and speak with healthcare defense counsel before producing documents. Deadlines can be very short.
Prior results do not guarantee a similar outcome. Every case is different and must be evaluated on its own facts. This page is attorney advertising and provides general information only, not legal advice.