Medicare Payment Suspensions
Legal assistance responding to payment suspension notices and allegations of fraud or overpayments.
Hospice Defense
Have you Been Audited, Suspended, or Revoked by Medicare?
Speak with hospice lawyers defending hospice providers in Medicare audits, payment suspensions, revocations, appeals, False Claims Act cases, OIG investigations and government investigations.
Response and appeal deadlines may be extremely short. Contact the firm as soon as possible after receiving a notice.
- Representing hospice providers nationwide.
- More than 15 years of experience representing and defending hospices.
- Counsel for all Compliance- and Regulatory-Related Issues
- Confidential consultation
Has your Hospice Received a Letter from Medicare or the OIG?
Government scrutiny of hospice providers has increased significantly. A payment suspension, revocation, audit, prepayment review or government investigation can threaten a hospice's revenue, Medicare enrollment and ability to continue operating.
CMS Revocations
Representation in Medicare enrollment revocations, reconsiderations and administrative appeals.
UPIC Audits and Investigations
Assistance responding to Unified Program Integrity Contractor document requests, audits and suspected-fraud investigations.
PPEO, Pre-Payment, or SMRC Reviews
Guidance for hospice providers placed under enhanced oversight, pre-payment review, or a SMRC audit.
Overpayments and Extrapolation
Representation involving alleged overpayments, statistical extrapolation and repayment demands.
Enrollment and Ownership Issues
Assistance with enrollment denials, moratorium-related questions, ownership changes and Medicare billing privileges.
Do Not Ignore a Notice from CMS, Medicare, or OIG.
Some notices provide only a limited period to submit a rebuttal, appeal or supporting documentation. Missing a deadline may significantly reduce the provider's available options.
Hospice providers should obtain legal advice as soon as possible after receiving a notice from CMS, a Medicare contractor, OIG, or another government agency.
Healthcare Attorneys Representing and Defending Providers
Calhoun Bhella LLP defends hospice 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.
- The firm represents hospices across the United States
- The attorneys understand Medicare enrollment, billing and regulatory enforcement.
- The firm handles audits, appeals, revocations and payment suspensions.
- The firm understands the operational and financial consequences of suspended Medicare payments.
Bridging the gap between hospice care and legal protection.
What Happens After You Contact the Firm?
- Step 1
Tell Us What Happened
Provide the notice type, date received and any known response deadline.
- Step 2
Speak with a Hospice Attorney
The firm reviews the situation and discusses the available legal options.
- Step 3
Develop a Response Strategy
Where the firm accepts the matter, the attorneys can help prepare the response, rebuttal, appeal or defense strategy.
Issues Where We Can Help
- Medicare payment-suspension rebuttals
- CMS revocation appeals
- UPIC audits
- SMRC audits
- OIG investigations
- PPEO reviews
- Prepayment medical reviews
- Post-payment audits
- Additional documentation requests
- Overpayment appeals and statistical extrapolation challenges
- Hospice medical-necessity audits
- False Claims Act investigations
- Government fraud investigations
- Medicare enrollment denials
- Change-of-ownership issues
- Hospice acquisition compliance
- Corrective-action planning
- Regulatory compliance advice
Defending Hospice Providers Nationwide
Calhoun Bhella LLP defends hospice agencies and other healthcare providers across the United States.
Experience
- Responding to alleged overpayments and extrapolated demands
- Medicare enrollment reinstatement matters
- Defence against revocation actions
- Payment-suspension rebuttals
- Audits and administrative appeals
Prior results do not guarantee a similar outcome. Every case is different and must be evaluated on its own facts.
Frequently Asked Questions
Received a Notice, Request, or Demand from CMS, Medicare, or OIG?
Speak with a hospice lawyer about the notice, your deadline and the options available to your agency.
(202) 804-6031