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Proven Legal Guidance For Commercial Carrier Audits And Claims Of Overpayments

Commercial carriers, such as insurance providers, have stringent processes that health care providers must follow when submitting claims. Unfortunately, when a commercial carrier determines that a health care provider has allegedly committed fraud, the health care provider may be forced to face an arduous audit or investigation. You need experienced legal help if your health care business is accused of misconduct or facing an audit from a commercial carrier.

At Rivas Goldstein, LLP, our knowledgeable health care lawyers have decades of combined experience with commercial carrier audits and allegations of overpayments. Our Austin office represents health care entities and individual practitioners across Texas. Time is limited in these types of cases, so it is critical that you call our firm as soon as possible at 512-481-2916 if you are facing an audit.

Take Immediate Action To Resolve Audits Efficiently

Audits from commercial carriers begin with a letter to the health care provider explaining that an audit is forthcoming. This official letter will contain a request for specific documents, such as medical records and invoices, and the deadline for a response. Health care companies that fail to respond appropriately to the audit may face serious consequences, including losing future payments, a request for repayment, and fraud or abuse charges in some rare cases.

If you have received a letter from a commercial carrier concerning your business, please contact Rivas Goldstein, LLP. Our lawyers will help you quickly draft a response to the insurance company and help you organize any requested documents. Often, we can establish a line of communication with the commercial carrier and shorten the audit length. If the outcome of the commercial carrier’s audit is incorrect, we can appeal the audit and help you protect your business’s future.

Avoid Future Audits With Trusted Help

We have helped many health care businesses optimize their billing practices to maintain compliance with all laws and commercial carrier expectations. With our help, you can avoid commercial carrier audits and claims of overpayment.

Do Not Wait To Get From A Skilled Lawyer

Failing to provide the proper information to commercial carriers can have severe consequences for health care companies. The attorneys at Rivas Goldstein, LLP, can help you protect your rights and the future of your business. Please call our Austin office now at 512-481-2916 or send us an email. We represent health care companies across Texas.