Fraud & Abuse, Investigations & Audits

Overview People in this Area

Specialized Background in Defending Health Care Providers

We have successfully defended health care providers in hundreds of audits, investigations, and lawsuits.

Health care practitioners are increasingly subject to audits by state and federal agencies as well as private insurance companies. Even professionals who fastidiously manage the reimbursement aspects of their practice face challenges to billings; demands for repayment; and, in some cases, civil sanctions and fines. When faced with audits, it’s no less important to have counsel from attorneys who understand medical billing practices, coding, administrative laws, and appeal processes.

The attorneys at Parsons Behle & Latimer represent and defend health care providers in Medicare, Medicaid, and private insurer audits, investigations, whistleblower lawsuits, and prosecutions. Our attorneys possess the experience, knowledge, and judgment to assist providers at the earliest phase of an audit in order to develop clear responses and to map out factual and legal defenses to after-the-fact challenges from private and public payors. Additionally, we have an experienced network of medical coding and billing experts, as well as statistical experts, that assist us in complex fraud and abuse cases.