Healthcare Fraud: Appealing CMS Audits

Healthcare fraud is a growing concern in the medical industry. In recent years, healthcare fraud has become increasingly common. To combat this, the government has begun to scrutinize every procedure and document submitted by Medicare and Medicaid participants. Medicare and Medicaid participants are now subject to audits conducted by the Center for Medicare and Medicaid Services (CMS).

These audits help to ensure that the participant is complying with federal and state healthcare regulations. Upon completion of the audit CMS issues a letter to the participant, where, if any compliance issues are found, they are outlined by CMS. If a participant receives a non-compliance letter from CMS, they have the option to file an appeal. A proper appeal letter can easily overturn the compliance issue found by the audit.

SAPG Legal can help you through your CMS Audit, giving you the peace of mind to focus on your patients and developing your business.