Health Care Law
McCumber Daniels represents facilities and individuals in all aspects of general health care law including administrative licensure defense, legislative efforts, regulatory matters, Medicare/Medicaid investigations and audits, and Qui Tam/False claims matters. McCumber Daniels attorneys handle matters involving Legislative reform efforts, Licensure Proceedings, Whistleblower and Qui Tam actions, Government Fraud Investigations, White Collar Criminal Defense in the Health Care Field
McCumber Daniels can help prepare your facilities for an audit before it happens. Our nurses are trained to conduct an internal review of medical records to ensure the documentation is in order. When a ZPIC audits a claim, they are auditing to make sure the requirements outlined are in compliance with local coverage determinations and that related articles are met. We will work with our clients to develop documentation checklists for their files to assure all of the necessary documentation is available in the event that an audit occurs.
ZPIC Audit Appeals
In case your facility is audited by the Centers for Medicare and Medicaid Services (CMS) Zone Program Integrity Contractors (ZPIC) for suspected Medicare fraud, McCumber Daniels will guide the facility’s assigned team through the appeals process from the initial response through the final appeals process (if applicable.) If your facility is confronted with a ZPIC audit, please contact McCumber Daniels attorney for assistance.