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By Spodek Law Group | November 13, 2016
(Last Updated On: March 13, 2023)

Last Updated on: 13th March 2023, 04:29 pm

Healthcare Regulatory Oversight: Protecting Your Business

Healthcare regulatory oversight has become increasingly prevalent in the past few years since the Affordable Care Act was fully implemented. With regular audits from the Department for Human and Health Services, it’s crucial for healthcare providers to conduct their own internal self-audits to ensure the accuracy and currency of their billing codes and procedures. At Spodek Law Group, our experienced attorneys, led by Todd Spodek, understand the importance of complying with healthcare regulations and can help you defend your business when facing audits and investigations.

Government officials have recognized the need for regular audits within healthcare provider systems to detect and address potential billing problems. While these audits are primarily civil legal situations, they can escalate to criminal charges if intent to defraud is found. The False Claims Act provides relators with the legal standing to sue and share a percentage of any confiscated or returned proceeds. In the most egregious cases, criminal charges can result in significant fines and even jail time.

Defending Your Business

Facing a healthcare audit can be daunting, but our attorneys can evaluate any evidence and build a case for human error at worst. Our team can also help you understand the complex regulatory landscape and provide positive documentation that supports any errors as unintentional. Our approach to healthcare representation is tailored to each client’s unique needs, unlike large firms that use a one-size-fits-all approach. Our former prosecutor attorneys understand what regulatory agencies must find to justify criminal charges and can protect your business’s sustainability and your personal future.

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How Self-Auditing Can Help

Regular billing system checks are crucial to detecting errors and ensuring compliance with regulations. At Spodek Law Group, we can help you conduct internal self-audits to minimize the risk of potential billing problems. If the government does come calling, having a reputable legal team on your side can be vital in limiting financial damage and potentially passing the audit.

Trust Spodek Law Group

Don’t let healthcare audits threaten your business’s sustainability or your personal future. At Spodek Law Group, our team has the experience and knowledge to handle even the most complex regulatory issues. Contact us today to learn how we can protect your business and help you navigate the healthcare regulatory landscape.

Services Experience Professionalism
Healthcare regulatory oversight defense Decades of combined legal experience Unparalleled professionalism
Civil and criminal defense Former prosecutors on staff Deep understanding of the law
Self-audit guidance Comprehensive knowledge of regulations Effective communication with regulatory agencies

Why Choose Spodek Law Group?

At Spodek Law Group, we have a deep understanding of the healthcare regulatory landscape and can provide the effective representation you need. We pride ourselves on our professionalism, decades of combined legal experience, and unparalleled knowledge of healthcare regulations. Our team includes former prosecutors who can provide unique insight into what regulatory agencies are looking for, giving you an edge in defending your business. We also have a comprehensive knowledge of regulations and can effectively communicate with regulatory agencies to help resolve any issues quickly.
Trust Spodek Law Group to protect your business and your personal future. Contact us today to schedule a consultation and learn how we can help you navigate the complex world of healthcare regulatory oversight.

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Our Success Stories

At Spodek Law Group, we have a proven track record of success in defending healthcare providers facing regulatory oversight. Our experienced attorneys have helped numerous clients navigate the complex regulatory landscape and minimize the financial damage that can result from audits and investigations.
One recent success story involved a small private practice facing a civil audit for potential billing errors. Our attorneys conducted an internal self-audit and were able to demonstrate that the errors were unintentional and the result of a communication breakdown between the provider and regulatory agencies. We were able to negotiate a settlement that resulted in a minimal financial penalty and no criminal charges.

In another case, we represented a large healthcare provider facing a formal audit from the government. Our attorneys conducted a thorough review of the provider’s billing practices and were able to demonstrate that the billing codes at issue were the result of a new, valid medical procedure. We successfully defended the provider against the audit and helped them avoid any financial penalties or criminal charges.

Trust Our Experienced Attorneys

At Spodek Law Group, our experienced attorneys understand the complexities of healthcare regulatory oversight and can provide the effective representation you need to defend your business. We take a personalized approach to each case, tailoring our strategies to meet the unique needs of our clients.
Don’t let healthcare audits threaten your business’s sustainability or your personal future. Contact us today to learn how we can help you navigate the healthcare regulatory landscape and protect your business.

A Commitment to Excellence

At Spodek Law Group, we are committed to providing our clients with the highest level of service and representation. We understand the challenges that healthcare providers face in today’s regulatory landscape and are dedicated to helping our clients navigate these challenges with confidence.
Our team of attorneys has decades of combined legal experience and a deep understanding of healthcare regulations. We have successfully defended clients facing audits, investigations, and criminal charges, and have helped them minimize financial penalties and protect their personal futures.

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Contact Spodek Law Group Today

If you are facing healthcare regulatory oversight or any other legal issue, trust the experienced attorneys at Spodek Law Group to provide the effective representation you need. We offer personalized service and tailored strategies designed to meet your unique needs.
Contact us today to schedule a consultation and learn how we can help you navigate the complex world of healthcare regulations and defend your business.

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