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Mabry Law, P.A.
THE PROVIDERS' HEALTH CARE COUNSEL
Please contact Tracy Mabry Law, P.A. for a free initial consultation. Experienced representation is just a phone call away.
Experienced at all levels of Medicare administrative appeal procedures, including Medicare administrative contractor (“MAC”) /regional home health intermediary (“RHHI”) “redeterminations”, qualified independent contractor (“QIC”) reconsideration appeals, and office of Medicare hearings and appeals (“Omha”) administrative law judge (“ALJ”) hearings and appeals
Assertion of Medicare advantage (“MA”) plan “private contract” claims appeal procedures
Advocacy during pre-payment review audits
Defense and appeal of Medicare and Medicaid post-payment review audits, including appeal of overpayment sampling audits and extrapolations determining overpayments
Review of Medicare national coverage determination and local coverage determination issues
Review of Medicaid handbook coverage issues
Primary/secondary payer issues involving Medicare, Medicaid, group health and private insurance, workers’ compensation coverage, and personal injury liability coverage and liens
Private payer coverage analysis and claims appeals
Prompt payment laws and remedies
Documentation of delivery of services, medical necessity for covered services, authorization for services, service supervision requirements, and billing and collection efforts
Analysis of complex payment issues-including stark law self-referral issues, Florida patient self-referral act issues, state and federal antikickback issues, fee-splitting prohibitions, and “balance billing” prohibitions
When payment or audit issues arise for our clients, we have the depth of experience necessary to work closely with your billing and administrative staff to act promptly and decisively to assert and protect your payment and appeal rights and remedies. We are credentialed and experienced as health care counsel to take those actions necessary to collect and retain the payments for services which our clients are due.