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The Health Law Firm Assists North Carolina Client to Reduce $1.4 Million Medicaid Claim by Over
November 8, 2012 - Attorney George F. Indest III of The Health Law Firm recently assisted a North Carolina Medicaid provider in reducing a $1.4 million overpayment demand made by the North Carolina Medicaid Program by more than 98%.
In June 2012, the Public Consulting Group (PCG), which was under contract with the North Carolina Division of Medical Assistance (DMA), conducted a post-payment review and audit of Medicaid claims submitted by the provider. PCG reviewed 107 sample claims from the provider and found an error rate of 7.48%. Using a mathematical extrapolation formula, PCG estimated the provider needed to repay Medicaid more than $1,144,000.
Mr. Indest and his team at The Health Law Firm were brought on to assist the provider in challenging the initial audit. They assembled and submitted documents to the auditor and assisted the client in presenting evidence at the hearing. The final results of the hearing, as documented in a decision in October 2012, reduced the Medicaid overpayment amount to just $24,083.
To see the notice of decision from the North Carolina Department of Health and Human Services (NC DHHS), click here (http://www.thehealthlawfirm.com/
Mr. Indest is a well-known attorney specializing in health law. He represents primarily physicians, dentists, medical groups and small health facilities in Florida and throughout the U.S. He is Board Certified by The Florida Bar in the legal specialty of Health Law. His practice encompasses all aspects of health law, including malpractice defense, qui-tam or “whistle-blower”
In 1999, Mr. Indest started The Health Law Firm, which has three Florida offices located in Altamonte Springs, Orlando, and Pensacola. A former Navy JAG Corps attorney, he has practiced law for more than 30 years.
For more information about The Health Law Firm, visit http://www.thehealthlawfirm.com.
For a downloadable, printable photograph, visit http://www.thehealthlawfirm.com/
About The Health Law Firm
The Health Law Firm was established in 1999, bringing together a team of experienced attorneys with decades of work in the legal and healthcare fields. With offices in Altamonte Springs, Orlando and Pensacola, Florida, the firm represents healthcare providers, including hospitals, nursing homes, physicians, dentists, mental health professionals and other licensed health professionals and entities. For more information about The Health Law Firm, visit http://www.thehealthlawfirm.com.
For additional information contact:
Office: (407) 331-6620, ext. 228
Cell: (832) 689-2003