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Self-Audits to Avoid Civil Monetary Penalties

A Self-Audit Can Help Mitigate 43 C.F.R. 1003 Civil Monetary Penalties

1 – Initial Consultation

Establish baseline on case, timelines, and essential details of the statistical extrapolation.

2 – Selection of Claims

Review of assembled data by qualified expert statistician.

3 – Analysis & Documentation

Attorney briefed on opposition research and given list of questions for cross-examination.

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New York, NY 10022

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4 – Methodology

Estimation of cost to health care provider; specify tasks & objectives.

5 – CPA Certification

Brief attorney on initial findings; review strengths and weaknesses of case; pick litigation strategy.

6 – Brief to Attorney

Expert witness for your hearing provides the necessary testimony.

7 – Report (2 versions)

Assemble all information regarding the statistical extrapolation.

8 – Pleading Support

Report of findings.  A second report contains detailed annotations and notes for attorney.

"When the provider has performed a Self-Audit, it mitigates the amount of Civil Monetary Penalty."

Do you want to win your Medicare or Medicaid Appeal or have any problems with statistical extrapolations? Do you have any questions on how to get started with this process? Use our Contact Page and let us help you win.