HLS has successfully represented clients facing retractions for issues such as bundled services and DRG downgrades. In these cases, we have shown that the services were billed correctly based on the hospital’s contract with the payer as well as applicable state and federal regulations and coding guidelines. We review medical records to demonstrate that the number and intensity of services billed is adequately documented. We have won cases against payers, third-payer auditors, and Medicare’s Office of the Inspector General (OIG).
Interested in learning more about how HLS can bolster your defense against audits? You can contact us and we’ll be happy to provide you with more information.