We assist home healthcare providers with a range of business, regulatory, and strategic challenges, including:
Formation of entities and business structure
Purchase and Sale Agreements
Agreements with wholesalers and other suppliers
Employment and independent contractor agreements
Medicare competitive bidding applications
Reimbursement audits by private and governmental payors and their contractors, including Medicare, Medi-Cal, and Palmetto GBA.
Fraud and abuse investigations by government payors and their contractors, including Safeguard Services, Office of Inspector General, Federal Bureau of Investigations, Department of Justice, Department of Health Care Services, and Bureau of Medi-Cal Fraud and Elder Abuse
Zone Program Integrity Contractor (“ZPIC”) audits, Recovery Audit Contractor (“RAC”) audits, and Program Integrity Safeguard (“PSC”) audits.
Licensing, operational, and reimbursement compliance
Medicare and Medi-Cal enrollment and changes of ownership
HIPAA and state patient data privacy and security requirements
Prepayment review corrective action plans
Documentation solutions for establishing medical necessity
Marketing practices and business development compliance
Medicare enrollment and claim denial appeals
Medicare and Medi-Cal overpayment appeals involving power wheelchairs, electric hospital beds, infusion drugs and supplies, and various braces and orthotics
Exclusion and suspension appeals by government entities, including the Department of Health and Human Services Office of the Inspector General and California Department of Health Care Services
Any communication with Fenton Law Group, LLP or any attorney or employee of Fenton Law Group, LLP using the contact forms on this website, through the internet, or by email does not establish an attorney-client relationship. Confidential information should not be sent online.
If you have a time sensitive issue that needs to be addressed, please call us at (310) 444-5244.