Health Care

Third Party Payor Audit Defense

This area of practice involves defending health care clients from demands for refunds from Medicare, Medicaid and private third party insurance payors. The refund demands can often involve significant amounts of money and typically they are made years after the services have been provided and payment has been made. Effective legal counsel is necessary to navigate the appeal process, which may vary from payor to payor. KSWB’s Health Care Practice Group attorneys regularly assist clients in defending demands for refunds resulting from third party payor audits.

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