The Nan Gallagher Law Group represents providers in their ongoing efforts to obtain adequate reimbursement for their services from various payors. Our services range from negotiating settlements with payors, to vigorously pursuing the claims in state or federal court to obtain fair reimbursement.
The Nan Gallagher Law Group works with providers who experience problems with their participation in the Medicare and Medicaid programs, from enrollment issues to recovery audits. The incidence of Medicare recovery audits against healthcare providers is on the rise as the U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services (CMS) has identified physician “overpayments” as a promising source of financing. Through the Recovery Audit Contractor (RAC) program and other initiatives, Medicare increasingly denies providers payments or audits them for alleged overpayments. The Medicare attorneys at The Nan Gallagher Law Group regularly defend healthcare providers in Medicare Part B recovery audits and appeals. We have successfully assisted clients in all stages of the Medicare appeals process
The Firm has successfully defended providers from claims by private health plans and private payor auditors who attempt to force providers to refund overpayments. We have built relationships and experience with commercial payors over the last 20 years, which we build upon and tap into to achieve client goals. The Firm also provides state of the art and cutting-edge billing and coding counseling and compliance plans and performs self-audits for its clientele to help thwart audits from ever arising in the first place. We also have longstanding and valued affiliations with billing and coding experts nationwide to supplement the legal advice we provide.