(July 30, 2012): Baton Rouge Medicare audits are on the rise. Here's a summary of the Medicare contractors who service the healthcare providers and suppliers in Baton Rouse, LA:
Baton Rouge Population: 230,139 (2011 Census)
Medicare Administrative Contractor (MAC) (Parts A/B): Novitas Solutions LLC (a/k/a Highmark)
DME MAC (Region C): CIGNA Government Services Administrators LLC
Zone Program Integrity Contractor (ZPIC): AdvanceMed Corporation
Recovery Audit Contractor (RAC): Connolly Consulting Associates, Inc.
Medicaid Contractor: Molina Medicaid Solutions and Bayou Health provide Medicaid claims processing services; no Medicaid Recovery Audit Contractor has been selected yet
State Healthcare Investigative Service: State of Louisiana Department of Health & Hospitals
I. Baton Rouge Medicare Audits and Enforcement:
II. Final Remarks:
Regardless of whether a ZPIC, RAC, or a federal or state law enforcement agency is involved, providers in Baton Rouge, LA should be sure to retain experienced and qualified legal counsel to assist them with Baton Rouge Medicare audits and appeals. Having qualified legal counsel by your side can ensure that all of your rights are preserved and that your responsibilities to the government are timely and adequately met.
Robert Liles represents providers in Medicare post-payment audits and appeals, and similar appeals under Medicaid. In addition, Robert counsels clients on regulatory compliance issues, performs GAP analyses and internal reviews, and trains healthcare professionals on various legal issues. For a free consultation, call Robert today at 1 (800) 475-1906.