212-300-5196

Service & Results.

nyc criminal lawyers over 30 years of experienceWe Know How To Win Cases

Spodek Law Group handles tough cases
nationwide, that demand excellence.

Get Free Consultation

Faced 5+ Years in Prison

People Vs Joseph Amico

Covered by NYDaily News. Las Vegas man accused of threatening a prominent attorney and making vile remarks.

Faced 10+ Years in Prison

People Vs. Anna Sorokin

Covered by New York Times, and other outlets. Fake heiress accused of conning the city’s wealthy, and has an HBO special being made about her.

Faced 3+ Years in Prison

People Vs. Genevieve Sabourin

Accused of stalking Alec Baldwin. The case garnered nationwide attention, with USAToday, NYPost, and other media outlets following it closely.

Faced Potential Charges

Ghislaine Maxwell Juror

Juror who prompted calls for new Ghislaine Maxwell trial turns to lawyer who defended Anna Sorokin.

Spodek
Law in the Media

View All

Request Free Consultation

Please fill out the form below to receive a free consultation, we will respond to
your inquiry within 24-hours guaranteed.

ZPIC Audits Lawyers

As a health care provider, there’s a lot that goes into preparing for and responding to Zone Program Integrity Contractors (ZPIC) audits. It’s a process that cannot be taken lightly because the potential consequences are too great. It’s important that you don’t make the mistake of trying to respond to a ZPIC audit on your own, but instead leverage the expertise of qualified counsel. This is especially important as it relates to understanding the function and goal of ZPICs as contractors of the Centers for Medicare and Medicaid Services (CMS).

There are often errors made during the process of health care providers trying to handle a ZPIC audit. Some of the dangers include responses that are either incomplete or inaccurate. The priority for your initial response should be accuracy and completeness, making sure appropriate explanations are provided where required or necessary. There have been many changes in related laws, which is just one of the many reasons why an experienced attorney should be involved in the audit.

ZPIC Audits

Since the job of ZPIC is to handle functions that were once handled by Medicare regional carriers, there have been audits that are purposed to identify fraudulent activities and overpayments. In the event that you receive a letter from a ZPIC regarding the Medicare Program with a request to audit your business, it would be prudent to contact an attorney immediately for guidance. As a result of budget deficits, there has been pressure in recent years for states to recover funds related to Medicaid programs. The unfortunate outcome has been a much higher number of Medicare and Medicaid audits than ever before conducted by ZPIC.

Often the goal of a ZPIC audit is to recover money from health providers, such as dentists and physicians on behalf of the government, both federal and state. An experienced attorney will understand associated laws and ensure all documentation is completed with the highest level of caution and prudence. There are some areas that are scrutinized more closely than others and it can be difficult for health care providers to understand which issues are of particular interest to auditors. The extrapolation of perceived overpayment is an issue that could result in the assessment of fines, as well as repayment.

The way a ZPIC audit often works is that a letter is sent to your practice just before your office closes for the day. The letter will inform you that an audit or site visit of your practice may be scheduled. There’s a chance that the audit will occur somewhere other than your main office. The actual audit is quite extensive and will often involve inspecting credentials, rooms and equipment throughout the premises. The will also take pictures and request copies of important documents. The copies requested may include information about procedures, treatment protocols, policies and patient records. They will also examine inventories an invoices related to medications.

ZPIC Audits

After the audit has taken place, there’s a good chance that you will receive a follow-up notice and a request for additional information. Depending on the circumstances, you may be asked to repay overpayments at that juncture. There is significant value in having counsel available immediately upon receiving a notice of audit. You’ll need someone to help you navigate the process and provide direction during what can feel like an overwhelming situation.

In some states, if overpayment is identified by an audit related to Medicaid, there is only a 30 day window provided to repay the funds. There have been instances where statisticians were hired to review the findings of a ZPIC audit based on the recommendation of counsel. In one case, errors made during the audit were found, which saved the health care provider tens of thousands of dollars.

[pagelist child_of=”parent” class=”page-list-cols-3″]

Free Consultation

Testimonials

I was searching for a law firm with some power to help me deal with a warrant in New York . After 6 days I decided to go with Spodek Law Group. It helped that This law firm is well respected by not only the top law firms in New York , but the DA , Judge as well. I...

~Fonder Brandon

5 Stars
It was my good fortune to retain Spodek Law Group for representation for my legal needs. From the beginning, communication was prompt and thorough. Todd, Kenneth and Alex were the first people I worked with and they all made me feel comfortable and confident that the team was going to work hard for me. Everything was explained and any concerns...

~A G

5 Stars
After meeting with several law firms, I chose the Spodek Law Group not only for their professionalism and experience, but for the personal attention given to me right from the initial consultation. It is important to recognize how crucial having the right legal team is when faced with potentially life altering events that impact families and the lives of loved...

~George Cherubini

Spodek Law Group

White Glove Service

We Provide Superior Service, Excellent Results, At A Level Superior To Other Criminal Defense Law Firms. Regardless Of Where Your Case Is, Nationwide, We Can Help You.
View More

Request Free Consultation

Please fill out the form below to receive a free consultation, we will respond to
your inquiry within 24-hours guaranteed.

NYC

85 Broad St 30th Floor, New York, NY 10004

212-300-5196

get directions

Los Angeles

611 S Catalina St Suite 222, Los Angeles, CA 90005

212-300-5196

get directions

QUEENS

35-37 36th St, 2nd Floor Astoria, NY 11106

212-300-5196

get directions

BROOKLYN

195 Montague St., 14th Floor, Brooklyn, NY 11201

212-300-5196

get directions
Call Now!