Audits and Investigations
Federal and State Civil Investigations
Weiss Zarett Brofman Sonnenklar & Levy, P.C. has extensive experience representing healthcare clients in the face of Federal and State Civil Investigations. Even the most careful and compliance minded practitioners can be subjected to an investigation by a Federal or State Investigative entity including the Federal Bureau of Investigation (FBI), Attorney General (AG), Office of the Inspector General (OIG), Office of the Medicaid Inspector General (OMIG), Medicaid Fraud Control Unit (MFCU), New York State Department of Health (DOH), Occupational Safety and Health Administration (OSHA), Office of Professional Medical Conduct (OPMC), Office of Professional Discipline (OPD), Board of Medicine (BOM), Drug Enforcement Agency (DEA), Medical Executive Committee (MEC), Centers for Medicare & Medicaid Services (CMS), Recovery Audit Contractor Audits (RAC), Zone Program Integrity Contractor Audits (ZPIC), Medicare Administrative Contractors Audits (MAC), Health Maintenance Organization (HMO), Internal Revenue Service (IRS), Department of Justice (DOJ), and Commercial (Managed Care) Payor Audits and Investigations.
Our Legal Services
The attorneys at Weiss Weiss Zarett Brofman Sonnenklar & Levy, P.C. are experienced in assisting clients navigate Federal and State Civil Investigations throughout every step of the process, including:
- Responding to subpoenas, requests for information and Civil Investigative Demands
- Responding to and appealing audit reports and overpayment demands
- Assisting clients in Self-Disclosure Submissions
- Working alongside certified billing, coding and statistical experts
- Assisting clients in removal from pre-payment audit reviews
- Negotiating settlements and corporate integrity agreements
- Preparing clients for investigative interviews
- Developing Corrective Action plans
- Attending federal and state level administrative hearings
- Representing healthcare providers in civil litigations
- Representing healthcare providers through the initiation of an audit through completion.
Federal and Civil Investigations can seem overwhelming for any healthcare provider, but Weiss Zarett Brofman Sonnenklar & Levy, P.C. knowledgeable team are prepared to walk you through every step of the process.