Litigation & Audit Support

Litigation

When litigation is required, such as behalf of providers who are accused of improper billing or coding, CCS makes sure you are fully prepared. We frequently work with legal counsel and offer the following services:

  • Provide expert advice on complex health care coding, billing and reimbursement related to Part A and Part B providers.
  • Perform reviews and provide legal counsel with data analysis to defend qui tam allegations.
  • Carry out statistical sampling analyses for providers as part as self disclosure or in defense of government audits.
  • Support counsel in Medicare Fraud and abuse litigation.
  • Conduct audit of services and billings and calculate appropriate payback if needed.

Defense Audit Support

Coding Compliance Solutions does not practice law, nor do we want to.

Our objective is to work in collaboration with law firms, enabling you to better defend healthcare providers against false clains.

Unlike large consulting firms, this is not a training mission for our staff. This means we provide the expertise you need without costly overhead.

  • Shadow auditing of government investigation.
  • Review of behavioral health services to ensure compliance with terms of CIA.

What Our Clients Think

"The Staff of CCS are amazing! My 13 years in the Big Six afforded me the opportunity to meet people around the country. None compare to the staff currently at CCS.""

Previous & Current Client

"Partnering with Coding Compliance Solutions was a very smart choice for our firm. Their depth of experience in health care coupled with an extensive knowledge of the regulatory environment, made them the ideal choice."

Previous & Current Client

"Every project and every assignment is customized to the needs of our clients. We manage the effects of continually changing regulatory environments and work closely with our clients to provide customized solutions … without overstepping our bounds. When you work with our company, you work directly with the experts."

Previous & Current Client

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