FOLLOW US :
212-300-5196

California healthcare audits investigations lawyers

An audit or investigation for a medical practice can mean serious business. Depending on the circumstances surrounding the audit or investigation, there could be severe consequences if fraud or other illegal activity is discovered.

But in order to get through an audit or investigation and come out with your practice and reputation in tact, you need to understand and follow the correct practices. In many cases, that means working with a California Healthcare Audit Investigations Lawyer.

What are Healthcare Audits and Investigations?

If your practice has never had an audit or investigation before, you may be confused about what the terms mean and what the processes that follow those terms may look like. In many situations, individuals will use the terms audit and investigation interchangeably. Unfortunately, this can be misleading because they are actually quite different.

What is a Healthcare Audit?

Like with any other business, an audit serves the purpose of looking a little more deeply into the purchases and behaviors of the company. Audits will take a look at the way money is being spent, what is being charged, and whether or not those numbers make sense.

A healthcare audit can begin for a number of different reasons. One of the most common reasons an audit may start is if an insurance provider believes that the practice is overcharging for their care and services. An assumption that the practice is overcharging does not necessarily mean fraud is being committed, just that the insurance provider would like additional information to support the price charged.

This same idea applies to audits looking at equipment, services, or products purchased for the medical practice. If an audit on purchases is held, the organization or company requesting the audit simply wants to know if those purchases are legitimate and that they are needed.

But someone else does not always need to spark an audit in the healthcare industry. In an effort to reduce the amount that medical practices are spending, random audits can be performed. These audits aim to take a look at what purchases are being made, what prices are being charged, and if the medical practice can do anything to reduce the amount of money they are spending.

Using an Attorney During a Healthcare Audit

While an audit does not automatically mean serious consequences are around the corner, you may still want to consider hiring a California Healthcare Audit Investigations Lawyer. Having an attorney on your side can ensure you comply with the audit, you’re presenting all useful and necessary information, and that the auditing process runs smoothly and efficiently.

What is a Healthcare Investigation?

Like a healthcare audit, an investigation looks into the way your medical practice is spending money or charging patients and insurance providers. But unlike an audit, an investigation assumes that fraud or illegal activity has taken place.

An investigation may begin if a insurance company or patient believes that the amount they were purposefully charged too much or that the medical practice has suspicious billing patterns. Investigations can also stem from audits if something was discovered during an audit that could potentially contain fraud. Investigations may also begin if an employee or other individual at the medical practice alerts law enforcement agencies that they may not be following the best billing practices.

Using an Attorney During a Healthcare Investigation

Because an investigation assumes that illegal activity has occurred, it is always advised to use a California Healthcare Audit Investigations Lawyer. Your lawyer can help protect you by educating you on what you should do or say during your investigation and prevent you from making comments that may get you into trouble later down the road.

A California Healthcare Audit Investigations Lawyer can also help you develop a defense if your investigation should take you to court. Depending on what is found during the investigation, responsible parties may be facing additional court time, including professional sanctions, civil litigation, or even criminal prosecution. If any of these additional actions occur, you will need an attorney.

You should contact a California Healthcare Audit Investigations Lawyer as soon as you are aware of an audit or investigation.


Based on 362 reviews.
Charle Butler
Charle Butler
2021-03-12
Verified
I was hesitant to hire the Spodek Law Group. I read reviews and knew they have a great reputation. However, I thought I would spend money and not see or speak to my attorney. From the beginning to end of my case Todd and the entire staff were available and willing to help. We worked towards and end result that was way above my expectation and Todd delivered. I am forever grateful for patience and long days and night spent working on my case. Thanks Todd and the entire team!
Mesonista parsons
Mesonista parsons
2021-03-05
Verified
My attorney at Spodek was Abigail. She was very knowledgeable and helpful with all my questions and concerns, as well as responsive. Her fees are affordable and Abigail took the time to make sure I understood everything relating to my case. I highly recommend Abigail and will request her services in the future.
debabrata chakraborty
debabrata chakraborty
2021-03-03
Verified
Todd A Spodek is the experienced and best criminal lawyer at USA. He is very professional and always respond on time. Alex also very cooperative and always help me. They took care me and my problem like family member. I am 100% satisfied for their professional service. My result was unexpected and amazing. They dismissed my case. I am really grateful to them. I will recommend you to go there if you want to solve your problem. I wish all the best for them.
Asata Hendricks
Asata Hendricks
2021-03-02
Verified
Truly appreciate the work the guys did!. Exceptional team & I know they care about each and everyone of their clients. I am super thankful to be referred to Spodek Law Group and I am grateful Todd & Alex were able to work diligently to achieve an outcome I am pleased with. Despite COVID they stayed on top of things and kept me informed every step of the way. Very thankful.
Mike Moroff
Mike Moroff
2021-02-26
Verified
I'm very satisfied with the services rendered by Todd, Alex and Mary Lou. I whole heartedly recommend Spodek Law Group . I've worked with and have retained other attorneys in the past with Todd's firm being the cream of the crop for many reasons. A very serious legal matter was resolved after a year's hard work and effort. Todd expertly guided me through the process and was able to navigate and make the good journey bearable as well as successful. Mary Lou initially provided excellent assistance before referring my case to Todd. Alex's support was effective and timely. The customer portal (MyCase) is an invaluable communication tool that also kept track of my case. Various aspects of my case were explained and there were several options provided but I made the final decision of how the case would be handled. The legal fee was reasonable considering the effort and amount of work plus it was a flat fee regardless of the length of time required to conclude my case. Todd made himself available to me and we had many scheduled meetings to go over the progress and to discuss the next steps. I felt more confident after many discussions with him. You will not go wrong choosing Spodek Law Group for legal matters.
Josh Katz
Josh Katz
2021-02-24
Verified
Being that it was the first time that I was in need of an attorney, I was afraid and hesitant and knew I needed the absolute best. It is beyond understood why Spodek Law Group has a reputation of being the top, if not the best law firm in New York. Alex and Abigail were there every step of the way even at the most unconvenient hours. I could not have asked for more. They are extremely good at what they do and they delivered much much more than just winning my case. A big thank you to Alex and Abigail for all the guidance and counseling and their upmost loyal support that extended far more than just legally. If you need the absolute best than don't hesitate to hire Spodek Law Firm.
L.C.
L.C.
2021-02-24
Verified
I cannot tell you how thankful I am to Todd and Alex for their hard work and dedication to my case. I had never been in any trouble before but I had an unfortunate event occur and in the midst of COVID-19 at that therefore I knew I needed a team that was dedicated to my success. Today- my case has been finalized and I’m walking away with no record and can continue life as a mother and a Grad student worry free. I cannot express enough gratitude for their assistance.
AnnMarie Soliman
AnnMarie Soliman
2021-02-23
Verified
I received a summons and called Spodek law group for a free consultation. Alex took my call and was very quick and responsive. He was available anytime through multiple platforms and very reassuring when needed. They are extremely organized and thorough. They got my case dismissed! I’m very grateful. Thank you Alex and Todd!

FREE CONSULTATION

Testimonials

Spodek Law Group have offered me excellent support and advice thru a very difficult time. I feel I've dealt with someone who truly cares and wants the best outcome for you and yours. I'm extremely grateful for all the help Spodek Law Group has offered me. I can't recommend them enough.

~ David Bruce

Spodek Law Group was incredibly professional and has given me the best advice I could wish for. They had been helpful and empathetic to my stressful situation. Would highly recommend Spodek Law Group to anyone I meet.

~ Rowlin Garcia

Best service I ever had. Todd is absolutely class personified. You are in the safest hands with spodek. They have their clients interest in mind.

~ Francis Anim

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.

Get In Touch

Schedule Your Consultation

Los Angeles

555 W 5th St 35th floor, Los Angeles, CA 90013

212-300-5196



get directions

Queens

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

212-300-5196



get directions

NYC

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

212-300-5196



get directions

Brooklyn

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

212-300-5196



get directions

Call Us