In order to protect federal and state funds, the Medicare and Medicaid programs are required to conduct post payment reviews. As regulatory complexity has increased and an expanded focus has been placed on protecting the Medicare Trust Fund, health care providers find themselves struggling to respond to an increased number of record requests and payer audits. Without preparation and proper response, these record requests and subsequent payer reviews often lead to substantial overpayment assessments. Medical practices have to navigate through the appeals process, which is both labor intensive and costly. Over the last two decades, MCA has defended over 2,000 medical practices of various specialties with unparalleled success.
