Virginia Health Care Reimbursement Audits & Appeals

The attorneys at Mellette PC have the experience, advocacy skills, and regulatory understanding necessary to effectively analyze and appeal complex reimbursement and compliance disputes with Medicare, Medicaid, TRICARE, and commercial insurers. Mellette PC represents clients throughout every stage of the administrative process for both federal health care programs and commercial insurers.

Mellette PC attorneys are knowledgeable in a wide range of aspects of health care reimbursement, including:

  • Responses and appeals to Medicare, Medicaid, Tricare, and commercial insurer audits
  • Informal and formal appeals of Virginia Department of Medical Assistance Services reimbursement audits
  • Coding and documentation standards for primary care and specialty physician practices, independent diagnostic treatment facilities, ambulatory surgery centers, and other providers and suppliers; and
  • Cost reporting standards for long-term care facilities.