A New Jersey otolaryngologist was facing a large recoupment as the result of an audit by the New Jersey Medicaid Fraud Division (MFD) of the Office of the State Comptroller. In the audit, the MFD claimed that the physician was an outlier for billing too many consultation codes. Frier Levitt successfully showed that the otolaryngologist’s documentation supported the use of consultations codes and that there was no basis to initiate a pre-payment audit. Ultimately, the physician was only required to pay a total of $150 related to the claims.
If you are a physician or healthcare professional facing a Medicare or Medicaid audit, contact Frier Levitt today to speak with an attorney.