Representing Doctors and Medical Professionals in Houston, Texas
Our heath care attorneys have a history of assisting various types of health care professionals for various types of needs. Our attorneys can assist in setting up new practices, negotiating office leases and drafting employment contracts. We can assist with helping a practice comply with fraud and abuse laws like the Stark Law, the Anti-Kickback Statute and the Federal False Claims Act. Our attorneys can also defend medical providers in disputes with Medicare, Medicaid, or private insurance regarding billing and reimbursement practices.
Our health care lawyers can advise, consult, and represent healthcare physicians, businesses, chiropractors, dentists, home health care workers and medical facilities with a wide range of legal needs. Health care Law Attorney, Jonathan Wu, has experience addressing Medicaid and Medicare overpayment matters and health care fraud claims. Mr. Wu is knowledgeable in Stark Law and the Anti-Kickback Statute. He can assist on matters relating to nursing home state and regulatory issues. Mr. Wu can provide a strategic, aggressive defense necessary to protect you and your business. Richard Weaver has represented physicians in various matters including those related to physician practices, employment and business development. He has experience with laboratory business matters as well. He has been involved in disputes related to the operation of Level 4 laboratories, medical and vaccine research, and the safeguarding of sensitive research materials. He has represented clients in matters pertaining to the United States Government’s investigation related to the international transportation of sensitive materials for medical research. Richard Weaver’s experience includes medical malpractice defense, business disputes, medical equipment lease issues, and commercial lease matters for medical offices. Mr. Weaver has also worked on numerous lawsuits related to pharmaceutical products liability.
We are a Texas law firm based in Houston, Texas, but also covering San Antonio and other cities and towns throughout the State of Texas. To learn more about our services and how we can help you and your business, please call 713-572-4900.
Houston Medicare Overpayment – Health care Lawyers
Attorneys for Houston, Texas Health Care Providers
Many health care providers including hospitals, medical equipment suppliers, physicians and home health agencies receive incorrect payments from Medicare or Medicaid. The Weaver Law Firm can assist and defend health care providers in Texas that need assisting in overpayment claims. The Weaver Law Firm can assist in appeals related to alleged Medicare overpayments.
Our attorneys provide thoughtful representation in overpayment matters. We can assist you with investigations from regulators and law enforcement. Typical investigations may be conducted by the Medicaid Fraud Control Unit or Health Integrity.
The Weaver Law Firm and its Health Law Lawyers can represent medical professionals and healthcare providers in health care fraud matters. If you suspect that you may be the subject of an investigation, please contact an experienced attorney. If the Office of Inspector General (OIG) or the Attorney General’s Office reach out to you for what seems to be a preliminary interview, call an experienced attorney. They may be looking for information that can trigger a formal investigation or statements that could be used against you later.
Attorney Representation in the Medicare Overpayment Appeal Process
There are several different levels of appeal. At the first stage, the Medicare contractor is asked to review the overpayment. The contractor will then provide a decision that either changes the previous determination or denies the claim. If the claim is denied then the second stage is initiated. At the second stage, a qualified independent contractor reviews the overpayment. A Health Law attorney can assist in offering supporting documentation to contest the overpayment. At the third stage, a provider that requests the previous outcome can have a hearing. An administrative law judge would oversee the hearing. The Office of Medicare Hearings and Appeals oversees this process. The details to this process are important because it may require the presentation of evidence and witness testimony. The fourth stage of appeals would require a written appeal. This is a detailed process that an attorney at The Weaver Law Firm can help you address. The fifth stage of appeal would be a federal court lawsuit.
Health care providers can find themselves in audits and addressing claims relating to:
- Anti-kickback violations
- Federal False Claims Act violations
- Self-referral law – Stark Law
- Stark Law exceptions
- Audits from the Texas Department of Insurance
- TRICARE Fraud Investigations
- Health and human services investigations
- Office of Inspector General (OIG) investigations
- Medicare and Medicaid fraud
- Recovery Audit Contractor program – RAC audits
- Issued dealing with the establishment of doctor-patient relationships
Medical practice advice on regulations and transactions
There are several regulatory requirements that health care professionals must implement. Our health and medical law attorneys can assist by helping put together:
- Written policies and procedures for compliance training and corrective action plans
- Guidelines for training and education programs
- Procedures outlining auditing and monitoring
We can also provide legal assistance on healthcare-related transactions, including:
- Formation of business entity
- Equipment purchase agreements
- Equipment lease agreements
- Commercial lease agreements
- Joint Venture Agreements
- Investments Agreements and Business Purchase Agreements
- Partnership Agreements and Partnership disputes
- Confidentiality and non-disclosure agreements
- Independent Contractor agreements
- Physician employment agreements
- Non-compete Agreements
Experience | Loyalty | Communication | Results
Results come first in health law and healthcare-related transactions. We have the experience to achieve them in even the most challenging matters. Our clients appreciate the fact that we are loyal to their businesses and communication well.
From Houston to San Antonio our Texas law firm aims to deliver reliable legal solutions. You can call The Weaver Law Firm at 210-807-8932.