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Defense Against Agency Allegations

Most hospitals, pharmacies, dentists and other medical providers are paid by federal or state agencies such as Medicare and Medicaid. Often these agencies will audit a company to determine whether or not they have over-reimbursed a provider. Sometimes these agencies will make a claim against a provider and that business is without the ability to combat the allegations because they do not understand how the calculations were made. Farias–Jett can help the provider defend against those assertions by analyzing the reimbursement processes using reconciliation to prove that the company has not, in fact, been unjustly reimbursed.