Jackson Davis HealthCare is the nation's #1 resource for Medicare audit defense and Medicare appeals. We have assisted providers and attorneys in evaluating 1,000s of overpayment issues and winning over 95% of all Medicare appeals. So, what's the secret and why should you choose to work with Jackson Davis? Experience - Knowledge - Integrity - Dedication - Passion - Success.... no secret, just a belief that providers work hard and deserve payment for insuring exceptional care and services to Medicare beneficiaries.
Choosing the right attorney to represent you throughout the Medicare appeals process can be a major challenge. The nation’s best attorneys and legitimate Medicare audit defense professionals are advising clients to make every effort to adhere to Medicare coverage criteria. Although certain legal or procedural arguments may apply under very select circumstances, well over 90% of all Medicare appeals cases are determined on the adherence to Medicare coverage criteria.
What are the major "red flags" and how do you determine legal counsel that is truly on your side? Well, if you hear quotes like these run for the hills and give us a call... "you determine whether something is medically necessary, not Medicare” or "Medicare only provides guidance not rules" or "don't let Medicare tell you how to practice medicine". The best Medicare attorneys are also really good people. They have your interests in mind and work to build effective appeals cases while mitigating your risk for potential fraud allegations.
If you are a Medicare attorney and want to be considered for our 2012 Recommended Medicare Attorneys list, please call us directly at (303) 586-5003 or drop us a note at support@jdhcare.com.
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Mr. Robert J. Benvenuti III
Barnett, Benvenuti & Butler PLLC - Lexington, Kentucky
(859) 226-0312 www.bbb-law.com
Robert J. Benvenuti III is a founding member of the Lexington law firm of Barnett Benvenuti & Butler, PLLC. Mr. Benvenuti has been actively involved in the health care industry since 1983. His experience includes serving as a provider, administrator, compliance officer, government official and legal counsel. He has significant experience in health care fraud and abuse, compliance, false claims, government investigations, medical staff issues, internal investigations, civil liability, controlled substances abuse and diversion, and EMTALA, as well as general regulatory and operational issues facing institutional and individual providers.
In February 2004, Mr. Benvenuti was appointed Inspector General for the Cabinet for Health and Family Services where he served until January of 2007. Among other things, the Office of Inspector General is charged with investigating and detecting fraud, waste, and abuse in the Medicaid program, as well as allegations of prescription drug abuse and diversion. Prior to his appointment as Inspector General, Mr. Benvenuti was an attorney with Stites & Harbison, PLLC.
Ms. Carla J. Cox
Jackson Walker L.L.P. - Dallas, Texas
(512) 236-2040 www.jw.com
Carla J. Cox is a Partner with the law firm of Jackson Walker L.L.P. Ms. Cox is an experienced health care regulatory lawyer who represents numerous types of health care providers in state and federal health care regulatory and enforcement matters. Examples of the types of matters Ms. Cox handles include license revocation appeals, appeals of Medicare/Medicaid terminations, appeals of state and federal civil monetary penalties, and Medicare/Medicaid reimbursement matters. She also represents health care clients in matters such as developing compliance plans, conducting compliance audits, investigating and self-reporting possible Medicare/Medicaid fraud and abuse, and defending civil actions alleging Medicare/Medicaid fraud and abuse filed by state and federal enforcement agencies such as the Office of Inspector General.
Ms. Cox represents clients in appeals of audit determinations by Medicare Zone Program Integrity Contractors (ZPIC appeals), Medicare Recovery Audit Contractors (RAC appeals) and Medicaid Integrity Contractors (MIC appeals).
Ms. Melissa (Lisa) Thompson, JD, MPH
Adelman, Sheff & Smith, LLC -- Annapolis, Maryland
(410) 224-3000 www.hospitallaw.com
Lisa Thompson is a partner with the law firm Adelman, Sheff & Smith, LLC. Ms. Thompson has served as both outside counsel and in-house counsel, representing clients ranging from large, publicly-traded corporations (including hospitals, hospices, retail and specialty pharmacies, dialysis facilities, pharmaceutical companies, and medical device manufacturers) to non-profit hospital systems, regional academic medical centers, physician practices, individual hospitals, and other providers.
Ms. Thompson represents health care providers and other clients in administrative appeals and litigation, including Recovery Audit Contractor (RAC), Medicare Zone Program Integrity Contractor (ZPIC), Medicaid, and Medicaid Integrity Contractor (MIC) audits, as well as Medicare termination actions and other health care regulatory, enforcement and corporate matters. She also works pro-actively with clients in developing compliance policies and programs and in preparing for audits, including government reimbursement audits and the new HIPAA Privacy and Security audits.
With a background that includes training in biostatistics, epidemiology and public health, Ms. Thompson brings a unique perspective to the matters she handles, particularly cases involving the use of extrapolation, medical necessity denials, and quality-related issues.