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1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

Dec 17, 2015

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Page 1: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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Page 2: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE

Friday, February 25, 2011

Alan S. Gassman, Esq.

and

Lester Perling, Esq.

Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 3: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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Don’t panic or feel rushed.

Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 4: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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Make sure that you confirm the identity

of the individuals and make copies of their identification cards

and credentials.

Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 5: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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Contact qualified legal counsel and

let the investigators wait while you do this.

Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 6: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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Appoint a buffer person in the office to facilitate

communication.

Even jokes can be misconstrued against

you.

Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 7: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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Be polite.Be professional.

Stress that your primary concern is for patients

and their privacy.

Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 8: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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Say as little as possible.

“Anything you say can and will be used against you.”

Do not agree to an interview.

Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 9: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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Don’t seek sympathy from the

investigators.

You will not get it!

Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 10: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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Let employees know that they are not

required to speak to the investigators.

Do not obstruct the investigators from

approaching employees.

Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 11: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

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Do not sign anything not

reviewed by legal counsel.

Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 12: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

12Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 13: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

13Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 14: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

14Copyright © 2011 Gassman, Bates & Associates, P.A.

Page 15: 1. UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATORS COME TO YOUR OFFICE Friday, February 25, 2011 2 Alan S. Gassman, Esq. and Lester Perling,

15Copyright © 2011 Gassman, Bates & Associates, P.A.