Texas Healthcare Billing Audit Defense And Legal Collections Attorneys
Commercial payers target healthcare providers across Texas with aggressive audits and retroactive clawbacks. Kennedy Attorneys & Counselors at Law protects your bottom line when commercial insurers demand massive repayments or withhold valid claim reimbursements. Founding attorney Mark S. Kennedy draws from his background as a former Assistant Regional Counsel for the U.S. Department of Health and Human Services.
Our legal team has more than 100 collective years of experience. They know how to dismantle flawed payer audit methodologies and have the strength to enforce commercial insurance contracts. Partnering with our healthcare billing audit attorneys helps your practice to counter insurer overreach while keeping daily operations running smoothly.
Comprehensive Billing Audit Defense And Revenue Recovery
Insurance companies use sophisticated algorithms to flag billing variances. They use this data to initiate post-payment recoupment demands. At our firm, we offer strategic counsel to stop arbitrary clawbacks, protect practice cash flow, and collect on delayed commercial claims. Our services include:
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Commercial and private payer audit defense: Insurers such as BlueCross BlueShield, UnitedHealthcare, Aetna and Cigna use aggressive post-payment reviews. A skilled commercial payer audit defense attorney can examine the insurer audit sample, challenge flawed statistical extrapolation and defend your documentation during appeals.
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Proactive internal billing and coding audits: Conducting a medical practice internal billing audit under full attorney-client privilege protects your findings from external disclosure. We identify billing vulnerabilities, correct coding errors and build structural compliance before private payers launch investigations.
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Healthcare legal revenue recovery and collections: Denied claims threaten practice stability. A medical billing recoupment attorney and healthcare payer dispute lawyer can leverage legal remedies, including ERISA administrative appeals and Texas breach of contract claims. They help to collect out-of-network balances and resolve B2B commercial disputes.
Under the Texas Prompt Payment Act within the Texas Insurance Code Chapter 843 and Chapter 1301, commercial insurers have strict deadlines to pay or deny clean claims. Further, Texas Civil Practice and Remedies Code Section 16.004 establishes clear timelines for enforcing commercial contract obligations. Our team applies these protections to compel delayed payments and defend against improper recoupment actions.
Strategic Boundary And Criminal Defense Guidance
Many commercial billing audits and private payer recoupment disputes result in private remedies. However, third-party payer reviews can occasionally trigger scrutiny from state or federal regulators. Our firm maintains a separate, highly focused federal criminal defense practice. We handle healthcare fraud allegations involving:
- Medicare
- Medicaid
- UPICs
- The Department of Justice
We work to isolate commercial business disputes from criminal proceedings while providing robust defense across all regulatory silos to protect your healthcare business.
Protect Your Revenue: Schedule A Consultation With Our Dallas Lawyers
At Kennedy Attorneys & Counselors at Law, we steadfastly defend your revenue, challenge arbitrary clawbacks and recover aged commercial healthcare receivables. Take immediate control of your practice financial health before the appeal deadlines expire. Contact us today at 945-218-2698 or send us an email to schedule a confidential initial consultation.