Meredith Rarus works alongside healthcare providers, suppliers and payers, as well as law and private equity firms, to provide strategic consulting and litigation support in healthcare matters. She regularly assists clients in assessing the risk of healthcare entities based on her comprehensive knowledge of the claim billing, coding, submission and reimbursement process, as well as applicable industry benchmarks. She performs financial, economic, operational and regulatory analyses to identify potential risk areas of providers under government and commercial audit or investigation. These reviews are within a contemplated transaction and in the capacity as an appointed Independent Review Organization (“IRO”). Ms. Rarus’ work provides her clients with meaningful, accessible and actionable results and recommendations.
Ms. Rarus and her teams have completed large-scale claim reviews advising on the proper coding, billing and documentation for health service organizations based on federal and state guidelines, official Current Procedural Terminology (“CPT”), Healthcare Common Procedure Coding System (“HCPCS”) and International Classification of Diseases (“ICD”) coding guidelines. Ms. Rarus’ experience completing these detailed reviews of medical record and billing documentation assist in determining the completeness and accuracy of the claims submission, documentation, coding, medical necessity and payment of the claims at issue.
In conjunction with transaction due diligence...
Dish Wireless LLC agreed to pay roughly $17 million to resolve allegations that it violated the False Claims Act, common law, and the Communications Act of 1934 relating to claims submitted to Fed...