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Lawyer for Performance Audits in Medical Law: Navigate Legal Pitfalls
This regulation limits your freedom as a service provider in your therapy choices. You are only supposed to provide services that are necessary for the treatment purpose and in the interest of the insured person.
When various alternatives with comparable benefits are available, you are required to choose the most cost-effective option. If your services exceed this measure, the insurer is entitled to refuse cost coverage and reclaim unlawfully paid reimbursements. However, there must be a significant disproportion between effort and therapeutic success for this to occur. Whether this is the case is determined through a performance audit.
The retrospective review and recovery can jeopardize your financial existence. Therefore, defending against such recovery claims is of paramount importance. In this challenging matter, a lawyer for performance audits in medical law is at your service.
Rely on Expert Assistance
A lawyer for performance audits in medical law is available to address all your legal questions in this complex legal area. The experienced specialist is familiar with both the legal foundations and current jurisprudence. They analyze your risks and evaluate statistics. Additionally, they advise you on how to respond to allegations of overutilization and draft the required statement.
The lawyer for performance audits in medical law also accompanies you to a meeting with santésuisse. Here, they often succeed in reaching a mutually acceptable settlement. If an out-of-court settlement fails, the expert advises and represents you in any subsequent court proceedings. Find a skilled lawyer with years of professional experience through the free service of GetYourLawyer.
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