Medicare Defense Consulting

When Medicare
Comes After You, 
We Fight Back.

Program terminations. Extrapolated audits. Multimillion-dollar overpayment demands. These are existential threats to your practice — and they require an expert who has been in this fight before.

25+
Years of Experience
1000+
Cases Defended
$100M+
In Overpayments Challenged
Former CMS Employee
Insider Knowledge
What We Do

Defense Across Every Front of Medicare Enforcement

01

Program Terminations

When Medicare intermediaries move to revoke your billing privileges or terminate your provider agreement, the clock starts immediately. We build aggressive, evidence-based defenses to keep your practice operational.

02

Extrapolated Audits & Overpayments

Statistical extrapolation can turn a small sample of denied claims into a multimillion-dollar demand. We challenge the methodology, the sample, and the math — and we win.

03

Physician Defense

Physicians face unique exposure in Medicare audits — from medical necessity denials to exclusion proceedings. We defend your clinical judgment and your livelihood.

04

Attorney Support

Healthcare attorneys trust us as expert consultants when their clients face Medicare enforcement. We provide the technical depth and regulatory expertise to strengthen your case.

Why Medicare Defense Group
"The government has unlimited resources. You need someone who knows exactly how to fight them — and has done it hundreds of times."

Medicare enforcement actions are not routine billing disputes. They are existential threats that require specialized expertise, rapid response, and a proven track record. That is what we bring to every case.

Deep expertise in Medicare intermediary procedures and ALJ appeal processes

Direct experience with RAC, MAC, UPIC, and OIG audit defense

Trusted by healthcare attorneys nationwide as expert consultants

Rapid response when termination notices arrive — time is always critical

Who We Serve

Built for Providers Under Fire

Physicians & Medical Groups
Home Health Agencies
Hospice Organizations
Skilled Nursing Facilities
Durable Medical Equipment Suppliers
Healthcare Attorneys & Law Firms

Your practice is on the line.
Don't face this alone.

Every day without a defense strategy is a day the government gains ground. Contact us today for a confidential consultation — we'll assess your situation and tell you exactly where you stand.

Request a Consultation

Tell us about your situation. We respond quickly — because in Medicare defense, timing is everything.

Get Started Now

Confidential. No obligation. Attorneys welcome.