We Know How the Government Fights.
We Know How to Beat Them.
Medicare Defense Group was built on a simple premise: providers deserve a defense that matches the full force of what they're up against. That requires insider knowledge, battle-tested strategy, and someone who has been on both sides of the fight.
Built from the Inside Out
Medicare Defense Group was founded by a former Centers for Medicare & Medicaid Services (CMS) employee who spent years inside the agency — understanding how audits are designed, how termination decisions are made, and how the system is built to favor the government.
That experience became the foundation for something different: a consulting practice built entirely around fighting back. Not filing form letters. Not submitting boilerplate appeals. Building real, aggressive, evidence-based defenses that challenge the government's methodology, their math, and their legal authority.
Over decades of practice, we have defended physicians, home health agencies, hospice organizations, skilled nursing facilities, and virtually every other Medicare-certified provider type — accumulating more than 100 Departmental Appeals Board victories and challenging over $100 million in overpayment demands.
Credentials & Track Record
- Former Centers for Medicare & Medicaid Services (CMS) employee
- 100+ Departmental Appeals Board (DAB) victories
- 500+ Medicare enforcement cases defended
- Over $100 million in overpayment demands challenged
- Decades of experience across all Medicare provider types
- Trusted expert consultant for healthcare attorneys nationwide
How We Approach Every Case
Inside Knowledge
Having worked inside CMS, we understand how Medicare intermediaries think, how audits are constructed, and where the weaknesses in their methodology lie. That insider perspective is something no amount of outside study can replicate.
Speed Matters
Medicare enforcement deadlines are strict and unforgiving. We move fast — reviewing notices, building strategy, and filing responses before the government gains ground. Delay is never an option.
No Form Letters
Every case is different. We do not recycle generic responses or rely on boilerplate appeals. Your defense is built from the ground up, tailored to the specific facts, the specific auditor, and the specific legal theory at play.
Attorneys Welcome
We work seamlessly alongside healthcare counsel. Whether you need a technical expert, a co-consultant, or someone to handle the Medicare-specific work while you manage the broader legal strategy — we fit into your team.
Every Medicare-Certified Provider Type
"The government has unlimited resources and years of experience building these cases. Your defense needs to be just as sophisticated."
— Medicare Defense Group
Ready to fight back?
Let's talk about your case.
Every Medicare enforcement action is different. Contact us for a confidential consultation — we'll assess your situation and tell you exactly where you stand and what your options are.