CMS Services for Medicare and Medicaid Exclusion and Reinstatement

Illinois Pharmacist License Defense Attorney

For many healthcare providers and pharmacists, the ability to provide services to Medicare and Medicaid patients is essential. However, an audit by the Centers for Medicare and Medicaid Services (CMS) can threaten a provider's ability to continue offering care to a significant percentage of patients. If you are facing CMS exclusion, The Law Offices of Joseph J. Bogdan, Inc. can help you understand your options and work with you to protect your professional license and your practice or pharmacy. We provide complete representation for medical professionals, and we can help you address a wide variety of legal issues that may affect your practice.

What Is CMS Exclusion?

CMS services apply at both the state and federal levels. They are responsible for overseeing the money paid to Medicare and Medicaid. CMS regularly performs audits of healthcare providers and entities such as pharmacies, and information uncovered during these audits may result in a provider or entity being excluded from providing care or services to Medicare and/or Medicaid patient beneficiaries. Exclusion can be the result of fraudulent billing, poor patient care, and diversion of or addiction to controlled substances. A CMS exclusion is typically a very serious problem for a healthcare professional, often resulting in the suspension of the professional's license.

How Can an Attorney Help?

Fortunately, there is a legal process to remove a healthcare provider or an entity such as a pharmacy from CMS exclusion. At The Law Offices of Joseph J. Bogdan, Inc., we understand how to complete this process successfully, helping you avoid this threat to your business and professional license. We will work with you to cooperate with CMS and prepare thorough, detailed explanations for all of the patient care you provided. We will also help you collect mitigating information and present that information persuasively to IDFPR prosecutors to help prevent the suspension of your professional license or minimize the duration of a suspension.

In addition to practicing law, Attorney Joseph Bogdan has a Pharmaceutical Doctorate degree and is a registered pharmacist. He is a board member of the Illinois Pharmacist Association, teaches pharmacy law at multiple universities throughout the Chicago area, and regularly serves as an expert witness in legal cases related to pharmacies. With this level of knowledge, he understands the issues affecting pharmacy practice, and he will work with you to determine the best ways to assist in defending against CMS exclusion and the suspension of your pharmacist license. If you need skilled legal guidance, contact our office today by calling 630-310-1267 to schedule a free consultation.