March 31-April 2, 2025 | Palm Beach Gardens, FL |
Ashley Morgan focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Ashley represents health care providers across the country in connection with a wide variety of health law issues including coverage disputes, documentation concerns, compliance, medical board complaints, and exclusion / termination issues
Ashley is one of only a small percentage of health lawyers who has also trained and passed the certification examination requirements to become designated as a "Certified Professional Coder." On the billing side, she has also obtained her certification as a "Certified Medical Reimbursement Specialist." These skill sets have been invaluable when conducting GAP Analyses of a provider’s medical record documentation in order to determine whether the claims meet applicable Medicare, Medicare or private payor coverage and payment requirements. She has extensive experience working on administrative appeals of large alleged extrapolated overpayments assessed by the Centers for Medicare and Medicaid Services’ (CMS) program integrity contractors -- primarily Unified Program Integrity Contractors (UPICs). She also represents health care providers and suppliers in connection with Comprehensive Error Rate Testing (CERT) audits, Supplemental Medical Review Contractor (SMRC) reviews and Medicare Administrative Contractor (MAC) "Targeted Probe and Educate" (TPE) reviews. Finally, Ashley has extensive experience representing our health care clients in connection with private payor audits and investigations by private payor SIUs. Ashley also has extensive experience representing providers in connection with state and federal fraud investigations.