What We Solve
Payer and government audits can threaten the viability of a healthcare practice. These are the most common threats our clients face when they first contact us.
Surprise Audit Demands
Unexpected RAC, MAC, OIG, or commercial payer audit letters arrive with short response windows and serious financial consequences if mishandled.
Aggressive Recoupment
Payers demand immediate repayment of already-collected revenue, threatening cash flow and sometimes seeking amounts that bear no relationship to actual overpayments.
Government Investigations
OIG and DOJ investigations require specialized legal defense strategy from the moment of first contact — generic billing help is wholly inadequate.
Hidden Compliance Gaps
Undiscovered compliance issues become severe legal liability when auditors arrive. Proactive identification is far less costly than reactive defense.
RAC, MAC, OIG & Commercial Audit Defense
Full legal defense against all forms of government and private payer audits, including preparation of responses, appeal submissions, and escalation to administrative law courts.
Recoupment Defense & Overpayment Appeals
Aggressive legal challenge of demand letters, offset requests, and improper recoupment activities — we fight back at every level of appeal.
Compliance Program Development
Comprehensive, OIG-compliant corporate compliance programs tailored to your specialty, practice size, and risk profile.
HIPAA Compliance Audits
Thorough assessment of privacy, security, and breach notification compliance — including gap remediation and workforce training.
Regulatory Risk Assessment
Proactive evaluation of billing practices, documentation patterns, and payer relationships to identify and address risk before auditors do.
False Claims Act Defense Support
Strategic legal support for providers facing FCA investigations, qui tam suits, or government enforcement actions related to billing practices.
Why Patriot Group
Attorney-Led Strategy
Legal expertise embedded in every billing, compliance, and collections engagement — not a separate add-on.
Veteran-Owned
Founded on military discipline, precision, and an unwavering commitment to mission success and client advocacy.
Healthcare Focused
100% dedicated to healthcare providers — every team member understands your regulatory and billing landscape.
Proprietary Technology
Custom reporting and analytics infrastructure delivers real-time visibility that most billing firms simply cannot offer.
Results Clients Achieve
Patriot Group's attorney-led, technology-driven approach consistently delivers outcomes that purely administrative firms cannot match.
Significant Recoupment Reductions
Clients routinely achieve substantial reductions in payer recoupment demands — in many cases eliminating six-figure demands entirely through our legal defense process.
Sustained Compliance Programs
Practices with Patriot Group compliance programs demonstrate lower audit selection rates and faster resolution when audits do occur.
Rapid Response Containment
Timely legal intervention at the onset of an investigation or audit demand consistently reduces total exposure and preserves practice financial stability.
Service Overview
Compliance & Audit Defense
Download our Compliance & Audit Defense service sheet — a one-page overview of how Patriot Group defends providers against audits, investigations, and recoupments while reducing future risk.
Related Services
Revenue Cycle Management
Full billing and collections management with legal oversight built in from day one.
Learn MoreAged Receivables Collection
Attorney-led recovery of outstanding and written-off balances from payers and patients.
Learn MoreIndependent Dispute Resolution
Expert IDR representation under the No Surprises Act to challenge inadequate reimbursements.
Learn More