Payer audits and overpayment demands
Medicare contractor and Medicaid audits often begin with a records request and end with an extrapolated repayment demand. How the first response is written shapes everything that follows.
Healthcare fraud defense
When your billing records become the government’s case.
J. Mark Brewer has practiced law since 1981 and defends physicians, clinics, and medical practices accused of Medicaid or Medicare fraud — in payer audits, whistleblower suits, and federal investigations. There is only a limited amount of time to respond, and anything you say or write in reply could affect the outcome.
If you have just been served
Four things to do first.
- 01Do not respond directly to the law firm suing you or your medical practice.
- 02Do not respond to the person who filed the lawsuit.
- 03Do not destroy or alter any medical records related to the case.
- 04Contact an attorney immediately — deadlines in these matters are short.
Matters handled
The forms a fraud allegation takes.
Civil False Claims Act and qui tam suits
A whistleblower suit may sit under seal for months before you learn of it. Defense means understanding the billing record as well as the government's theory of it.
Criminal healthcare fraud investigations
Subpoenas, agent interviews, and target letters call for counsel before any statement is given — by you or by anyone on your staff.
Licensing and program exposure
Allegations rarely stay in one forum. Board complaints, payer terminations, and exclusion from federal programs can follow the same set of facts.
Billing and compliance review
Coding, documentation, and referral relationships are where most disputes actually live. Reviewing them early is cheaper than defending them late.
Why this counsel
Trial and appellate experience, applied to a billing dispute.
Healthcare fraud matters are document cases that can turn into trials. Mark Brewer has been admitted in Texas and Missouri since 1981, admitted before the United States Supreme Court in 1996, and has been AV-rated by Martindale-Hubbell since 1992.
Work is handled directly — the same lawyer who reads the audit letter argues the motion. Cases are evaluated honestly at the outset, including when the right outcome is a negotiated resolution rather than a fight.
Every matter is different, and nothing on this page is legal advice or a prediction about your case. A written agreement is required before any representation begins.
Talk to a lawyer before you respond.
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