Medicare And Medicaid Audit Defense For Hospitals And Major Providers In Texas
Last updated on April 16, 2026
An audit about Medicare or Medicaid issues is not necessarily a sign of any wrongdoing on the part of your company or staff. It is also not something that you can risk ignoring or letting go on its own. You need assistance, guidance and advocacy to keep in control.
My name is Alejandro Mora, and I’m a Medicare audit lawyer. I provide both Medicare and Medicaid audit defense for businesses across Austin. My service is based on protecting health care businesses and stakeholders from legal risks, including financial and regulatory penalties assessed in these cases. I can help you understand what is ahead in your audit and how to get through it.
Types Of Audits To Be Concerned With
Medicare and Medicaid audits are a kind of large, high-level picture of the legal risks facing companies in the health care space. Some common, high-stakes audit types include:
- Recovery Audit Contractor: This is an individual who closely reviews all automated transactions individually to verify their adherence to regulations.
- UPIC audit: Unified Program Integrity Contractors (UPICs) conduct audits for Medicare functions of all types.
- SMRC audit: Supplemental Medical Review Contractors (SMRCs) look at all payment rates from the Medicare and Medicaid trust funds that do not match the current schedule.
I provide rapid response defense to all clients undergoing audits of any kind. I act as the single point of contact and control the flow of information. If necessary, I will conduct an internal investigation to identify employees or policies out of compliance, streamlining a response and minimizing your legal risks.
Medicare And Medicaid Audits Are Risks You Can Plan For
An audit of your Medicare and Medicaid services does not have to overwhelm your staff. There is every reason to believe that your staff is working appropriately, and any “red flags” that may have kicked off the review are explained as innocent. However, it is in your interest to take action to control how the audit plays out. I will help you do that. Call my office in Austin at 512-937-1128 or send an email using this online form.
