At Nicholson & Eastin, LLP, our attorneys successfully reversed the revocation of Medicare billing privileges for a physician client. After nearly a year-long investigation conducted by SafeGuard Services and the Centers for Medicare & Medicaid Services (CMS), the physician’s billing privileges had been revoked. However, after a strong reconsideration appeal prepared by our firm, First Coast Service Options (FCSO) overturned the decision and reinstated the physician’s billing privileges retroactively.

Case Background: Medicare Billing Privileges Revoked

The case stemmed from a detailed audit and investigation by SafeGuard Services and CMS. The physician was accused of failing to comply with record requests, which led to the revocation of their Medicare enrollment and billing rights. These revocations can have a devastating impact on a provider’s practice and revenue stream, especially when they are issued without full context or follow-up by investigators.

Nicholson & Eastin’s Strategic Appeal

Attorney Erin M. Ferber, Esq., CPC-A led the charge in preparing a comprehensive reconsideration appeal. Our team:

• Reviewed the full basis of the revocation, identifying procedural and factual gaps.

• Demonstrated the physician’s ongoing cooperation throughout the investigation, including full production of requested records.

• Argued that SafeGuard Services failed to follow standard protocol, such as notifying the physician of alleged deficiencies before issuing a revocation.

As a result, FCSO reversed the revocation and reinstated billing privileges retroactive to the date of the original sanction, ensuring no long-term billing interruption for the client.

Why This Matters for Medicare Providers

Medicare billing privilege revocations are becoming increasingly common due to audits, investigations, or alleged enrollment violations. However, many of these actions can be reversed or mitigated through strategic appeals—especially when there has been a misunderstanding or procedural oversight.

If you are facing:

• Medicare enrollment denials or revocations

• CMS sanctions

• ZPIC or UPIC audits (like those initiated by SafeGuard Services)

• Payment suspensions or overpayment demands

…you need legal representation that understands the complex Medicare regulatory landscape.

• Learn more about our work in Health Care Payor Disputes
• Explore our experience in Government Investigations
•  See how we defend professionals in Health Care Compliance Matters

Nicholson & Eastin, LLP: Trusted Legal Counsel for Medicare Providers

Our firm regularly represents Medicare providers and suppliers in appealing revocations, navigating audits, and defending against fraud allegations. We bring extensive experience handling CMS-related cases, and we understand how to build persuasive appeals backed by evidence, regulatory knowledge, and legal precedent.

Contact us today to schedule a free initial consultation.
We serve clients throughout Florida from our offices in Fort Lauderdale and Jacksonville.