Prepayment Review Lifted

Posted on Firm News by author

After attempting to appeal the implementation of a 100% prepayment review by Medicare, a therapy/rehabilitation clinic hired the Firm to assist in challenging the prepayment review. Despite that fact that the client was successfully appealing the denied claims, the Medicare contractor was continuing the prepayment review. The Firm intervened on behalf of the client, using the favorable determinations on appeal, and successfully persuaded Medicare that the 100% prepayment review against the provider was improper.

The attorneys at Nicholson & Eastin, LLP represent healthcare providers with reimbursement issues, including prepayment review and payment suspensions, and payment disputes with Medicare, Medicaid and private insurance carriers.