Blog - Tag archives for Medicare Reimbursement

Medicare Overpayment Reversed in Rare Application of Provider Being Found to be Without Fault by Administrative Law Judge

Posted on Firm News, Medicare Reimbursement July 8, 2017 by Robert Nicholson

After almost seven years of navigating the administrative appeals process, the Firm secured the complete dismissal of a $1,000,000 dollar Medicare overpayment for a South Florida physician.  Following the physician’s receipt of untimely overpayment demands, the Firm secured the reinstatement the provider’s appellate rights.  The gist of the overpayment demand was that the provider failed Read more →

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Medicare Provider’s Wrongful Revocation Reversed

Posted on Firm News November 1, 2015 by author

In a case involving a large physician practice represented by the Florida health law firm of Nicholson & Eastin, LLP, CMS reversed its decision to revoke the physician practice’s Medicare billing privileges, and immediately reinstated the billing privileges retroactive to the date of revocation. After deciding to cease operating its on-site lab operations, our Florida Read more →

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Prepayment Review Lifted

Posted on Firm News February 1, 2014 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 Read more →

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