Chambliss, Bahner & Stophel, P.C.

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Medicare Administrative Appeal Legal Update

Feb. 24, 2010

By: Stephen D. Barham, Katherine M. Block, B.S.N., R.N., Joy Dixon Wilman

The Medicare Administrative Appeals Team at Chambliss, Bahner & Stophel recently scored a major victory for a client that had received a program safeguard contractor (“PSC”) audit.  The client’s billing company handled the initial Medicare appeals process and found little success.  After the initial appeal, the client was advised it owed over $400,000 for overpayments to Medicare.  Working closely with the client, the CB&S Medicare Appeals Team appealed the audit determinations - specifically the proper coding level for the services rendered by the client -- to the Administrative Law Judge (“ALJ”).

To read more about our team's victory, click here.

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