Appeal wrongly denied Medicare claims
You are entitled to be paid for rendered services.
Sade & Zuniga Medicare Consulting, Inc., has successfully recovered over 2 Million dollars in previously denied Medicare claims for physicians and diagnostic testing companies over the last ten years.
Sade & Zuniga Medicare Consulting, Inc., acts as your “representative” during the entire appeals process including the first level redetermination, second level Reconsideration and third level Administrative Law Judge (ALJ) hearing.
Our extensive appeals experience helps us know which appeals strategies have the most success at each level of the appeals process.
Some of our successful recoveries include:
Recovering $25,000 in denied Botox claims for a neurologist.
Recovering $375,000 in previously denied Medicare claims for interventional pain procedures performed by a board certified anesthesiologist.
Our largest favorable appeal was the complete reversal of 1.2 million Medicare overpayment issued to a South Florida blood testing laboratory. The Administrative Law Judge (ALJ) agreed with our argument that Medicare denied the claims based on an incorrect interpretation of the CPT code.
Sade Medicare Consulting corrects the coding and chart documentation issues that initiated the denied Medicare claims. Including, evaluating your medical charts in-order to ensure that the chart documentation supports the CPT codes billed to Medicare and that Medical necessity for diagnostic tests is documented in the physician charts.
We have the experience and skills necessary to tackle just about every type of job that comes our way. With Sade & Zuniga Medicare Consulting, Inc., clients know exactly what to expect - professionalism, efficiency and exceptional results.