954-817-9402

934 Tulip Cir, Weston, FL 33327

Services

1. Healthcare consulting 

2. Medicare provider enrollment

3. Recovery of wrongly denied Medicare claims.

4. End Medicare prepayment review

Quality results you can count on

Medicare, Medicaid and Tricare Provider enrollment.


Recovery of Wrongly denied Medicare claims

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.

End Medicare prepayment review


Service

Sade & Zuniga Medicare Consulting, Inc. is committed to getting the job done, especially when it comes to this service. You can count on us to be professional, timely, efficient and make sure you’re satisfied every step of the way.