Medicare pre & post payment chart review resolution.

Medicare pre & post prepayment review occurs when the Medicare claim processing system suspends a claim for medical review before the claim is paid. Prepayment edits are designed to prevent payment for non covered and/or not medically necessary services. Prepayment edits are established, modified and evaluated for effectiveness on an ongoing basis. Some of the current services being selected by Medicare for prepayment review include level 4 office visit CPT codes, Ultrasounds, EKG and other diagnostic tests, Botox injections and anesthesiologist pain management injections.

Sade Medicare Consulting contracts with former Medicare nurse chart auditors who evaluate 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 and other ancillary services is documented in the physician charts.

Medicare Applications Recovery of wronly denied Medicare claims Meicare chart review resolution Litigation support services Additional services


I have worked with Evan Sade for five years and routinely ask him to research complex questions regarding Medicare billing and rules and regulations. Evan gives me timely, accurate answers that help me run and grow my practice.
- Clifford J. Benezra, M.D.



Sade Medicare Consulting has mastered the Medicare registration process. The registration applications submitted to Medicare by Sade Medicare Consulting were processed by Florida Medicare without delay and we received our Medicare number 30 days sooner than I expected.
- Jeremy Waxman
Fall Solutions, Hallandale Beach, FL

Important Medicare Information for your Practice

Physician signatures on medical record
Appeals of claims decisions
Medicare Pre payment medical review.
Termination of prepayment Medical review.
Medicare Tracks Provider Inquiries

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