Recovery of wrongly denied Medicare claims

Sade Medicare Consulting has successfully recovered over $2.5 million dollars in denied Medicare claims and overpayments for physicians, blood laboratories and diagnostic testing facilities via the Medicare appeals process. 

Our recovery work has resulted in the payment of over $400,000 in claim recoveries for an anesthesiologist pain management specialist currently on 100% pre payment chart review by Medicare.  Other favorable Medicare appeals include the reversal of a $240,000 Medicare overpayment issued to a vestibular testing facility and the reversal of a $1,200,000 Medicare overpayment issued to a blood laboratory. 

Sade Medicare Consulting 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.

Based on our appeals experience we have had the opportunity to assess which appeals strategies have the most success at each level of the appeals process.

Sade Medicare Consulting not only fights to recover denied claims but also works towards resolving the coding and billing 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.