Medicare Overpayment

Recently, a Medicare certified home health agency received a letter from CMS alleging that the home health agency received an overpayment in the amount of $3,351,149.00. prepared a Redetermination appeal that contested the overpayment by...

In a recent case was able to significantly reduce a Medicare Overpayment for one of our clients. The client was faced with an initial recoupment of $5,459,933.90. This was based on Medicare's claims that they had performed a "computer...

Effective February 3, 2015, new Medicare rules go into effect regarding the enrollment and revocation of licenses of providers and owners. Most significantly, new enrollment rules change how Medicare will consider past unpaid overpayments in reviewing applications for...

The reason for the so called "McAllen Problem" is that McAllen, on average, spends about $15,000 on healthcare for every patient enrolled in Medicare, which is almost double the national average of $8,300. This was researched by Harvard doctor Atul Gawande for a 2009...