Medicare Appeals - Recommended Medicare Lawyers & Legal Services
Jackson Davis HealthCare (formerly the Castle Rock Medical Group) is the nation's undisputed leader in developing winning Medicare appeals, researching & codifying Medicare compliance directives, completing Medicare clinical documentation audits and documenting, applying and implementing CMS Payment Criteria. In addition, Jackson Davis medical staff, documentation auditors, billing compliance professionals and legal support staff maintain seamless working relationships with the nation's best health law firms and Medicare appeals attorneys.
Success in Medicare appeals, Medicaid appeals or Medicare fraud defense is centered on meeting CMS Payment Criteria, Conditions of Participation documentation requirements and Medicare evidence-based coverage policies - not on outdated procedural arguments or subjective medical necessity challenges. Focusing on individual patient clinical profiles, submitting required CMS supporting documentation and proving adherence to CMS Payment Criteria for each case is the only way to win CMS appeals.
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Medicare Audits & Medicare Appeals - Profile
Jackson Davis HealthCare provides the nation's leading solution for the submission of Medicare audit appeals. Our industry-leading clinical auditors, legal support staff and Medicare compliance professionals work directly with the nation's best health law firms and provide an unmatched CMS auditing and legal services solution.
Step 1 - Perform CMS Criteria-Based Case Review
Step 2 - Prepare Medicare Appeals & Criteria-Based Case Summary
Step 3 - Submit Medicare Appeals & Required Documentation for Redetermination
Step 4 - Submit Medicare Appeals & Required Documentation for Reconsideration
Step 5 - Submit Medicare Appeals & Provide CMS Regulatory and Clinical Expert Testimony at ALJ Hearing
For questions regarding CMS efforts to stop Medicare fraud & abuse, Medicare audits, Medicare appeals, RAC audits, ZPIC audits, MIC audits, CMS auditing tools, CMS reference documentation, CMS PI Warehouse or other Medicare legal support services, please contact us directly at (303) 586-5003 or support@stopmedicarefraud.com.
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Medicare Appeals & Medicaid Appeals - Recommended Medicare Lawyers
The CMS appeals process can be extremely costly and the timeliness of CMS recoupment is a major challenge. In addition, the ever-present issues relating to potential Medicare fraud allegations can be very serious.
Knowledgeable, independent health law firms and internal legal counsel representatives play vital roles in the completion of proactive CMS medical review assessments & the submission of CMS audit appeals. In addition, our experienced Medicare compliance professionals, CMS clinical auditors and Medicare legal support staff emphasize a multi-disciplinary approach to addressing CMS appeals. We can assist in providing a full range of CMS appeals submission efforts as well as providing expert testimony, clarifying regulatory requirements and contributing to extensive research efforts.
Jackson Davis HealthCare (formerly the Castle Rock Medical Group) has researched hundreds of health law firms nationwide and have developed working relationships with solely the best-of-the-best. Our recommended health law firms and attorneys have hundreds of years of experience, they have assisted with over 10,000 Medicare appeals, Medicaid appeals and highly sensitive Medicare fraud & abuse related issues. This very select group of attorneys and firms that can bring both a breadth of experience with the Medicare appeals process and a depth of CMS audit appeals knowledge to each client - without the additional cost.
For questions regarding CMS efforts to stop Medicare fraud & abuse, Medicare audits, Medicare appeals, RAC audits, ZPIC audits, MIC audits, CMS auditing tools, CMS reference documentation, CMS PI Warehouse or other Medicare legal support services, please contact us directly at (303) 586-5003 or support@stopmedicarefraud.com. ___________________________________________________________________________________________________________
Our Recommended March / April Medicare Attorney - A Profile in Honesty & Integrity
Mr. Robert J. Benvenuti III
Barnett, Benvenuti & Butler PLLC - Lexington, Kentucky
(859) 226-0312 www.bbb-law.com
Robert J. Benvenuti III is a founding member of the Lexington law firm of Barnett Benvenuti & Butler, PLLC. Mr. Benvenuti has been actively involved in the health care industry since 1983. His experience includes serving as a provider, administrator, compliance officer, government official and legal counsel. He has significant experience in health care fraud and abuse, compliance, false claims, government investigations, medical staff issues, internal investigations, civil liability, controlled substances abuse and diversion, and EMTALA, as well as general regulatory and operational issues facing institutional and individual providers.
In February 2004, Mr. Benvenuti was appointed Inspector General for the Cabinet for Health and Family Services where he served until January of 2007. Among other things, the Office of Inspector General is charged with investigating and detecting fraud, waste, and abuse in the Medicaid program, as well as allegations of prescription drug abuse and diversion. Prior to his appointment as Inspector General, Mr. Benvenuti was an attorney with Stites & Harbison, PLLC.