Below are just a few of our recent results! Our goal is to exceed our clients expectations and deliver results. We work tirelessly to do that in every case. •Filed for reconsideration of a $438,305 MSA requested by CMS. We submitted documentation and substantive arguments in support of our request. CMS issued a new approval for $284,507. Client Savings = $153,798 • File was referred to us for a second opinion after MSA allocation from another vendor was more than $80,000.
Quite often we are asked to provide second-opinion review of MSA allocations that were prepared by another vendor. We have consistently found that a majority of those allocations are incredibly inflated and include unnecessary treatment and medications. Though inflated MSA allocations help ensure a high CMS approval rating, they drive many settlements out of range. In cases that are able to settle, they cost a tremendous amount of money that simply does not need to be spen
Under the SMART Act, CMS is supposed to issues rules specifying "practices for which sanctions will and will not be imposed." In December, 2013, CMS issued an Advanced Notice of Proposed Rulemaking seeking comments on circumstances in which penalties should and should not be imposed. The comment period closed in February, 2014 and since then the industry has been awaiting proposed rules from CMS. After CMS issues proposed rules, the public will be allowed to submit comment