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100 Vestavia Parkway

Birmingham, AL 35216

P: 205.949.2949

F: 205.822.2057

E: mzwilling@carrallison.com

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  • Melisa Zwilling

Carr Allison Scores Major Victories for Clients


With the football season upon us, we’re all rooting for our favorite team to win. It takes a lot of hard work, dedication, determination and skill to win football games. Those things are also required to score victories when it comes to handling Medicare Compliance issues. Our team of attorneys, nurses and paralegals puts in the time and effort to “win” for our clients in every case. Like many underdog football teams, when others say something cannot be done, we say it can and we work our hardest to exceed all expectations. Below are a few of the victories we have scored for our clients within the past couple of months alone.

  • Disputed $112,175 in conditional payment claims asserted by CMS based on a pre-existing back condition, including a surgery performed after the date of accident. CMS reduced the lien to $506. Client Savings = $111,669

  • Successfully disputed $61,661 in conditional payment claims asserted by CMS to Zero based on an unrelated condition argument. Client Savings = $61,661

  • Disputed conditional payment claims in the amount of $49,958 to Zero based on a disputed injury argument. Client savings = $49,958

  • Reduced MSA by $52,748 by utilizing Pharmacy Review program to request that physician change prescription to a less expensive, lower dosage. CMS approved the lower MSA. Client Savings = $52,748

  • Received CMS approval of MSA without bilateral total knee replacement revisions that fell in the next-to-last and last year of life expectancy. Client Savings = $71,432

  • Requested reconsideration of a $121,237 MSA submitted by another vendor. CMS issued a new approval for $89,764. Client Savings = $31,473

  • Received $63,894 MSA requested by CMS that included a total knee replacement revision surgery and requested reconsideration. CMS issued a new approval without the surgery. Client savings = $23,845

  • Requested reconsideration of a $35,811 MSA approved by CMS based on an IMR Final Determination finding prescription medications medically unnecessary. CMS issued a new approval for $26,826. Client Savings = $8,985

  • Received CMS approval of $66,099 MSA. CMS excluded funds for two prescription medications based on IMR Final Determination argument we presented. Client Savings = $35,784

  • Disputed $22,966 in conditional payment claims asserted by CMS based on a pre-existing neck condition. CMS reduced the lien to $305. Client Savings = $22,661

  • Received CMS approval of $5,857 MSA that excluded a potential total knee replacement revision surgery. Client Savings = $37,973

  • Disputed $61,661 in conditional payment claims, which CMS reduced to ZERO. Client savings - $66,661

  • Obtained reduction in conditional payment claims originally asserted in the amount of $112,000. CMS reduced the claim to $ $505.83. Client savings = $111,494

Contact us to see what our team can do for you!

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