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Offices in:


Las Vegas Nevada
7250 Azure Way # 140-80 89130


Redondo Beach CA
555 N. Harbor Drive # D-60 90277


Socorro NM
Opening This Year

Phone: (916) 343-1164
michael@madappeals.com

Presentations Download
Focused Medical Review Relief Process 1-1-2012

This presentation is to introduce you to the minimum core activities to gan relief from Focused or Targeted Medical review

We offer a very comprehensive package that starts with relief from Medical review teams and end with your last set of appeals before the CMS ALJ.

There is no reason to feel like the sand sculpture to the right

Read more...


OASIS Accuracy equals profits & Protections from CMS 1-1-2012

OASIS-C as many agencies will/are finding out in the next 18 months is far more of a watch dog tool than a quality indicator tool. If your clinicians cannot perform to the level of expectations you can expect to be paying money back to CMS sooner or later


When it comes to protecting Medicare dollars,your macro and micro-data are what will trigger an audit or keep you off of the radar

Read more, this is a large file and may take time to download.


Focused Medical Review & Payment Suspensions. 1-1-2012


This presentation is a chronology of the west coast "demonstration Project" describing the beginnings of what we now know today as FMR,TMR, Post Payment review, And ZPIC audits

If you prepare properly you should sleep well at night


Read more, this is a large file and may take time to download.


The Survivors guide to Medial Review 1-1-2012

This is part one of the Survivors guide. It explains the mechanisms of review and how to prevent medical review at an introductory level.

Read more, this is a large file and may take time to download.

Speakers notes to slides


The Survivors Guide to DHS Survey 1-1-2012

Every agency will feel the heat of an unannounced survey, how ready do you think you are?
Most agencies do well in survey. Do you know anyone,or have you ever had to deal with Conditions out, Immediate jeopardy, or the threat of Termination of your provider number?

Do you know how to appeal these actions taken against you?

Agencies have rights. Unfortunately most are so busy running the agency they do not have time to learn their rights under medicare rules and regs. This presentation will give you deep insight to dealing with a good,bad,or very ugly survey. I have never failed a survey in ten years,you should not either.

Read more, this is a large file and may take time to download.