Success Stories

Challenged CMS's denial of Medicare payments to DME provider

Lead Practice Area: Health Care

Summary: Our client, a durable medical equipment supplier, obtained a favorable decision from an Administrative Law Judge in a Medicare Part B appeal of seventeen of twenty-two cases. The Centers for Medicare and Medicaid Services (CMS) denied Medicare payments to our client, which provided motorized wheelchairs and accessories to several beneficiaries in 2001 and 2002. We appealed the decision of the hearing officer who has upheld the denials, and the CMS Administrative Law Judge ordered reimbursement to our client in seventeen cases.

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