Our client, a physician group in the Midwest, had its billing audited by a managed care organization (MCO), and the MCO issued an overpayment determination totalling substantially in excess of $150,000.
The physician group then turned to Husch Blackwell for help. Husch Blackwell attorney Emily Park filed an appeal on behalf of the physician group using the insurer’s provider appeal process and, as a result, the overpayment was reduced to just over $1,000, less than 1% of the original amount.