PARE Coding and Compliance

08/23/2021

Re: Complex Third Level Medicare Appeal and Judgment of Almost $600,000 to Elated NJ Podiatrist”

From: Paul Kesselman DPM and Alan Bass DPM

Dr. Alan Bass and Dr. Paul Kesselman, partners at PARE Coding and Compliance, in conjunction with healthcare attorney, Nan Gallagher, Esq., Managing Member of The Nan Gallagher Law Group, received a 100% favorable judgment of approximately $600,000, one of the largest awards in podiatry, for a New Jersey podiatrist from Administrative Law Judge P. McAfee. With expert testimony of Dr. Paul Kesselman on this complex Third Level Medicare Appeal, backed by the comprehensive documentation and coding analysis of Drs. Bass and Kesselman, the ALJ ordered the return of roughly $600,000 overpayment to the podiatrist who had struggled to pay it back to Medicare over five years. At issue was the documentation to support proper coding for routine foot care as reconciled with LCDs. CMS will not be appealing the decision and has not returned calls for comment.

Source: OMHA Appeal No. 3-2871310611R1

Paul Kesselman, DPM Oceanside N.Y. and Alan Bass, DPM Manalapan NJ

05/07/2020

BEING AUDITED? Are you being audited for at risk foot care, mycotic nails or diabetic shoes? Don't go into the audit unprepared! Contact us, we can help. www.parecomplianceservices.com

05/07/2020

INSURANCE AUDIT SURVIVAL: Whether you have received an impending audit, or want to do what is necessary to prevent an audit, there are several things you should do. At PARE Coding and Compliance, we can help no matter the situation you are going through. Contact us at www.parecomplianceservices.com

03/03/2020

INSURANCE AUDIT SURVIVAL: Whether you have received an impending audit, or want to do what is necessary to prevent an audit, there are several things you should do. At PARE Coding and Compliance, we can help no matter the situation you are going through. Contact us at

PARE Coding and Compliance Consulting, a full-scale practice improvement company, knows the ins and outs of running a medical practice.

02/27/2020

Our very own Dr. Alan Bass was a featured speaker to the podiatrists this morning at the 2020 Great Lakes Conference in Dearborn. Tomorrow he speaks to the Podiatric assistants.

02/25/2020

If you are attending the Michigan Podiatric Medical Association Great Lakes Conference in Dearborn this weekend, come and hear our very own Dr. Alan Bass speak on a variety of topics to both the physicians and assistants! Look forward to seeing you there!

02/16/2020

INSURANCE COMPANY AUDIT? If you are being audited for your billing practices, you need experts with over 50 years experience to help you. Dr. Alan Bass is a certified professional coder and Dr. Paul Kesselman is an expert in DME. Call us to defend you in an audit!

02/02/2020

Insurance companies’ rules and regulations are changing constantly. Without keeping up with all the changes will possibly trigger an audit and ultimately the insurance company may look to recoup payments. Not only will they recoup payments, sometimes they will extrapolate the recoupment back many years. It is important for you to ensure that you are following the LCD’s and documenting properly. Along with the documentation, proper coding of the encounter is important for timely payment of any claims.