Their experts have consistently been professional, concise and ready to answer any questions posed by the ALJ. PSC and ZPIC) participation (as “participants” not as “parties”) in ALJ hearings. Over the last year, we have seen a marked increase in Medicare contractor (e.g. There really isn’t any way to know if it was handled properly without a complete copy of their file (including associated work papers and calculations) so that we can fully assess their actions. Perhaps they handled it appropriately – or maybe they didn’t. As attorneys, we work with our experts to break down and assess AdvanceMed’s (and other ZPICs) calculations. To be fair, every extrapolation is different, both in terms of facts, the methodology employed, and in the associated calculations conducted. With the help of some of the best statisticians in the country (including, but not limited to the late Will Yancey, Ph.D.), in a number of cases, we have been able to show that their extrapolation of damages (and that of other PSCs and ZPICs) has not complied with applicable requirements, and is therefore invalid. To give the company its due – their statistical experts are smart, aggressive and do not hesitate to respond when their methods have been challenged. Over the years, we have gone up against AdvanceMed numerous times, challenging their interpretation of LMRPs / LCDs and assessing the methods they utilized to engage in a statistical extrapolation of the alleged damages in our client’s cases.
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