At Nicholson & Eastin, LLP, we are proud to share a recent success story involving the reversal of a Medicaid suspension for a South Florida medical provider. The diligent efforts of our experienced team led to a favorable outcome for the provider, highlighting our commitment to defending the rights of healthcare professionals. Read on to learn more about this case and how we can assist with your Medicaid and Medicare matters.

The Medicaid Suspension

The Agency for Health Care Administration suspended all Medicaid payments to a South Florida provider after the Agency suspected the provider was associated with another provider facing federal charges. This suspension posed a significant threat to the provider’s ability to serve Medicaid patients and receive proper reimbursement for their services.

Our Advocacy and Appeal

Recognizing the unjust nature of the suspension, our dedicated attorneys at Nicholson & Eastin, LLP took immediate action. We worked closely with the AHCA to clarify the relationship between the providers and establish the innocence of our client. Armed with a comprehensive understanding of Medicaid regulations and the appeals process, we submitted a formal appeal on behalf of the provider.

Successful Reversal and Reinstatement

Through persistent advocacy and strategic legal arguments, our team achieved a significant victory. The AHCA reversed the suspension of payments, effectively reinstating the provider as if no action had been taken. This outcome ensured that the provider could continue serving Medicaid patients without disruption and receive rightful compensation for their services.

Why Choose Nicholson & Eastin

If you are facing challenges with your Medicaid or Medical enrollment, prepayment review, or appeals, the experienced attorneys at Nicholson & Eastin, LLP are here to help. We have a strong track record of representing suspended and revoked providers before the AHCA and CMS (Centers for Medicare & Medicaid Services). Don’t hesitate to reach out to us to evaluate your case and discuss the best course of action.

• Expertise in Healthcare Law: Our firm specializes in healthcare law, focusing on the unique legal challenges faced by medical providers and professionals.
• Track Record of Success: We have a proven track record of achieving positive outcomes for our clients in Medicaid and Medicare matters, as demonstrated by our recent Medicaid suspension reversal.
• Extensive Experience: With years of experience in the field, our attorneys possess in-depth knowledge of healthcare regulations, appeals processes, and provider reimbursement issues.
• Personalized Approach: We understand that every case is unique, and we provide personalized attention to ensure we tailor our strategies to your specific needs.
• Strong Advocacy: Our team is dedicated to vigorously advocating for the rights and interests of healthcare providers, striving to achieve the best possible outcome in every case.

Contact Us

The Florida health law firm of Nicholson & Eastin, LLP, routinely represents suspended and revoked providers before the Agency for Health Care Administration, and well as before CMS regarding Medicare matters. If you have a Medicaid or Medical enrollment, prepayment review or appeal issue, please do not hesitate to contact us to evaluate your case.