Michael D. Miscoe, Esq.
Esq., CPC, CASCC, CUC, CCPC, CPCO, CPMA, CEMA, FMC, AAPC Fellow
Substantial expertise as counsel representing providers in healthcare reimbursement matters with special expertise in healthcare coding, billing, reimbursement, UCR fee and provider wRVU-based compensation disputes.
Locations
Licenses
| Profession | State | Specialty | Since |
|---|---|---|---|
| Attorney | CA | 2008 |
Education
Fees and Hours
$425 per hour portal to portal plus mileage ($.65 per mile) tolls and/or actual cost of airfare, hotel, parking, etc.)
Time is reported in 6 minute (0.1 hrs) increments.
Health Law Expertise
Reimbursement
16 years' experience as an advocate related to resolving provider/payer disputes centered on alleged coding and documentation deficiencies through multiple levels of appeal for a wide variety of outpatient provider speciality and ambulatory surgical center cases. Also possess substantial experience with the resolution of UCR Fee Issues, and wRVU provider compensation disputes.
Health Care Outside Hospitals
Physician Entities
Patient Information
Experience in development of medical billing and EMR software applications
Government Regulation and Oversight
Substantial experience as counsel addressing CMS UPIC/ZPIC/TPE audits through all levels of the administrative appeal process. Have also served as counsel relative to appeals of CMS termination matters.
Licensing, Credentialing, and Certification
Basic Training
| Name of Provider | Number of Hours |
|---|---|
| AHLA | 28.5 |
| Name of Provider | Number of Hours |
|---|---|
| AHLA | 20 |
Presentations and Publications
Medicare administrative appeal process.
Experience
| Occurrence | 1 |
| Single/Lead/Panel Chair | |
| Advocate | |
| Panel Member |
| Occurrence | 2 |
| Single/Lead/Panel Chair | |
| Advocate |
| Occurrence | 3 |
| Advocate | |
| Single/Lead/Panel Chair |
| Occurrence | 4 |
| Single/Lead/Panel Chair |
References
| Name: | Charles I. Artz, Esq |
| Organization: | Artz Mayernick Health Law |
| Phone: | 717-238-9905 |
| Email: |
| Name: | Hon. Dan Rullo |
| Organization: | Somerset County Court of Common Pleas |
| Phone: | 814-445-1486 |
| Email: |
| Name: | Charles I. Artz, Esq |
| Organization: | Artz Mayernick Health Law |
| Phone: | 717-238-9905 |
| Email: | cia@amhealthlaw.com |
| Name: | Hon. Dan Rullo |
| Organization: | Somerset County Court of Common Pleas |
| Phone: | 814-445-1486 |
| Email: |