Your Medicare Compliance Solutions Partner

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Win the battle against high projected MSA exposures

Successful Claim Outcomes: Case Study – Meet Mr. Perez

After a fall Mr. Perez sought care from orthopaedic surgeons for low back pain and right shoulder pain. Lumbar injection therapy was tried but unsuccessful. Mr. Perez underwent a right shoulder diagnostic arthroscopy and a transforaminal lumbar interbody fusion. Mr. Perezremained under the care of an orthopaedic surgeon for medication management in regards to his low back and shoulder pain. Mr. Perez was being prescribed 2 generic medications – cyclobenzaprine 7.5 mg/tablets and tramadol 50 mg/tablets. Axiom recommended obtaining written documentation on the primary treating physician’s letterhead confirming a medication strength change for the cylobenzaprine 7.5 mg tabs (currently $3.97 per pill) to 5mg tabs (currently $0.06 per pill) or 10 mg tabs (currently $0.03 per pill). Working in conjunction with defense counsel a medication strength change was implemented and documented – resulting in a substantial savings to our client.

Previous MSA Total: $259,745 New MSA Total: $44,148

Total Savings $215,597!!!

Axiom National, LLC
13046 Race Track Road, # 277 Tampa,
FL 33626

(888) 826-6496 Ofc
813-600-0704 Mobile
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ghudson@axiomnational.com
www.axiomnational.com
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