Individual, group practice, and facility providers who bill Medicare and Medicaid often have payments inappropriately denied for services rendered. Despite the shift to away from cost-based reimbursement to the prospective payment system (PPS), a significant protion of hospital revenue is still reimbursed or influenced by facility cost reports, which are often adjusted incorrectly by CMS Intermediaries, requiring appeals to correct or dispute. Providers need skilled advisors to analyze and evaluate denied billings, the adjustments to their cost reports, and potential for recoveries...