Case Studies
See how our strategic solutions consistently achieve client success, even in challenging scenarios.
Proactive Section 111 Audit Strengthens Compliance
Sanderson Firm’s proactive Section 111 audit exposed reporting errors and reinforced client compliance to avoid CMP risk.
Section 111 Audit Uncovers Reporting Gaps
Sanderson Firm uncovered unreported TPOC and No-Fault data in a carrier’s Section 111 files and corrected the errors to restore compliance and mitigate risk of Civil Money Penalties.
$200,000 Double Damages Exposure Successfully Reduced to $25,000
Sanderson Firm reduced a $200,000 Medicare Advantage threat to $25,000 by citing MSP law after lien resolution was mishandled post-settlement.
Amended Review Slashes WCMSA by $200K+
Sanderson Firm cut over $200,000 from a bloated Medicare Set-Aside by presenting updated medical records and realistic treatment costs.
$53K MAP Lien Wiped Out Through Appeal and Statutory Argument
Sanderson Firm eliminated a $53,000+ Medicare Advantage lien by proving the treatment violated jurisdictional review standards.
Surgery Removed from MSA After Physician Clarification
A proactive call to the treating physician led to the removal of a $44,000+ surgery from a Medicare Set-Aside report.
Switch to Generics Saves $243,000 on WCMSA Meds
By verifying generic alternatives with the prescribing doctor, Sanderson Firm cut projected drug costs by over $243,000.
$100K Medicare Lien Erased Pro Bono
Sanderson Firm wiped out over $100,000 in Medicare debt for a local beneficiary in just weeks—at no cost to the client.
$14K WCMSA Error Reversed by Proving Surgery Was Already Performed
Sanderson Firm corrected a costly CMS error by proving a shoulder surgery had already occurred—saving the client over $14,000.
CMS Reverses $30K Error Thanks to Expert Rebuttal
An inflated $30,000 Medicare allocation was overturned after Sanderson Firm exposed a blatant miscalculation in medication frequency.
eMSA Strategy Saves Client Over $46,000
By leveraging an evidence-based MSA, Sanderson Firm secured CMS approval and saved the client more than $46,000.