Medicare Audit & Fraud Support - Medicare Appeals - CMS Program Integrity
Outstanding RAC References, Proven RAC Results & Unparalleled RAC Appeals Expertise

Jackson Davis HealthCare

Jackson Davis HealthCare (formerly the Castle Rock Medical Group) offers healthcare providers the nation's leading solutions for Medicare fraud prevention - resources, knowledge, tools & technology.

Jackson Davis is one of the nation's leading providers of Medicare RAC audit assessments and RAC appeals for hospitals, inpatient rehabilitation facilities, physicians and health law firms.  Ranging in size from $8.0B multi-hospital health systems and major academic medical centers to inpatient rehabilitation facilities and $25M critical access hospitals - CRMG's RAC audit clients are at the forefront of insuring compliance with CMS payment criteria and medical necessity requirements.

Jackson Davis HealthCare professionals have assisted health systems, physicians, physical therapists, DME suppliers, health law firms and governmental agencies around the globe in enhancing regulatory compliance and addressing perceived Medicare fraud & abuse challenges.  Comprised of board-certified physicians, nurses, billing compliance professionals and former hospital executives - we are the proven leader in providing RAC audits & RAC appeals professional services, evaluating & understanding the CMS evidence-based medicine objectives and assisting with the implementation of alternative clinical process of care programs.

Our experienced, industry-leading compliance & legal services staff have worked to address Medicare compliance considerations, CMS clinical case management, charge master development and clinical documentation efforts for major health systems, international healthcare consulting firms and publicly-traded clinical information technology organizations.  In addition, we authored the nation's only existing patent application for technology-driven, Health Information System (HIS) bill holds for a clinically conditioned patient charge structure.

Over the past 25 years, our focus areas have included a wide range of CMS audits & CMS appeals services - Medicare Recovery Audits, Medicare RAC Appeals, Medicare PSC Audits, Medicare ZPIC Audits, Medicaid Integrity Contractor Audits (MIC audits), Medicare fraud & abuse, Medicare Compliance Consulting, Medical Records / Clinical Documentation Development, Clinical Case Management, MS-DRG / ICD-9 Coding Application, Medicare Cost Report Development, Charge Master Evaluations, Claims & Denials Management Programs, Patient Service Revenue Cycle and Health Information Technology Support.

Based upon our extensive experience with CMS evidence-based standard of care outcomes, Medicare regulatory documentation and internal financial infrastructures, we are wholly unique in our ability to evaluate all aspects of the Medicare RAC audits & RAC appeals process.  We firmly believe in our unmatched qualifications to provide critical insight to relationships among required CMS clinical & billing payment criteria, medical necessity & process of care considerations, required CMS clinical documentation, Medicare appeals, DRG/APC assignment, hospital’s rate structure, National Revenue Code designations, CPT/HCPCS codes, UB-04 discrete data elements, admission criteria, global surgery packages, Emergency Room acuity levels and Medicare settlement documentation.

With over 300 hospital & health system clients across the U.S. and internationally, Jackson Davis HealthCare is widely recognized as the nation's leader in working with providers to effectively and efficiently address issues relating to Medicare compliance, fraud and legal services.

Jackson Davis HealthCare
3570 East 12th Avenue - Suite 200
Denver, Colorado  80206
(303) 586-5003

For questions regarding CMS efforts to stop Medicare fraud & abuse, CMS audits / CMS appeals, Medicare RAC audits consulting, Medicare RAC appeals or other Medicare legal services, please contact us directly at (303) 586-5003 or support@racaudits.com.