Castle Rock Medical Group
Medicare Program Safeguard Contractor Consulting & Legal Services
Helping Providers Insure CMS Compliance & Benefits Integrity

PSC Audits & Appeals - 100% Unconditional Compliance Guarantee

CRMG absolutely and unconditionally guarantees enhanced CMS compliance by our clients.

If CRMG provides formal guidance, consulting or legal services relating to CMS payment criteria – and our client adheres to formal CRMG guidance – CRMG will defend the provider at no cost throughout the first 4 levels of the CMS appeals process including – Rebuttal, Redetermination, Reconsideration and the Administrative Law Judge hearing.

This Unconditional Compliance Guarantee is offered for clients under professional services contracts for PSC audit medical reviews & assessments, PSC audit appeals and a wide range of similar CRMG compliance services.  Please contact us directly for contract terms & conditions at (303) 586-5003.

Castle Rock Medical Group (CRMG)

Castle Rock Medical Group (a Jackson Davis Healthcare company) is the nation's leading advisor to physicians, hospitals and physical therapists facing Medicare PSC audits and PSC appeals.  Ranging in size from major multi-specialty group practices to individual physicians and physical therapists to academic medical centers and critical access hospitals - CRMG's Program Safeguard Contractor (PSC) audit clients are at the forefront of insuring compliance with CMS payment criteria and adopting medical necessity requirements.

Castle Rock Medical Group professionals have assisted health systems, physicians, health law firms and governmental agencies around the globe in enhancing regulatory compliance and reducing potential exposure to Medicare fraud.  Comprised of board-certified physicians, nurses, billing compliance professionals and former hospital executives - we are the proven leader in providing guidance and insight to the challenges of PSC audits & PSC appeals. In addition to a full range of consulting & legal services, CRMG provides in-depth support in the evaluation & understanding the CMS evidence-based medicine objectives and assistance with the implementation of alternative clinical process of care programs.

Castle Rock Medical Group staff have worked to address Medicare compliance considerations, 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, CRMG focus areas have included a wide range of CMS audits & CMS appeals services - Medicare Program Safeguard Contractor (PSC) audits, Medicare PSC appeals, Medicare RAC audits, Medicare RAC appeals, 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 reports, charge master evaluations, claims & denials management, 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, CRMG is wholly unique in our ability to evaluate all aspects of the Medicare PSC audits & PSC 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.

Castle Rock Medical Group is a wholly owned subsidiary of Jackson Davis HealthCare.  With 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.

Castle Rock Medical Group
3570 East 12th Avenue - Suite 200
Denver, Colorado  80206
(303) 586-5003

For questions regarding CMS audits / CMS appeals, Medicare PSC audits consulting, Medicare PSC appeals or other Medicare legal services, please contact us directly at (303) 586-5003 or support@pscaudits.com.