Empower, a CareCloud Company, Helps Wound-Care Provider Reverse More Than $1 Million in Alleged Overpayments

Certified coding and documentation expertise proves decisive in successful audit defense before the Office of Medicare Hearings and Appeals

SOMERSET, N.J., June 08, 2026 (GLOBE NEWSWIRE) -- CareCloud, Inc. (Nasdaq: CCLD) (“CareCloud” or the “Company”), a leader in AI-powered healthcare technology and revenue cycle management solutions, today announced that its compliance business, Empower Healthcare and Compliance (“Empower”), provided the certified coding and documentation analysis that supported a successful Medicare appeal reversing more than $1 million in alleged overpayments tied to advanced wound-care products and application services. The Administrative Law Judge (“ALJ”) found that the disputed services were medically reasonable and necessary and properly billed under Medicare rules.

“This outcome reflects what disciplined, claim-by-claim coding analysis can accomplish in a high-dollar audit,” said Mitchell Brie, CHC, President of Empower at CareCloud. “When the coding, documentation, and clinical record are aligned with Medicare policy and presented clearly, even substantial post-payment findings can be overturned. This case is representative of the type of audit defense work our team performs nationwide, particularly in complex wound-care and skin substitute audits. We were also privileged to work alongside Guillermo J. Beades, Esq., of Frier Levitt, whose leadership of the appeal helped present a compelling case before the ALJ. It is exactly the kind of collaborative effort between legal, clinical, and coding experts that gives providers the analysis, knowledge, and confidence to defend their claims.”

“This result demonstrates the value of combining compliance expertise with technology-enabled revenue cycle solutions,” said Stephen Snyder, Chief Executive Officer of CareCloud. “Providers are facing increasing audit activity and reimbursement pressure from both government and commercial payers. Through Empower, we are expanding our ability to help healthcare organizations protect revenue, defend appropriately billed claims, and strengthen financial performance across the reimbursement lifecycle.”

The matter arose from a post-payment audit in which a Unified Program Integrity Contractor (“UPIC”) alleged significant overpayments against an experienced wound-care provider. The disputed claims involved a Q code for a cellular and/or tissue-based product billed to CMS, along with associated application services including CPT codes 15271 and 15272. The contractor challenged coverage, medical necessity, and coding — a pattern increasingly common in advanced wound-care audits — with the findings carried forward at the Medicare Administrative Contractor (“MAC”) and Qualified Independent Contractor (“QIC”) levels.

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