We understand the business of healthcare.
MANAGED CARE LITIGATION
We represent a variety of healthcare providers, including hospitals, outpatient clinics and national physician groups in contractual and other reimbursement disputes with managed care companies. The firm has recovered over $100 Million on behalf of its provider clients in litigation, arbitration and less formal dispute resolution proceedings. An additional outcome in many cases is new or improved contract terms benefiting the clients by avoiding litigation and increasing reimbursement going forward.
GOVERNMENT PAYER DISPUTES
We represent providers in disputes with Medicare and Medicaid involving coverage and reimbursement issues, including overpayment demands. We recently obtained a judgment against Medicare on behalf of a medical treatment center based on the improper denial of claims as “investigational.”