As regulators increasingly scrutinize billing practices, providers are increasingly finding that their reimbursement requests are being denied. Providers whose reimbursement requests have been denied are not forced to forgo the revenues; instead, they have the option of challenging denials through the administrative appeal process. Drawing on our detailed knowledge of Medicare Part A, Medicare Part B and Medicaid, we stand ready to assist in the process.

Our reimbursement appellate team includes attorneys familiar with Medicare Part A and Part B appeals, Medicaid reimbursement, and who are capable of handling clinical issues associated with privacy. Also on our team are attorneys with years of experience advising hospitals, pharmacies, drug manufacturers, nursing homes, medical equipment suppliers, clinics and home health agencies, physicians, laboratories and infusion therapy providers on reimbursement issues.

Representative Matters:

• Represented numerous hospitals before the Provider Reimbursement Review Board
• Assisted Medicare Part B Suppliers through all levels of the Part B appeals process
• Challenged Medicare regulations in federal court