The Team has significant experience managing and, in some cases, litigating both commercial and government payor disputes. We represent clients in payor disputes before arbitration panels and administrative agencies, including the Provider Reimbursement Review Board and the Social Security Administration’s Office of Hearings and Appeals, as well as in state and federal courts throughout the United States.
Some representative matters include:
- Representation of the owner of an oxygen supply company in recovering amounts recouped following a Medicare carrier audit.
- Representation of a home infusion provider in analyzing the appropriateness and implementation of self-reporting and refunding to a State Medicaid program.
- Representation of a large, national medical supplier in various commercial payor audits.