We provide our healthcare clients with reimbursement advice under the Medicare and Medicaid programs as well as third-party payor managed care contracts, including issues relating to cost reporting, billing compliance and self-disclosures, revenue enhancement, and transaction structuring.
Our working relationships with Medicare administrative contractors, officials in the regional and central offices of the Centers for Medicare and Medicaid Services (CMS), as well as state Medicaid agencies help us to find answers quickly and achieve the right results for our clients.
We represent clients in connection with Medicare and Medicaid audits (including RAC, ZPIC, and OMIG audits) and administrative hearings and prosecute appeals for individual and groups of providers before the Provider Reimbursement Review Board and in administrator’s review and judicial proceedings.
Healthcare Financial Management Association | March 24, 2020
Washington, DC, Health Care counsel Sarah Swank discusses how waivers from the Centers for Medicare and Medicaid Services have allowed hospitals to pursue flexible approaches to patient care during the wave of COVID-19 infections.
Law360 | September 17, 2019
Los Angeles Health Care partner Jill Gordon and associate Harsh Parikh co-wrote this contributed article looking at new state guidelines that will expand Medicaid reimbursement for telehealth services.
Crain’s New York | September 06, 2019
In this story, Litigation Department Head Scott O’Connell offers his perspective on new financial uncertainty for hospitals as an October deadline looms to avoid large cuts to federal funding for facilities that treat large numbers of Medicaid and uninsured patients.
Medicare Compliance & Reimbursement | July 10, 2019
This article quotes Chicago Health Care partner Valerie Breslin Montague discussing a new Centers for Medicare and Medicaid Services policy, taking effect in July, that could complicate the billing and reimbursement process for health care providers.
