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Practices » Reimbursement
Your profitability depends on reimbursement.
Our attorneys routinely assist providers facing denials or underpayments from payors. We also have extensive experience in dealing with “macro” reimbursement mechanisms including Medicare and Medicaid disproportionate share funding. Our attorneys work with providers considering changes to their business model (whether through an acquisition, merger, or closing a unit or ending a product line) to analyze how that change will impact their revenue cycle.
Governmental Reimbursement
Our attorneys are leaders in helping clients with reimbursement issues related to:
- Medicare
- Medicaid
- CHAMPUS and TRICARE
- Medicare and Medicaid Disproportionate Share Funding and Medicaid Upper Payment Limit Funding Programs
Non-Governmental Reimbursement / Managed Care
When you are experiencing difficulty with managed care reimbursements or other third party payors, our attorneys can step in to help. Our attorneys have assisted providers in breach of contract claims against virtually all of the major commercial payors, and Medicaid managed care payors in several states. Aside from litigation, our attorneys routinely work with providers negotiating network contracts.