Elizabeth Purdy, Esq. – Healthcare Denials & Reimbursement Attorney

Turning Complex Denials into Recoverable Revenue
Elizabeth Purdy

Elizabeth Purdy focuses on helping providers recover revenue from denied and underpaid claims, with a particular emphasis on complex payer disputes, medical necessity denials, and audit-related recoupments.

She has significant experience analyzing medical records, plan language, CMS guidance, and payer policies to uncover coverage pathways and appealable issues that are often overlooked. Elizabeth approaches each case with both a legal and an operational perspective, allowing her to address not only the stated basis for denial but also the underlying issues driving the payer’s determination.

At Rivet Health Law, Elizabeth works directly with providers, billing companies, and healthcare organizations to challenge improper insurance determinations and build appeals that go beyond surface-level denial reasons. Her work includes commercial and government payer appeals, overpayment disputes, and high-value claims requiring detailed policy and clinical analysis.

Our denial management services operate on a contingency-based fee structure, meaning we only get paid when you get paid.

Core Services

  • Claims Denial Appeals (medical necessity, no authorization, coding, DRG downgrades)
  • Overpayment & Recoupment Defense
  • Payor Audit Response & Strategy
  • Complex Claims & Multi-Issue Appeals
  • Policy & Coverage Analysis (CMS, LCDs, payer policies)
  • Revenue Recovery Strategy & Escalation
Professional Background

Before joining Rivet Health Law, Elizabeth worked in healthcare revenue cycle and legal roles focused on denial appeals and reimbursement strategy. She has experience drafting complex appeals, conducting AR audits, and supporting providers across a wide range of service lines.

She has also contributed to healthcare industry publications and thought leadership, with work featured through Aspirion Knowledge Center and HFMA, including recognition for her writing on denial escalation strategies.

Education

  • Elon University School of Law, Juris Doctor
  • University of North Carolina at Greensboro, B.S., Business Administration

Bar Admission

  • Minnesota

Affiliations

  • Healthcare Financial Management Association (HFMA)

Credentials

  • Certified Specialist Business Intelligence (CSBI), HFMA
  • Certified Specialist Payment & Reimbursement (CSPR), HFMA
  • Certified Revenue Cycle Representative Program (CRCR), HFMA

Publications

  • Aetna Revises Inpatient Payment Policy: Q&A with Legal Experts – Article
  • Legal Q&A: How to Prepare for New York’s New Chemo Hair Loss Coverage Law – Article
  • Understanding Aetna’s New Inpatient Payment Policy: A Q&A with Legal Experts -Article
  • Final Doesn’t Mean Finished: Unlocking Revenue Through Strategic Denial Escalation -Article
  • Good Faith Appeals to Unlock Denied Revenue, NCHFMA – Newsletter Article
  • American Hospital Association urges Aetna to rescind new MA inpatient payment policy – Quoted in Article