Reimbursement

Reimbursement

Obtaining proper reimbursement from payors is critical.  It should never be assumed payors properly adjudicate claims per contract rates.  We help clients with a wide range of reimbursement matters.  Rules and regulations can quickly change, and we bring the skills and expertise to our clients to handle such changes.

Our Reimbursement practice includes:

• Representing clients related to Balance Billing Mediation
• Payor reimbursement disputes and settlements
• Incorrectly adjudicated claims
• Telehealth reimbursement matters
• Interpreting Proposed and Final Rules impacting reimbursement
• Interpreting State Laws and Reimbursement Policies
• Drafting reimbursement analysis to payors for new services, procedures, and medical devices