Services | BakerHostetler

Our attorneys are highly experienced in reimbursement litigation, audits and appeals involving claims denials, cost report disputes, enrollment controversies, redeterminations, payment suspension and recoupment actions.

Routinely represent all provider types to defend audits by both government and commercial payers
Represent hospitals and health systems, physicians and other providers in conducting internal billing compliance audits and self-disclosure submissions to Medicare and Medicaid
Represent clients in state actions and administrative litigation to recover alleged Medicaid Program overpayments, resulting in substantial reduction in the overpayment demand and a favorable settlement for client
Represent health systems in appeals concerning single and multiple claims, extrapolation of statistical sampling and appeals involving a wide variety of billing issues and providers/physicians
Represent various healthcare providers before the OIG in negotiations, implementation and ongoing monitoring of corporate integrity agreement following criminal and civil settlements