Matters

  • Establishing COVID-19 testing platforms from licensure, CLIA certification and enrollment to billing and contracting.
  • Establishing COVID-19 vaccination programs with respect to immunization authority under state law, vaccine storage and reporting and enrollment and billing.
  • Advising health care providers  (including specialty testing and vaccine programs) regarding Provider Relief Funds and PREP Act issues.
  • Advising health care providers with respect to Medicare and Medicaid reimbursement issues, including the highly specialized issues for hospitals, dialysis facilities, clinical laboratories, and pharmacies.
  • Analyzing the fundamental coverage, billing and payment issues in the context of potential overpayment issues and audits, successfully determining no or reduced overpayments in most cases.
  • Advising various health care provider entities and physician groups in structuring business arrangements in conformity with reimbursement requirements and fraud and abuse laws.
  • Representing hospitals in Medicare reimbursement appeals before the Provider Reimbursement Review Board (PRRB) and federal courts.
  • Developing provider-based strategies and compliance assessments.
  • Assisting dialysis companies with complex Medicare reimbursement, enrollment, CHOW, and other issues.
  • Representing medical device manufacturers and other health care providers in connection with criminal and civil investigations under federal fraud and abuse laws and regulations.
  • Assisting various health care provider entities and medical device manufacturers and suppliers in development and implementation of corporation compliance plans including plan design, risk assessments, internal reviews, self-audits, voluntary disclosures, and repayments to governmental and private health programs.