Matters
- Assisted a behavioral health provider successfully appeal an extrapolated overpayment demand from a commercial payor to reduce the provider’s overpayment by approximately 96%.
- Represented a skilled nursing facility in a successful appeal of an overpayment asserted by a state agency following a desk review of Minimum Data Set forms.
- Assisted a physician practice in obtaining emergency and injunctive relief from a commercial payor’s overpayment demand, leading the payor to reconsider its position and resolve the matter for less than 50% of the original demand.
- Challenging the constitutionality of government payor audit procedures under the APA.
