Joan Gilhooly advises health care providers and legal teams on complex reimbursement, coding, compliance, and payor dispute matters. She brings a rare combination of clinical training, operational leadership, and consulting experience to help clients resolve high-stakes reimbursement controversies involving Medicare, and Medicaid, as well as commercial insurers. Joan works extensively on reimbursement arbitration, payor litigation, audit defense, and regulatory disputes, helping clients analyze claims data, assess coding accuracy, evaluate coverage and medical necessity issues, quantify under and overpayments, and develop fact-driven strategies for contested matters.

Her experience spans a variety of healthcare disciplines. Clients value her ability to translate complex clinical, coding, and billing issues into clear business and litigation strategies. Before joining Polsinelli, Joan spent more than two decades as an independent consultant and held senior operational roles in the health care industry. Her background provides practical insight into the intersection of patient care, documentation, and reimbursement.