Meri Gordon has a deep understanding of the health care legal landscape and routinely represents clients in connection with an array of health care dispute matters. Her practice centers on managed care litigation in counseling providers, hospital systems, and device manufacturers in disputes over benefit determination, medical necessity denials, contract interpretation, and in- and out-of-network reimbursement. With over 15 years of litigation experience, Meri is well-versed in providing tailored strategic solutions to represent clients in the ever-changing landscape of health care litigation.

Meri’s representative work includes:

Managed Care Disputes

Resolving disputes between health care companies and health plans regarding coverage and reimbursement disputes. Meri has noteworthy experience representing hospital systems and medical device manufacturers in disputes regarding underpayments and denials due to medical necessity, experimental/investigational designations, recoupments/offsets, DRG downgrades, billing and coding audits, including not-separately reimbursable line-item charge denials, as well as unilateral payor policies involving E/M downcoding, Sepsis-3, white-bagging, Covid-19 reimbursement, site-of-service coverage, and other policies resulting in a reduction of reimbursement and an increase in administrative burden.

Her practice includes counseling health care providers on strategies for contracting with health plans, revenue cycle management, appeals and pre-litigation dispute resolution for matters involving commercial ERISA and non-ERISA claims, as well as managed Medicaid, Medicare Advantage and exchange/marketplace claims.  

Alternative Dispute Resolution

Resolving matters involving both in-and out-of-network claims through contractual or agreed arbitrations nationwide with the AAA,  AHLA, and JAMS on behalf of healthcare clients regarding denial of benefits and reimbursement disputes with payers.

e-Discovery in Federal Investigations and Business Disputes

Managing large volumes of data and documents for productions in response to subpoenas from the Department of Justice, SEC as well as discovery in shareholder lawsuits and antitrust litigation. In addition, Meri has extensive experience in data management, data analytics and e-discovery projects involving high-stakes litigation.