Dmitry Shifrin represents hospitals, clinics, labs, medical practices and physicians in reimbursement litigation involving commercial and government payors, including underpayments, medical necessity denials, recoupments, offsets and managed care contracting disputes. He serves as Head of the Reimbursement Dispute Group and brings 20 years of litigation experience to matters involving pre-dispute exposure analysis, negotiated resolution, mediation, arbitration, litigation, appeals and administrative proceedings.

Dmitry counsels health care clients on in-network and out-of-network reimbursement disputes, provider reimbursement conflicts and managed care contracting issues. His work includes disputes involving policy changes, patient actions, contract discrimination and retaliation, ERISA preemption, prompt pay laws and any willing provider laws.

When disputes cannot be resolved, Dmitry represents clients in dispositive hearings, injunctive relief proceedings, trials, state and federal appeals, multidistrict litigation panels and administrative panels. He has handled litigation in state and federal courtrooms across the United States.

Dmitry also represents health care clients in medical practice breakups, commercial contracting disputes, False Claims Act and Anti-Kickback Statute matters, BIPA class actions, privacy-related litigation, product liability claims and tort claims involving the pharmaceutical, automotive and aviation industries.

Education

  • University of Missouri-Columbia School of Law (J.D., 2002)
    • University of Missouri-Columbia (B.A., 1998)

      Bar Admission

      • Illinois, 2003
      • Missouri, 2002

      Court Admissions

      • U.S. Court of Appeals, Seventh Circuit
      • U.S. Court of Appeals, Eleventh Circuit
      • U.S. District Court, Northern District of Illinois
      • U.S. District Court, Central District of Illinois
      • U.S. District Court, Southern District of Illinois
      • U.S. District Court, Eastern District of Missouri
      • U.S. District Court, Western District of Michigan
      • U.S. District Court, Northern District of Florida
      • U.S. District Court, Eastern District of Arkansas
      • U.S. District Court, Western District of Arkansas
      • U.S. District Court, Eastern District of Wisconsin

      Professional Affiliations

      • American Health Law Association
      • Chicago Bar Association
      • Illinois State Bar Association

      Recognition

      • Head of Reimbursement Dispute Group
      • Co-Head of Biometric Privacy Group
      • Selected for inclusion in Illinois Super Lawyers
      • Selected for inclusion in Illinois Leading Lawyers
      • Selected for inclusion in Lawyers of Distinction
      • Selected as a Leading Lawyer Honoree in Leading Lawyers, 2022, 2025
      Publications
      Back to Backlog? Polsinelli Shareholders Share Insight on how Terminations of DAB Attorneys and Potential Removal of Administrative Law Judges May Impact Medicare Appeals
      As the new administration continues its efforts to contract and streamline the federal government, recent developments at the U.S. Department of Health and Human Services (“HHS”) and the Department of Justice (“DOJ”) hint at a potential ballooning of the Medicare appeals backlog. 1. HHS Terminates at least 15 Departmental Appeals Board (“DAB”) Attorneys In 2017, approximately 31,000 appeals of Medicare claim denials sat waiting to be addressed and decided by the Medicare Appeals Council (“MAC”).1 While that number has decreased since then, about 11,000 appeals remain backlogged.2 The now-terminated DAB attorneys were hired within recent years to help reduce that backlog; each attorney was tasked with working on anywhere from 120 to 144 cases per year. Without them, an estimated 2,000 fewer appeals will
      Read More
      Health Care Reimbursement and Payor Dispute Update
      Polsinelli is pleased to share the Health Care Reimbursement and Payor Dispute Update. This newsletter is a designated source of news, information and guidance on the constantly evolving reimbursement industry. In This Issue: Medicaid Enrollment Overtakes Medicare – But Challenges are Around the Corner Providers Aren’t Off the Hook Yet – PRF Audits Have Started Key Takeaways Regarding Telehealth from the 2023 Physician Fee Schedule The No Surprises Act in 2022 – Unsettled Issues and All Eyes on Texas Litigation 340B 2022 Year-End Review: What Covered Entities Should Do in 2023 to Maximize 340B Savings CMS Issues Proposed Rule Aimed at Improving the Medicare Advantage Program Provider-Payor Contracting: Top Five Terms to Focus on in Negotiation or Renewal Reimbursement Audits and Disputes: What We Learned from 2022 and What
      Read More