Samantha Flener helps health care organizations resolve high-stakes managed care and reimbursement disputes. She has served as first- and second-chair trial counsel in numerous matters throughout her career and supports clients through all phases of litigation, from early case strategy through trial preparation and resolution.

She works with hospital systems, ambulatory surgery centers, air ambulance services, specialty providers, physician groups, ancillary service providers and medical device companies.

Clients rely on Samantha to address payment and coverage issues efficiently, including:

• Out-of-network emergency underpayments, misclassifications, denials and medical-necessity disputes
• Line item denials
• Payor policy challenges
• Recoupments and offsets
• Disputes related to updated chargemasters
• Contract interpretation and reimbursement-related disputes
• Reimbursement and compliance issues involving ERISA preemption, the Affordable Care Act, EMTALA, HIPAA, prompt-pay requirements and audit/recoupment laws

Samantha also advises providers on in-network and out-of-network strategy and the relationships among providers, insurers, self-funded plans, benefit administrators and vendors. Before focusing her practice on health care disputes, Samantha litigated Hatch-Waxman matters; her mathematics background supports an evidence-driven approach when cases turn on technical medical and scientific issues.