Reimbursement & Payment Practices

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Hall Render attorneys routinely assist health care clients with the economic, financial and reimbursement matters essential to the business of providing care. Our attorneys stay on top of the industry changes in areas such as health care fraud and abuse, potential false claims, access to financing and relationships with third party payors, including Medicare, Medicaid,...Read More

Hall Render attorneys routinely assist health care clients with the economic, financial and reimbursement matters essential to the business of providing care. Our attorneys stay on top of the industry changes in areas such as health care fraud and abuse, potential false claims, access to financing and relationships with third party payors, including Medicare, Medicaid, indemnity plans, HMOs, PPOs and other managed care organizations. We encourage proactive, preventive programs, procedures and mechanisms to identify risk areas and effectively minimize the likelihood that problems will develop or remain undetected. Our experience in the industry allows us to help providers improve billing practices to consistently comply with regulatory standards. Hall Render has one of the largest Medicare group appeals practices in the nation. Accordingly, we are ready to represent and defend providers with administrative agencies at all levels, with contractors and in state or federal courts. Our experience and extensive knowledge of the complex payment systems can help with timely appeals of disallowances such as disputed properly filed cost reports and denial of claims challenges.

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Areas of Focus

  • Administrative Proceedings
  • Appeals
  • Billing/Claim Submission Advice
  • Compliance Program Monitoring
  • Consulting/Counseling
  • Contract Review and Negotiation
  • Corrective Action Plans
  • Defense of Providers
  • Document/Transaction Review
  • Enforcement of Prompt Payment Provisions
  • Establishing Corporate Compliance Mechanisms
  • Group Initiatives
  • Investigations, Internal and External
  • Litigation
  • Preparation of Legal Documents
  • Risk Assessment
  • Risk Management
  • Voluntary Self-Disclosure Analysis