Our payments and reimbursement attorneys have extensive experience with a variety of public and private payment systems. We provide representation in navigating complex nongovernmental payment methodologies, negotiating contracts, and resolving underpayment and overpayment disputes. Our services include:

  • Representing individual providers and groups in appeals before the Medicare PRRB and in federal trial and appeal courts, including appeals concerning DSH, GME, IME, bad debts, wage index adjustments, provider tax, and TEFRA
  • Representing health care providers in the resolution of public and private payment system disputes through mediation and arbitration
  • Prosecuting Medicaid appeals in state administrative hearings
  • Defending providers in audit overpayment determinations by MACs, RACs, state program integrity units, and private payers
  • Advising in connection with revenue cycle procedures, billing practices, coverage issues, and other aspects of payment compliance
  • Providing counsel concerning the 340B program and the cost principles governing PHS grants

Firm Highlights

Blog

Myth Buster: Employers, Vaccine Information, and HIPAA

Publication/Podcast

House Democrats Propose Estate and Gift Tax Law Changes: Important Estate Planning Implications

Please note: this alert was updated on September 30, 2021. What you need to know : On September 13, 2021, the House Ways and Means Committee released its proposed tax plan to fund President...

Publication/Podcast

Employee Benefits & Executive Compensation 2021 Summer Client Advisory

Click here to view as a PDF. This Client Advisory summarizes developments in the law governing employee benefit plans prompted by the COVID-19 pandemic. We explain what these developments mean for plan sponsors and...

Event

Maine State Chamber of Commerce: The Future is Now: 5G Wireless Networks

On October 26, Verrill telecommunications attorney Geoffrey Why will be moderating the virtual event, “The Future is Now: 5G Wireless Networks,” hosted by The Maine State Chamber of Commerce. The Wireless Summit will explore...

Blog

Geoff Why to Moderate "The Future is Now: 5G Wireless Networks"

Matter

Copyright Litigation: Software

Defended equipment manufacturer in copyright dispute involving firmware for digital subscriber line access multiplexers (“DSLAMs”). Case resolved favorably.

News

Portland Charter Commission Delves Into Balance Of Power Between Elected Mayor and City Manager

On Thursday, October 14, 2021, The Portland Press Herald reported that Portland’s charter commission has begun discussing the topic of balancing the power between the elected mayor and the city manager. Currently under the...

Matter

Trademark Litigation: Software

Represented trademark owner in litigation with foreign software company. Successfully defeated motion to dismiss on jurisdictional grounds, which was affirmed on appeal. Also successfully defeated summary judgment motion, which resulted in case settling before...

News

Jim Cohen Comments on Toxic Local Politics

Event

Massachusetts Health and Hospital Association Annual HR/Labor Forum

Massachusetts Health and Hospital Association will be virtually hosting their Annual HR/ Labor Forum on October 26th from 9:00AM to 11:15AM. Human Resources professionals in the Healthcare field face an ever-evolving labor and employment...

Contact Verrill at (855) 307 0700