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

Publication/Podcast

2023 Estate Planning Update

This alert from Verrill’s Private Clients & Fiduciary Services Group highlights the latest changes to the income tax and transfer tax landscape. The alert addresses the SECURE ACT 2.0, federal and state transfer tax...

Event

ACTEC Annual Meeting: Professional Program, Seminar B: Vacation Property Overseas: Dream Come True or an Estate Planning Nightmare?

Verrill partner Ruth Mattson will be presenting at the ACTEC's 2023 Annual Meeting on Friday, March 3, in New Orleans. Ruth will be co-presenting, Professional Program, Seminar B: Vacation Property Overseas: Dream Come True...

Matter

Advised Fortune 500 Company on Group Health and Welfare Benefit Plans

We were engaged by a Fortune 500 manufacturing company to provide legal and compliance services regarding its group health and welfare benefit plans. During the course of our representation, we have advised the company...

Blog

Nondisclosure Provisions in Maine: Are Your Agreements Compliant?

In late 2022, a new Maine law took effect restricting the use and reach of nondisclosure provisions in Maine employment agreements. The new law, Nondisclosure Agreements in Employment , 26 M.R.S. § 599-C, is...

News

Verrill Welcomes Two Highly Esteemed Attorneys to the Firm’s Private Clients & Fiduciary Services Group

Blog

The Speak Out Act: Key Points You Need to Know

With 2023 underway, employers should be mindful of new federal legislation affecting key provisions in their employment agreements. On December 7, 2022, President Biden signed into law the “Speak Out Act,” which prohibits enforcement...

Matter

Elections and Constitutional Law: Successfully Challenged Certification of Initiative Petition

In a victory for consumers and the ride-hailing public, the Massachusetts Supreme Judicial Court recently barred the Secretary of State from placing on the November ballot initiative petitions proposed by companies such as Uber...

Publication/Podcast

December Annual Update: End of Year Tips for Employers: Compliance & Beyond

Blog

Pension-Linked Emergency Savings Accounts: Something Old, Something New, Something Borrowed, Something Forthcoming

Following the initial flurry of publications summarizing the retirement plan enhancements under the SECURE 2.0 Act of 2022 (“SECURE 2.0”), this post takes a deeper dive into one of those enhancements: the optional “pension-linked...

News

Maine Street Solutions Welcomes Peter Gore as Senior Governmental Relations Specialist

AUGUSTA, Maine – Maine Street Solutions is pleased to welcome Peter Gore as a Senior Government Relations Specialist. Gore brings nearly three decades of extensive experience in government relations, conflict resolution, grassroots and nonprofit...

Contact Verrill at (855) 307 0700