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

BLM-Masked Employees of Whole Foods Lose Race Bias Appeal Regarding Dress Code

News

Verrill Attorney Elizabeth Connellan Smith Elected President of National Workers’ Compensation Defense Network

Event

Annual Update: Part 1 - 2022 Legal Year in Review (2nd Session)

Event

Annual Update: Part 1 - 2022 Legal Year in Review (1st Session)

Blog

Proposed Changes to Massachusetts Paid Family & Medical Leave Regulations

The Massachusetts Department of Family and Medical Leave has proposed changes to the regulations governing the state’s paid family and medical leave program. The proposed changes are intended to clarify the requirements related to...

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...

Blog

Verrill Partner Mat Todaro selected to serve on the American Bar Association’s Section on Environment, Energy, and Resources 2022 Fall Conference Planning Committee

Earlier this year, Verrill Partner Mat Todaro was selected by American Bar Association leadership to serve on the 2022 Fall Conference Planning Committee for its Section on Environment, Energy, and Resources. In this role...

Publication/Podcast

Amending Your Retirement Plans this Year for SECURE Act and CARES Act Changes

This post was updated on September 29, 2022. On August 3, 2022, the IRS extended the deadline for retirement plan sponsors to adopt amendments necessary to comply with the Setting Every Community Up for...

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...

News

The Boston Bar Association Adds Verrill Attorney David M. Friedman to Council

Contact Verrill at (855) 307 0700