Reimbursement

Reimbursement conflicts are an all-too-common problem in the U.S. healthcare industry, for several reasons: healthcare services are more often than not provided before payment is received; the billing and reimbursement process between healthcare providers and insurers is exceedingly complicated; and insurers and providers often disagree on the appropriate level of payment for services. The outcome of these conflicts can be critical to the bottom line of parties on both sides of the issue. A skilled and experienced lawyer can help both providers and payors address and resolve these disputes while maintaining important business relationships.

With one of the largest healthcare practices in the country, the lawyers at McGuireWoods have successfully represented a variety of clients throughout the United States. We work with healthcare providers, insurance companies, third-party administrators, and Medicare intermediaries and carriers on a broad range of reimbursement-related issues, including:

  • Counseling healthcare providers on establishing and properly maintaining billing systems and processes for reimbursement
  • Contracting with commercial payors
  • Addressing reimbursement issues and disputes with a variety of private payors, as well as state and federal healthcare programs such as Medicare, Medicaid, TRICARE (formerly CHAMPUS) and the Children’s Health Insurance Program (CHIP)
Reimbursement 139987145

CONTACTS

James B. Riley Jr. Partner T: +1 312 750 8665
Scott Becker Partner T: +1 312 750 6016
Edwin E. Brooks Partner T: +1 312 849 3060
Kimberly J Kannensohn Kimberly J. Kannensohn
Partner
77 West Wacker Drive
Suite 4100
Chicago, IL 60601-1818

T: +1 312 750 8649
F: +1 312 920 3683
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Clay Landa William Clayton Landa
Associate
Gateway Plaza
800 East Canal Street
Richmond, VA 23219-3916

T: +1 804 775 7750
F: +1 804 698 2093
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Colin McCarthy Colin P. McCarthy
Associate
Gateway Plaza
800 East Canal Street
Richmond, VA 23219-3916

T: +1 804 775 7819
F: +1 804 698 2094
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Paige Dowdakin Paige Dowdakin Najem
Associate
77 West Wacker Drive
Suite 4100
Chicago, IL 60601-1818

T: +1 312 849 8258
F: +1 312 698 4564
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Anna M Timmerman Anna M. Timmerman
Associate
77 West Wacker Drive
Suite 4100
Chicago, IL 60601-1818

T: +1 312 750 8604
F: +1 312 920 6138
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Gretchen Heinze Townshend Gretchen Heinze Townshend
Partner
77 West Wacker Drive
Suite 4100
Chicago, IL 60601-1818

T: +1 312 849 8237
F: +1 312 698 4524
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Speaking Engagement

Institute on Medicare and Medicaid Payment Issues

March 29-31, 2017
Baltimore, MD
Results 1-2 of 2