Providers regularly face frustrating and daunting reimbursement challenges with commercial payors. Both substantial sums and a host of substantive issues are involved in payor-provider disputes. Hooper, Lundy & Bookman has successfully resolved countless complex payment disputes, securing hundreds of millions of dollars for providers of all kinds through strategic advocacy and comprehensive knowledge of the legal landscape governing payment and reimbursement issues. Our exclusive focus on health care law is the foundation upon which HLB has built a nationally recognized practice designed to get providers every dollar to which they are entitled from private payors. Clients across the patient care spectrum turn to us to parry efforts by payors to challenge or deny payment and reimbursement obligations. We represent hospitals and hospital systems, physicians and physician groups, clinical laboratories, long-term care providers, skilled nursing facilities, hospices, behavioral health providers, clinically integrated networks, suppliers, pharmacies, academic medical centers, drug and medical device companies, and health care technology companies in payment disputes of all kinds. A Collaborative Team to Successfully Resolve All Payment Disputes A collaborative team of litigators, regulatory and compliance attorneys, and lawyers with immersive experience with billing, coding, coverage, and payment issues come together to provide comprehensive representation in the full range of payor-provider payment disputes, including those involving: Consistent Success in Managed Care Payment Disputes Hooper, Lundy & Bookman is particularly well-known for its acumen and success in representing providers in disputes with health plans, preferred provider organizations, insurers, and other managed care organizations. Through litigation, arbitration, mediation, and negotiation, we have recovered well over $100 million for our managed care provider clients in a wide range of payment disputes. We represent clients in a variety of situations in which payors have asserted different reasons for non-payment or improper underpayment of claims, including:Overview
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