Sven C. Collins

With more than a decade of experience with Medicare and Medicaid reimbursement and payment matters, Sven Collins focuses his practice on securing and increasing revenue for hospitals, health systems, and other providers. Whether at the agency level or in court, Sven is a committed advocate who understands that his work directly impacts his clients’ abilities to serve patients and provide needed care.

Sven has spent most of his career challenging the government’s Medicare and Medicaid reimbursement and payment policies when they result in underpayment to his clients. His years of immersion in the laws and regulations governing reimbursement matters and his involvement in hundreds of payment disputes has afforded him insights on managing client issues efficiently to successful outcomes. Before agencies such as the Provider Reimbursement Review Board, in arbitration, in federal court, and at the appellate level, Sven advances his clients’ interests to secure the reimbursements and payments to which they are entitled. 

Health care providers also seek Sven’s guidance when facing audits and accusations of overpayments and false billings on complex Medicare payment issues. 

Sven strives to put himself in his clients’ shoes and learn their business so that his advice is tailored to each client’s unique operations, concerns, and challenges.  He applies to the health care setting his experience with litigation and risk-management guidance in other sectors representing business and organizations. 

By staying ahead of health care legal and regulatory developments, Sven anticipates changes in laws, regulations, and government approaches and advises and prepares his clients accordingly. Sven is a sought-after speaker at legal, trade association, and firm-sponsored seminars on healthcare reimbursement matters, and he presents in-house training programs for clients on these issues.

Representative Experience

• Successfully prosecuted multiple hospital Medicare group appeals, before CMS and in federal court, seeking additional supplemental outlier payments.
• Successfully prosecuted multiple hospital Medicare group appeals to recover approximately US$30 million in “rural floor budget neutrality adjustment” underpayments.
• Secured permanent injunction in a ground-breaking challenge barring HHS from applying agency’s 2008 “self-disallowance” regulation to certain hospital appeals.
• Secured judgment invalidating remaining aspects of HHS’s 2008 “self-disallowance” regulation as applied to challenges to HHS regulations.
• Successfully overturned amendment to CMS Medicare interest regulation in hospital appeal involving high seven-figure claim for interest.
• Obtained permanent injunction blocking client’s former employees and subsequent employer from raiding and misappropriation of trade secrets. EMS USA, Inc. v. Integrity Specialists LLC, et al., U.S. Dist. Ct. D. Colo. (Case No. 11-cv-02832).
• Obtained permanent injunction and seven-figure damages payment for client in a raiding case against former manager and new employer.