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Billing Victory for Health Care Provider

A health care client came to the firm after learning that its Medicare billing privileges had been permanently suspended for a five-month period for technical reporting errors unrelated to patient care quality. As a result, the client faced losing hundreds of thousands of dollars in reimbursements for health care services that it had already provided to patients. A team of Hodgson Russ attorneys, including Josh Feinstein, Roopa Chakkappan, and Kate Tiskus (and with guidance from Jane Bello Burke), rolled up their sleeves and dove into the highly technical and arcane rules governing Medicare reimbursement. Ultimately, they persuaded the Center for Medicare and Medicaid Services that its regulations were being misapplied. The agency therefore reconsidered the determination and ordered the client's billing privileges to be reinstated in full - resulting in one very relieved client.