Healthcare Reimbursement
Provider Reimbursement and Regulatory Counseling
We provide sophisticated counsel on reimbursement issues arising under Medicare, Medicaid and other governmental health programs. We assist clients in evaluating appropriate billing and coding practices; pursuing alternative pricing and reimbursement mechanisms; and seeking rate “exceptions” under various pricing methodologies. We also represent providers and suppliers in pre- and post-payment audits and reimbursement appeals. Because today’s enforcement environment for healthcare entities often requires a proactive approach to regulatory operations, our lawyers regularly seek Advisory Opinions on behalf of clients and assist clients in making and resolving voluntary disclosures with federal and state regulatory and enforcement agencies. Our experience includes working both with individual entities and with coalitions of diverse participants seeking broad policy changes.
Sidley Updates
