Legal Counsel For Medicare And Medicaid Reimbursement
Ottenwess Law provides critical guidance to a diverse array of healthcare clients in Michigan and nationwide to improve billing practices to consistently comply with regulatory standards and advocate for these healthcare providers to resolve reimbursement disputes with federal agencies or third-party payers.
Our healthcare attorneys assist with the resolution of all reimbursement-related disputes with the Centers for Medicare and Medicaid Services (CMS), including payment disputes involving RACs (recovery audit contractors) and MACs (Medicare administrative contractors), as well as pursuing remedies for billing disputes with third-party payers such as Blue Cross/Blue Shield, HMOs and other private insurers. Typically, our clients have provided services that are covered under the plan but payment has been denied on the basis of:
- Improper billing – overbilling, unbundling, lack of medical necessity, etc.
- Enrollment – MAC determines if the entity is not enrolled correctly or credentialed
- Credentialing – the physician lacks privileges or proper licensing
Using more than 150 combined years of experience, we guide our clients through the administrative process and convince CMS or third-party insurers to authorize payment. If necessary, we assist with timely appeals of disallowance, such as denial of claims challenges. If there is no way to resolve the conflict through the appeals process, our lawyers will provide representation in court.
Ottenwess Law routinely litigates and resolves billing disputes. Contact us today to arrange a free initial consultation with one of our Michigan Medicare and Medicaid reimbursement attorneys by calling 313-965-2121 or filling out our online contact form.