HEALTH CARE

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Health Care Managed Care Contracting & Disputes

Our health care attorneys regularly counsel clients regarding all aspects of managed care contracting and disputes. Our expertise ranges from payer-provider contract disputes to complex coding and reimbursement issues to disputes between competing providers.

• Managed care contracting
• Managed care contract disputes, including capitation and fee-for-service contracts
• Hospital and physician coding and billing disputes, including litigation involving the correct coding initiative, unbundling and line item denials, claims processing practices and AB1455, implants, ancillary charges, stop loss, medical necessity, transplants, utilization management and industry standards for levels of care, such as NICU levels, and all aspects of providers' and payers' business practices