Medicare and Medicaid Appeal Issues

This practice area involves:

• Advising hospitals and other providers on reimbursement implications of various services and proposed actions.
  
  
• Preparing Medicare & Medicaid enrollment forms and obtaining certification.
  
  
• Representing nursing facilities and other providers in Medicare, Medicaid, TRICARE, Anthem, and other payor disputes.
  
  
• Resolving mixed issues of facility licensure, certification, and reimbursement, in facilities such as assisting nursing facilities, assisted living facilities, and other residential treatment facilities with challenges to licensure deficiencies and payment reductions at the agency or administrative law judge level.
  
  
• Appearing in court on licensing, certification, reimbursement appeals, and collection issues.