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Health Care Reimbursement

Consistent and timely reimbursement is crucial to the financial health of health care providers, but the rules governing reimbursement are numerous and often times overly complicated.

Non-compliance with these rules, however, may result not only in decreased or delayed reimbursement, but charges of fraud and abuse or even allegations of filing false claims with federal and state governments under the Medicare and Medicaid programs.  Adding to the risk is the fact that commercial payors often adopt Medicare rules as policies governing their own programs.  Ice Miller has extensive experience in representing clients on health care reimbursement issues.

Representative Experience

  • Medicare and Medicaid reimbursement investigations and appeals
  • Self-disclosure protocol and refunds
  • Billing and coding issues
  • Compliance and policy development
  • Incident to billing
  • Obtaining Medicare and Medicaid provider numbers
  • Fraud and abuse
  • Disproportionate share hospital (DSH) issues
  • Provider-based status


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