Healthcare Administrative Agency Hearings and Appeals
The Firm's Healthcare Attorneys provide guidance on statutory and regulatory interpretation and defend clients when administrative agencies seek reimbursement or corrective action from one of our clients. Several of our Healthcare Attorneys have long-term working relationships with key individuals in Departments of Health, State Medicaid agencies, the Attorney General's and Inspector General's offices, and CMS. Consequently, when the need arises, one of our Healthcare Attorneys can work with these individuals to resolve a client's problem. Our Healthcare Attorneys are also prepared to provide aggressive advocacy when necessary. Our work includes:
- Representing providers in Medicare reimbursement appeals
- Representing practitioners and healthcare entities before state licensing boards
- Representing providers in Medicaid appeals
- Representing long-term care providers in 2567 (corrective action) hearings
- Representing hospitals and medical staffs in physician disciplinary proceedings
- Working with accrediting agencies to ensure a client's compliance
- Representing hospitals and Medical Executive Committees in HCQIA and due process hearings
Examples of administrative matters successfully resolved by our Healthcare Attorneys in recent years include the following:
- Representation of nurses providing telenursing services from outside the state before the State Board of Nursing in disciplinary proceedings for allegedly practicing nursing in Oklahoma without a license
- Representation of a psychiatrist in an Oklahoma Medicaid agency $1 million recoupment action
- Representation of a psychiatric facility in an Arkansas Medicaid recoupment action
- Representation of a primary care physician in a Medicare recoupment action
- Representation of an assisted living facility in a Department of Health corrective action hearing
- Representation of a hospital in an EMTALA corrective action
