Results
- Federal court victory, representing $1 million for cancer therapy treatment provider, granting summary judgment and awarding reimbursement.
- Federal court victory, representing $2 million for diagnostic procedure provider, granting summary judgment and awarding reimbursement.
- Hundreds of favorable decisions, representing $ tens of millions for device, diagnostic and therapeutic companies, before Office of Medicare Hearings and Appeals decisions, awarding reimbursement.
- Dozens of favorable decisions, representing $ tens of millions for hospitals, health care systems and physicians, before Office of Medicare Hearings and Appeals, awarding reimbursement for utilization of innovative procedures and technologies.
- Favorable resolution, representing $25 million for diagnostic company, of civil and criminal audit, pre-payment and alleged overpayment matters.
- Multiple successful audit resolutions, representing $ tens of millions, involving both Medicare and private payers, of pre-payment reviews, demands for repayment, and claims of fraud.
- Favorable resolution, representing $ hundreds of thousands for a large durable medical equipment supplier, of OIG audit.
- Multiple successful challenges to negative Medicare local coverage decisions which resulted in favorable coverage policies for hospitals, physicians, manufacturers, and suppliers.
- Favorable resolution, representing $ tens of millions in grant funds, of multi-institutional research misconduct matter.
- Successful federal court defense of a journal on multiple counts for publishing a purportedly plagiarized paper.