Medicare and Medicaid Participation, Reimbursement and Appeals

Health Care

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Stevens & Lee provides comprehensive assistance to health care clients in Medicare, Medicaid and third party reimbursement matters. We advise clients concerning enrollment, coverage and reimbursement issues. Through our representation of health care providers, we maintain excellent working relationships with representatives of the principal health care regulatory agencies, including the CMS at both national and regional levels.

Stevens & Lee regularly assists health care clients regarding the Medicare enrollment process, including their continuing obligations as Medicare participating providers and suppliers. We assist in navigating the enrollment application and revalidation process, and counsel our clients regarding change of information submissions required as the result of changes in ownership, mergers or other business transactions, or as a consequence of other reportable events that arise in the ordinary course of business. We also assist clients with post-application and enrollment actions, including rejection, deactivation or revocation proceedings that can have serious reimbursement implications.

Stevens & Lee also has extensive experience assisting our health care provider clients with Medicare and Medicaid coverage and reimbursement matters. We regularly assist health care providers in understanding and complying with the complex Medicare and Medicaid coverage and payment rules, and frequently advise our clients regarding the reimbursement implications of proposed business arrangements.

We also represent clients in Medicare and Medicaid payment and claim disputes, including payment denials resulting from contractor audits, and represent them before administrative bodies and in court.

In addition, we monitor federal and state health care legislation and assist our clients in having their interests heard and addressed. We have submitted comments to proposed regulatory changes on our clients’ behalf and have also represented clients in Medicare Area Wage Index reclassification efforts, which resulted in significant increases in funding.

Christina Burke

Counsel

cbu@stevenslee.com

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Valley Forge: 610.205.6351

Harriet Franklin

Shareholder

hf@stevenslee.com

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Valley Forge: 610.205.6014

E. Thomas Henefer

Shareholder

eth@stevenslee.com

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Reading: 610.478.2223

Daniel J. Hennessey

Shareholder

djh@stevenslee.com

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Valley Forge: 610.205.6011

Reading: 610.478.2093

John M. Hogan

Shareholder

jho@stevenslee.com

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Valley Forge: 610.205.6013

Charles M. Honart

Shareholder

cmh@stevenslee.com

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Valley Forge: 610.205.6017

Joanne M. Judge

Shareholder

jmj@stevenslee.com

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Lancaster: 717.209.5866

Reading: 610.478.2226

Richard J. King

Shareholder

rjk@stevenslee.com

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Wilmington: 302.425.3303

Joseph W. “Chip” Marshall, III

Vice Chairman

chip.marshall@stevenslee.com

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Philadelphia: 215.751.1240

Walter P. McEvilly, Jr.

Of Counsel

wpm@stevenslee.com

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Wilmington: 302.425.3300

Douglas L. Moak

Associate

dm@stevenslee.com

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Valley Forge: 610.205.6005

Kirsten McAuliffe Raleigh

Shareholder

kmr@stevenslee.com

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Valley Forge: 610.205.6015

Chelsea C. Stine

Associate

csti@stevenslee.com

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Valley Forge: 610.205.6353

Thomas M. Tammany

Shareholder

tmt@stevenslee.com

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Princeton: 609.987.5339

Valley Forge: 610.205.6342

Catherine Reese Urban

Shareholder

cru@stevenslee.com

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Valley Forge: 610.205.6021

Stephanie A. Wilhelm

Associate

sawi@stevenslee.com

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Valley Forge: 610.205.6022

Wilmington: 302.425.3301

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