We dispute improper Medicare, Medicaid, and private payor medical claim denials to maximize provider reimbursement for services rendered. To this end, we assist clients at all levels of appeal, beginning with internal claim reviews, followed by administrative appeals, and, finally, appeals before state and federal courts.

We help remove providers who are placed on prepayment by Medicare and Medicaid and by commercial health insurers. Where possible, we dispute the basis of the review and the merits of the adverse findings and negotiate directly with the insurer to promptly remove the provider from the prepayment review and to reach a favorable resolution for the provider.

Our firm represents providers in post-payment reviews brought by Centers for Medicare and Medicaid Services contractors and commercial health insurers. We dispute the findings of the post-payment review and/or the methodology used to extrapolate over-payments and negotiate with the insurer to obtain a favorable outcome for the provider.

Bull Owen Law counsels providers on complex fraud and abuse matters, including the federal False Claims Act, the Anti-Kickback Statute, and the Stark Law, as well as voluntary self-reporting and repayment obligations. We defend providers against fraud and abuse investigations brought by the Department of Justice, the OIG, and various state agencies.

Medical device companies face numerous regulatory challenges when bringing their novel devices to market. We use our substantial knowledge of Clinical Trials and the U.S. Food and Drug Administration (FDA) regulatory process to help companies design and execute successful clinical trials, obtain FDA product approval, and achieve their commercial and reimbursement objectives.

We help develop effective billing and claims management protocols to maximize providers’ chances of being paid and to avoid unnecessary claim denials, audits, and investigations. Our firm conducts internal audits, and compliance evaluations, and offers staff training to ensure that your practice is compliant with applicable regulations, HIPAA, and privacy and security laws.

Our practice offers extensive experience in registering trademarks to help healthcare providers, suppliers, and third-party billers protect their intellectual property. We have successfully argued for trademark registration before the USPTO and have successfully defended clients’ intellectual property rights against infringement.