Insurance Provider Credentialing

We help healthcare professionals and medical practices navigate the complex credentialing procedures necessary to participate in third-party payer networks, including Medicare, Medicaid, and private insurers (e.g., Aetna, Blue Cross/Blue Shield, US Healthcare, etc.). We also represent practitioners in connection with insurance company claims of overpayment and upcoding, as well as de-credentialing, re-enrollment, placement on the Preclusion List, and related proceedings and administrative actions.

Among recent matters, our lawyers have:

  • Brought about the successful reinstatement of physicians following the revocation of their credentials to participate in an insurance network
  • Negotiated multiple settlement agreements with various insurance providers regarding alleged overpayments to a practitioner
  • Successfully prosecuted an injunction requiring an insurance company to reinstate a provider and to reimburse well over $150,000 for claims previously denied
  • Represented physicians in disputes regarding payment with insurance providers

" I have known Dennis Abramson as an attorney of the highest quality and regard for over 10 years. During this time I have referred him dozens of matters and each one has been met with great success. He is consistently able to achieve results for his clients that many other attorneys are unable to obtain. In addition, he provides a personal touch that is rarely seen in lawyers today. When making a referral I firmly believe that it is a reflection of me and my judge of character and ability. For this reason Dennis is always at the top of my list. In short, Dennis makes me look good by doing right by my clients. I cannot make a stronger endorsement. " — Jonathan G.

AV Preeminent 10.0 Avvo Rating Top Attorney Super Lawyers

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