Bennett Bigelow & Leedom offers a highly specialized and experienced health care reimbursement and regulatory practice. We represent health care providers in reimbursement litigation and administrative appeals nationwide, as well as in disputes involving commercial payors. We assist clients in negotiating contracts, responding to and undertaking audits, satisfying licensing and billing requirements, and ensuring compliance with state and federal laws. Our expertise in Medicare, Medicaid, and other government payors' billing and compliance requirements is unmatched. We represent the full spectrum of health care clients, including hospitals, health systems, physicians and other licensed health care professionals, independent diagnostic testing facilities, laboratories, durable and nondurable medical equipment suppliers, ambulatory surgical centers, renal dialysis facilities, long term and residential care facilities, and behavioral health providers. We offer broad-based expertise to assist our clients in optimizing their businesses within a heavily regulated industry, in which billing and compliance requirements are complex and subject to constant change. We are recognized experts the following areas involving regulation and reimbursement:

• Medicare and Medicaid enrollment and conditions of participation
• Medicare cost report and fee-for-service appeals
• Direct and Indirect Graduate Medical Education issues
• Medicare and Medicaid Disproportionate Share Hospital ("DSH") payments
• Prospective Payment System ("PPS")-exempt units and facilities
• Wage index and Medicare Geographic Classification Review Board applications
• Medicaid and state-funded medical program issues, audits, and appeals
• State-level Medicaid funding mechanisms, including intergovernmental transfers, certified public expenditures, and industry taxes
• Litigation involving Medicaid rate setting and state Medicaid waiver programs
• Teaching setting, clinical trial, and research billing and reporting
• Federally funded grant compliance
• Government payor billing and documentation issues
• Self-audits, refunds, and voluntary disclosures
• Responding to government audits and investigations
• Contract disputes with commercial payors
• Certificate of Need
• Responding to licensing or government payor surveys and statements of deficiencies
• Charity care and Hill Burton requirements
• Privacy and patient confidentiality requirements