Sunday, September 05, 2010
       
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Healthcare Litigation

 
For more than 25 years, a large part of the firm's practice has been dedicated to representing Physicians and other Healthcare Professionals and entities in connection with licensing, credentialing for hospital and insurance companies, due process hearings, Medicare and Medicaid reimbursement issues, defense of state and federal criminal proceedings and Federal False Claim Act penalty cases.
 
This committment to the representation of healthcare professionals has led the firm to become extensively involved in civil matters for healthcare and other professionals who find themselves in need of advice and guidance.  The firm's work in these matters has led many professionals to seek the firm's assistance in partnership and shareholder disputes involving restrictive covenant enforcement and defense, and actions against hospitals and insurance companies where these entities are attempting to exclude the healthcare provider from participation on staff or in network.  We have listed below a sample of the firm's experience in representing medical and other professionals.
 
  • Representing physicians disputes regarding their board certifications and certification eligibility
  • Representing physician in disputes regarding payment with insurance providers
  • Representing physicians in disputes with hospitals regarding credentialing, re-credentialing, and employment agreements
  • More than 20 Medicare and Medicaid fraud criminal trials
  • More than two dozen hearings before federal, state and administrative agencies, including licensing, DEA participation, Medicare and Medicaid participation
  • Many years of experience in defending and negotiating Federal False Claims Act claims and proceedings
  • More than 25 matters in which the firm has represented physicians in disputes with hospitals involving credentialing, restrictive covenants, contract buy-outs, fair hearings, and the like
  • In just the past two years, our firm has tried to completion three major partnership and shareholder separation disputes totaling over 30 trial days
  • In 2006, the firm, in two separate cases, brought about the successful reinstatement of physicians where their credentials to participate in an insurance network had been revoked
  • In 2005-2006, the firm successfully prosecuted an injunction requiring an insurance company to reinstate a provider and to reimburse well over $150,000 for claims previously denied
  • In 2005-2006, the firm caused physicians threatened with termination from a hospital staff to be retained, without any Practitioner Databank consequences

 

 
 
 


1616 Walnut Street, 5th Floor  Philadelphia, PA 19103  *  (215) 772.1070  *  dabramson@gbalaw.com