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Primary Care Providers Win Challenge of CMS Interpretation of Enhanced Payment Law

With the help and support of the Tennessee Medical Association, 21 Tennessee physicians of underserved communities joined together and retained Bass, Berry & Sims to file suit against the Centers for Medicare & Medicaid Services to stop improper collection efforts. Our team, led by David King, was successful in halting efforts to recoup TennCare payments that were used legitimately to expand services in communities that needed them. Read more

Tennessee Medical Association & Bass, Berry & Sims

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Thought Leadership Spotlight

Healthcare Transactions: Year in Review 2018Last year, CVS Health Corp. (NYSE: CVS) announced it would purchase health insurer Aetna Inc. (NYSE: AET) for $67.5 billion, a transaction that would be one of the biggest healthcare mergers in the past decade. The transaction raises an intriguing question: is this the beginning of a transformational shift in healthcare?

Recently, members of our healthcare group authored the Healthcare Transactions: Year in Review outlining 2017 M&A activity and drivers in the following hot healthcare sectors:

• Managed Care
• Hospitals
• Post-Acute Care—Home Health & Hospice
• Ambulatory Surgery Centers (ASCs)
• Healthcare Information Technology (HIT)
• Behavioral Health
• Physician Practice Management

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Meri B. Gordon

Senior Litigation Attorney

Nashville
(615) 742-7853 TEL
(615) 742-0476 FAX

Meri B. Gordon

Senior Litigation Attorney

Nashville
(615) 742-7853 TEL
(615) 742-0476 FAX
Nashville
(615) 742-7853 TEL
(615) 742-0476 FAX

Meri Gordon represents clients in connection with various healthcare dispute matters, focusing on managed care litigation and healthcare fraud and abuse matters. She regularly counsels healthcare providers in disputes with managed care companies around the country in matters involving contract interpretation and medical necessity denials.

Meri's practice involves:

  • Managed Care Disputes – Resolving disputes amongst providers, insurers, benefit administrators and vendors, focusing on disputes involving prompt pay laws, payment from third-party liability parties and calculation of usual, customary and reasonable charges. Meri has significant experience representing hospitals in medical necessity disputes with insurance companies.
  • Healthcare Fraud & Abuse – Litigating on behalf of healthcare providers in matters arising under the False Claims Act, Anti-Kickback Statute, Stark Law, and various other federal and state healthcare statutes and regulations. In addition, Meri helps clients respond to government investigations by Department of Health and Human Services, United States Attorneys' Offices and the Department of Justice.
  • Business Disputes – Representing clients in various disputes for breach of contract, fraud, misrepresentation, breach of fiduciary duty and other business torts. In addition, Meri has extensive experience in data management, data analytics and e-discovery projects involving high-stakes litigation.

Prior to joining Bass, Berry & Sims, Meri practiced in the New York office of Simpson, Thacher & Bartlett, LLP.

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