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.