Pennsylvania Surgery Center Challenges Highmark for Improper Recoupment and Offset Activities

We served as lead counsel for a Pennsylvania surgery center in state court suit against Highmark for seeking to impose a new non-negotiated payment methodology with a “facility bulletin,” and then seeking to impose unauthorized recoupments and offsets. After the suit was filed and a motion for a restraining order was threatened, Highmark proposed mediation which led to a settlement on favorable terms.

You Also May Be Interested In:

  • Successful representation of Medsurant LLC in appeal to vacate $18.8 million dollar jury verdict in case alleging tortious interference

    We successfully represented Medsurant LLC in an appeal to vacate an $18.8 million dollar jury verdict in a case alleging...
    Client Type: Private Company
  • Obtained summary judgment on behalf of a group of 21 Tennessee physicians in federal litigation in Nashville challenging a regulation from Centers for Medicare & Medicaid Services

    We obtained summary judgment on behalf of a group of 21 Tennessee physicians in federal litigation in Nashville challenging a...
    Client Type: Individual
  • Serving as lead counsel for Air Methods Corporation in seven putative class actions filed in federal district courts around the country in which patients are challenging the reasonableness of the company’s charges for emergency air ambulance services

    We are lead counsel for Air Methods Corporation in seven putative class actions filed in federal district courts around the...
    Client Type: Public Company