David A. King

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David King is the leader of the firm’s Managed Care Strategy & Disputes Group. He regularly serves as lead counsel in managed care matters and other healthcare disputes on a national basis for several of the largest healthcare providers in the country. These providers include for-profit and nonprofit hospital systems, ambulatory surgery centers, air ambulance services, specialty providers, physician groups and ancillary service providers, as well as medical device companies. David brings to these matters over 30 years of experience as a healthcare and trial attorney, as well as his skills in creating and applying straightforward, timely and cost-effective solutions to complex problems. His focus on managed care issues includes:

  • Managed Care Disputes – These disputes include but are not limited to underpayments, medical necessity denials, attempted recoupments and offsets, contract interpretation, refusal to contract, discrimination and retaliation against out-of-network providers and related reimbursement disputes, and related legal issues involving the Affordable Care Act, ERISA preemption, UCR laws, prompt pay laws, any willing provider laws, and laws regarding payor audits, recoupments, and offsets. David has many years of experience and success implementing all forms of resolution for these disputes, including negotiation, mediation, arbitration and litigation.
  • Managed Care Strategy and Contracting – David consults with healthcare providers on payor network and out-of-network strategies, and other issues involving the relationships among providers, insurers, self-funded plans, benefit administrators, and vendors. He also participates in drafting and negotiating contracts, as well as creating and implementing out-of-network reimbursement strategies and agreements.
  • National and State Legislation– David consults with various providers on proposed national and state legislation impacting their strategies and reimbursement, such as proposed laws seeking to address “surprise” billing by hospital based out-of-network providers and proposed laws seeking to establish rates and/or dispute resolution procedures for all out-of-network emergency providers. David also strategizes about draft legislation to address improper payor practices.

David’s successes have led to national recognition for many years by the Best Lawyers in America, Super Lawyers, and other publications. In 2018, he was selected as a Lawyer of the Year – Healthcare by Best Lawyers in America®. In 2017, he was selected as a BTI Client Service All Star based on a client nomination.

Memberships

American Bar Association — Health Law Section

American Health Lawyers Association (AHLA)

Tennessee Bar Association — Health Law Section

Nashville Health Care Council

Nashville Council of Healthcare Attorneys