Healthcare
The Turek Law Firm’s healthcare legal services are built on an exceptional knowledge base and extensive work experience. Not only do we have comprehensive experience in litigation and legal support for healthcare providers, but all of the firm’s attorneys have extensive knowledge of, experience with, and exposure to the business of healthcare. Our experience includes in-depth knowledge of how healthcare providers — hospitals, physician practices, physicians, clinical providers and the business partners that support providers — work, function and thrive.
Further, our firm has had a historical focus on healthcare reimbursement since it was founded in 2001. Our services address all types of reimbursement-related disputes that arise from all types of payers for healthcare providers. These payers include Medicare, Medicaid, Medicare Managed Care, Medicaid Managed Care, commercial health insurance (both PPO and HMO payers), Workers' Compensation, Veterans Administration, and any other governmental or non-governmental payers.
Finally, The Turek Law Firm has created and provides a full-service Healthcare Revenue Recovery Program for healthcare providers. The Program is intended to provide the firm’s legal support to your existing healthcare revenue recovery efforts. Where a healthcare provider either runs out of resources or the ability to continue to pursue reimbursement, we will take up your cause. This “safety net” legal service provides a way to complete the revenue cycle process, drive higher revenue recovery on your healthcare accounts receivables, and avoid losing reimbursement disputes because you do not have the ability to continue the fight.
Applying this knowledge and experience, The Turek Law Firm provides the following specific services to healthcare providers and companies that work within the healthcare industry:
Reimbursement Recovery Services
Authorization Disputes
Authorization denial Appeals, Arbitration, and Litigation related to the denial of clinical authorization for treatment by a healthcare provider, including without being limited to:
- Appeals, Administrative Proceedings and Litigation related to all Governmental Payer Authorization Denials
- Appeals and Litigation related to all Commercial Authorization Denials
Claim Disputes
Reimbursement recovery Appeals, Arbitration, and Litigation related to the denial of a healthcare provider’s claims, including without being limited to:
- Appeals, Administrative Proceedings and Litigation related to all Governmental Payers
- Appeals and Litigation related to all Commercial Payer Claims, including ERISA and Out-of-Network Payers
- Appeals, Administrative Proceedings and Litigation related to Workers' Compensation Claims
- Appeals, Administrative Proceedings and Litigation related to Veterans Administration Claims
- Appeals, Administrative Proceedings and Litigation related to any other Payer
- Appeals and Litigation related to Prompt Payment Claims
Recoupment and Audit Recovery Disputes
Recoupment Appeals, Arbitration, and Litigation related to the recoupment of prior reimbursement related to a healthcare provider’s claims:
- Appeals, Administrative Proceedings and Litigation related to all Governmental Payer Recoupment Appeals
- Appeals, Arbitration and Litigation related to all Commercial Payer Recoupment Appeals
Hospital Lien Claims
Hospital Lien related disputes including both enforcement and defense of a healthcare provider’s reimbursement under a statutory hospital lien.
Estate Claims
Pursuing healthcare provider claims seeking reimbursement from a deceased patient's Probate Estate, including the identifying, investigating, filing of required claims and the pursuit of filed claims to reimbursement.
Business Related Services
Managed Care Contracts
Managed Care contracting Legal Support, Arbitration, and Litigation, including participation directly with payers in the contracting and contract renewal process and litigating contract disputes with payers. TLF provides these services to hospitals, physician groups, and any other entity that negotiates reimbursement contracts with third parties.
Entity Governance
Legal Support for the governance and management of a hospital, physician group, or any other healthcare entity. TLF provides these services to private entities as well as governmental entities, including governance and interaction with the entity's Board of Directors.
Business Contracts
Business Contracts Legal Support, Arbitration, and Litigation relating to Hospital, Physician, Employee and Third Party Contracts (such as leases and service agreements) for a healthcare provider.
Regulatory and Legislative Services
Lobbying, Legal Support and Litigation required to challenge, influence, or obtain interpretations of regulatory or legislative efforts that would impact a healthcare provider.
Compliance Services
Legal Support and Litigation required to support healthcare provider decision-making related to Internal Policies and healthcare operations.
Internal Policy Development
Legal Support for the Drafting and Implementation of Internal Policies related to a Client’s healthcare operations.
Internal Training
Legal Support for the Preparation and Implementation of Training for a Client's Internal Policies.
Employment Related Services
Employee Contracting
Legal Support and Litigation relating to the negotiation, drafting and handling of disputes related to employee contracts.
Employee Disputes
Legal Support, Arbitration, and Litigation relating to employee disputes including wrongful termination, discrimination, retaliation, wage and hour, unemployment, workers' compensation and any other employment-related claims and disputes.
Malpractice Litigation
Malpractice Legal Support, Arbitration and Litigation relating to any claimed malpractice or errors and omissions on behalf of hospitals, physicians and health care providers.
The Turek Law Firm: Experience. Expertise. Results.
We welcome you to contact us for additional information about how we can put our experience to work for you.
