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Nossaman LLP


Medicare/Medi-Cal Compliance and Payments

Nossaman has successfully handled cases involving complex and sophisticated reimbursement, cost accounting, and related legal issues. Our Healthcare Practice Group has won millions of dollars in numerous Medicaid and Medicare appeals, for individual hospitals, hospital groups, and for physicians. We serve as legal counsel to numerous hospitals and other healthcare entities on licensing and regulatory matters before state and federal agencies and the courts, including the United States Supreme Court. We have a proven track record of success in our presentations, complex negotiations and, when necessary, litigation.

Our attorneys successfully litigated the landmark Medicare case of Heckler v. Redbud Hospital Dist. (1985) 473 U.S. 1308, which successfully challenged aspects of the Medicare Prospective Payment System all the way to the United States Supreme Court. 

We have litigated many other cases through the Medicare Provider Reimbursement Review Board, the federal district court and the federal court of appeal. We have won virtually all of our Medi-Cal cases at the administrative hearing level but, when it has been necessary to appeal administrative decisions in the courts, we have a strong track record of success.

Our attorneys are also well-known advocates before the Department of Health Services Office of Administrative Hearings and Appeals, and have a reputation for thorough preparation and the highest credibility.

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