Medicare Payment Appeals: The Basics, Problems, and Possible Solutions
On Demand

Medicare Payment Appeals: The Basics, Problems, and Possible Solutions in Navigating this Process


MCLE Credits: 1.00 including 1.00 MCLE

Average Rating:
  3.9   (0 comments)
Category:
Health Care |  Free Member Benefit w/Coupon |  Government
Speaker:
Pat Souter |  Ken Stone
Format:
Audio and Video
Product Type:
On Demand
License:
Access for 30 day(s) after purchase.


Description

Sponsored by the Dallas Bar Association's Health Law Section

Handouts

Speaker

Pat Souter Related seminars and products: 1

Gray Reed & McGraw LLP


Pat is known for his legal and educational experience in the healthcare industry, making him a sought-after resource for clients and students alike. His primary areas of practice are related to Transactional and Administrative Healthcare, Corporate, Securities and Antitrust matters. 

He is also a Professor of Health Care studies at Baylor University School of Law where he teaches Health Care Law, Health Care Fraud and Abuse and Regulation of Health Care Professionals. Pat also teaches students in the Baylor University Hankamer School of Business M.B.A. Program as well.

A native of Dallas, Texas, Pat obtained his Bachelor of Business Administration in Finance and Juris Doctorate from Baylor University and his M.B.A. in Health Services Management at the University of Dallas. He is Board Certified in Healthcare Law by the Texas Board of Legal Specialization. Pat has also completed the training by the American Health Lawyers Association as a Mediator and Arbitrator.


Ken Stone Related seminars and products: 1

Gray Reed & McGraw LLP


Licensed in Texas and Oklahoma, Ken Stone focuses his practice on commercial and personal injury litigation matters, primarily within the healthcare field but also across several other industries. He spends a substantial portion of his time assisting parties in resolving contractual disputes, and he works with a diverse group of healthcare clients – individual physicians, physician groups, hospitals, nursing homes and dialysis centers – resolving insurance, billing and recoupment disputes that arise when their valid claims for payment are either denied or reduced by insurers and Medicare.

Ken has also guided healthcare providers to favorable outcomes in dozens of medical malpractice cases over the years, with a more recent emphasis on defending hospitals and medical practices that are wrongfully sued under the corporate practice of medicine doctrine.

Ken maintains an active administrative law practice as well, representing healthcare clients in licensing disputes and other professional licensure matters before various boards in Texas, including the Texas Medical Board, the Texas Board of Nursing and the Texas Physician Assistant Board. Clients also rely on Ken to provide quick answers to everyday licensing and peer review questions and to advise on best practices for handling similar issues internally.

Since state and federal agencies have recently intensified their enforcement activities in many of the firm’s key industries, Ken now devotes part of his practice to defending corporate and individual clients facing investigations and enforcement proceedings with potential criminal and civil liability. These matters typically involve allegations of fraud and abuse within any heavily regulated industry, including healthcare, financial services, pharmaceuticals, manufacturing and many more.

Ken is at his best when helping clients overcome any challenging crisis, particularly when he can develop an outside-the-box strategy that not only solves the problems at hand, but also prevents a similar crisis from happening again. He relishes the opportunity to represent plaintiffs or defendants in high-stakes personal injury and commercial litigation matters involving a wide range of issues, including contractual and employment disputes, construction defects, product liability, sexual misconduct and a variety of professional negligence claims in the legal and accounting fields.

 


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Overall:     3.9

Total Reviews: 10

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