Health care providers, both individuals and institutions, are subject to numerous regulations by federal and state governments, HMOs, PPOs, and national and state accrediting and licensing agencies.  Martzell & Bickford attorneys counsel individual physicians and institutional health care providers in matters involving disputes with insurance companies, structure of contracts, billing and coding irregularities, and insurance discrimination matters.  Representation is also provided to individual physicians who face actions against their licenses or medical staff privileges.

Recent types of representations include

• Claims against government insurance plans for discriminatory practices against certain classes of providers  

• Contract review of cost reports and required disclosures

• Disputes with insurers concerning validity of CPT coding for unlisted procedures and disparity between coverage promised and coverage paid  

• Representation of medical doctors and dentists before their licensing boards and in hospital medical staff disciplinary actions  

• Representation of physicians in civil and criminal actions resulting from allegations of health care fraud, federal and state.