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Healthcare Disputes

Substantial experience arbitrating and mediating disputes involving healthcare entities and health law across all sectors of the industry.

Representative Healthcare Matters

Payor-Provider Disputes

Claims sampling

Contract Disputes

Healthcare entity contract interpretation

Regulatory Compliance

State and federal healthcare laws and regulations

PBM Pricing & Reimbursement

Pharmacy benefit management disputes

Medicare/Medicaid Bid Protests

State contract bid disputes and related matters

Health Plan-TPA Disputes

Third-party administrator relationship issues

Coding & Reimbursement

Medical coding and payment disputes

Vendor Disputes

Health plan and provider vendor relationships

Pharmaceutical Pricing

Drug pricing and reimbursement issues

Revenue Cycle Management

RCM disputes and optimization

Healthcare Joint Ventures

Joint venture partnership disputes

Brand vs Generic Disputes

Pharmaceutical company conflicts

Network Inclusion/Exclusion

Provider and pharmacy network disputes

Sales & Marketing Practices

Pharmaceutical and medical device marketing

Unlawful Inducements

Referral and inducement allegations

Antitrust/IP Disputes

Healthcare antitrust and intellectual property

Privacy Issues

HIPAA, HITECH and state laws

340B Program Disputes

Drug pricing issues

Representative Healthcare Clients

Health Insurers

Hospitals & Hospital Systems

Physicians & Physician Practices

Revenue Cycle Management Organizations

Medical Groups

Pharmaceutical Companies

Biotech Companies

Medical Device Manufacturers

Third-Party Administrators

Treatment & Testing Facilities

Pharmacy Benefit Managers (PBMs)

Healthcare Service Providers

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Healthcare Dispute Resolution Expertise

With decades of experience in health law and a deep understanding of industry complexities, Zamoff ADR provides specialized expertise for your most challenging healthcare disputes.