Firm Secures Win for Physician on Medicare Appeal

The firm’s work challenging Medicare and Medicaid actions on behalf of physicians and other providers is a key part of its healthcare and litigation practice. In recent years, the firm has prevailed in the U.S. Court of Federal Claims and secured reversals of Medicare preclusion decisions that imposed lengthy re-enrollment bars. Since 2023, the firm has also played an active role in overturning Medicare reimbursement claw back efforts. Much of this work has focused on pain management. On June 5, 2026, a CMS administrative law judge issued a fully favorable decision in eight patient cases on a third-level appeal for a physician using the NS100 neuromodulator. Relying on thorough briefing, expert testimony, and the firm’s favorable 2024 decisions, the administrative law judge reversed earlier paper audit determinations that had denied reimbursement in full. The firm continues to pursue reimbursement for this device and other procedures such as wound care at the administrative level and in matters involving the U.S. Department of Justice.