Case Studies

Healthcare


  • Mediated a medical billing dispute between a health care provider hospital and a county health plan involving disputed claims reflecting lack of authorization, emergency room and patient stabilization charges, duplicate billing of bundled charges and disputes over disallowed charges by a hospital bill audit firm.
  • Mediated a health care dispute arising from billing for skilled nursing facilities for which the parties did not have a written agreement.
  • Mediated medical malpractice case arising from a Whipple surgical procedure on decedent’s pancreas which resulted in excessive bleeding and death.
  • Mediated product liability wrongful death case based on defective design, manufacturing and failure to warn, and medical malpractice claim arising from hospital surgery using a robotic device which lead to stomach injury and death.
  • Mediated elder care abuse and reckless neglect case brought against a nursing home due to falls suffered by plaintiff.
  • Mediated medical malpractice action arising from endoscopic carpal tunnel release surgery using ultrasound imaging, resulting in severing of the median nerve
  • Mediated post-verdict in wrongful termination whistleblower lawsuit by child psychiatrist at a county medical center which resulted in a $1.5 million verdict.
  • Mediated alleged patient safety whistleblower claims by a doctor against county medical center for wrongful termination and failure to provide reasonable accommodations post injury.
  • Handled related matters in which healthcare reimbursement firms alleged that several medical practices engaged in systematic overcharging.
  • Handled a matter in which four states alleged that a generic drug manufacturer committed state false claims act violations through an average wholesale pricing scheme.
  • Handled a matter among three doctors where one alleged that the others committed fraud and breach of fiduciary concerning his sale to them of his one third interest in a surgery center by concealing it regulatory status and right to reimbursements from Medicare and Blue Cross.
  • Handled a breach of contract matter between a cardiologist and a manufacturer of a CT scanner that was not producing images of sufficient quality to be used for diagnostic purposes, with competing claims of product defect and improper usage and training of the operators, with $3 million in damages.

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