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A History of Legal Battles: The Texas Medical Association’s Multi-Lawsuit Campaign under the No Surprises Act

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Last week, the U.S. Fifth Circuit Court of Appeals held that regulations implemented by the Departments of Health and Human Services, Labor, and Treasury were permitted to include "ghost rates"—contracted rates for services that were never actually … [Read more...] about A History of Legal Battles: The Texas Medical Association’s Multi-Lawsuit Campaign under the No Surprises Act

US SENATORS SUMMON MULTIPLAN’S CEO TO DISCUSS ALLEGED NEFARIOUS BUSINESS PRACTICES

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On May 22, U.S. Senators Ron Wyden (D-OR), Chair of the Finance Committee and Bernie Sanders (I-VT) Chair of the Health, Education, Labor and Pensions (HELP) Committee issued a letter to Travis Dalton, CEO of MultiPlan.  Mr. Dalton is being called … [Read more...] about US SENATORS SUMMON MULTIPLAN’S CEO TO DISCUSS ALLEGED NEFARIOUS BUSINESS PRACTICES

NY Times Investigation Exposes Multiplan & Insurer’s Hidden Financial Incentive Practices

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Last Sunday the New York Times published two articles written by journalist Chris Hamby, regarding Multiplan and the major health insurance companies. His investigation exposed the "Percentage of Savings Model", used by Multiplan and insurers that … [Read more...] about NY Times Investigation Exposes Multiplan & Insurer’s Hidden Financial Incentive Practices

Federal Texas Court Orders Government Agencies to Vacate NSA Fee Increase and Batching Rule

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As previously reported, the Texas Medical Association (TMA) filed a series of lawsuits over the rules implemented by the Departments under the No Surprises Act. On August 3, 2023, Judge Kernodle, US District Court of Eastern Texas, ruled in favor of … [Read more...] about Federal Texas Court Orders Government Agencies to Vacate NSA Fee Increase and Batching Rule

Federal Government Appeals No Surprises Act (NSA) TMA II Decision Concerning the QPA

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In a recent development surrounding the implementation of the No Surprises Act (NSA), the United States Department of Justice (DOJ) has filed an appellate brief to appeal the Texas Medical Association (TMA) II decision. This decision vacated certain … [Read more...] about Federal Government Appeals No Surprises Act (NSA) TMA II Decision Concerning the QPA

NJ DOBI Issued Bulletin No. 23-05, June 28, 2023, Non-Discriminatory Coverage for Transgender Individuals

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In an effort to promote equal access to healthcare and coverage, the New Jersey Department of Banking and Insurance has published Bulletin No. 23-05 following Governor Murphy’s issuance of Executive Order 326, “Protecting Gender-Affirming Health Care … [Read more...] about NJ DOBI Issued Bulletin No. 23-05, June 28, 2023, Non-Discriminatory Coverage for Transgender Individuals

Federal Agencies Levy Substantial Increase in Administrative Filing Fees for NSA IDR in 2023

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Late Friday afternoon on December 23, 2022 and well after most had begun celebrating their holiday, CMS quietly announced that it was increasing the non-refundable administrative fee for all IDR filings initiated under the No Surprises Act from $50 … [Read more...] about Federal Agencies Levy Substantial Increase in Administrative Filing Fees for NSA IDR in 2023

Notable Cases

Class Action v. CIGNA Corporation

Corporation et al, Case No. 3:22-cv-00769-OAW, District of Connecticut (New Haven). Date Filed: 06/10/2022.

Lawsuit v. Multiplan, Inc.

et al, Case No. 1:21-cv-02421-LLS, Southern District of New York (Foley Square). Date filed: 03/19/2021.

Class Action v. UnitedHealth Group Incorporated

Incorporated et al, Case No. 1:22-cv-10756-VEC, Southern District of New York (Foley Square). Date Filed: 12/21/2022.

Lawsuit v. Multiplan, Inc.

Inc. et al, Case No. 1:20-cv-10685-LLS, Southern District of New York (Foley Square). Date filed: 12/18/2020.

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What our clients say!

"We gave Cohen Howard a very difficult hospital claim to work on. The claim had already been handled internally, by an outside lawyer and by a collection company. When Cohen Howard received the claim, it was nearly 3 years old and we had not received any payment. Cohen Howard was able to recover an $89,000 payment from the insurance company in less than 6 months’ time for us. Great job!"

Cappy Taylor

St. Charles Surgical Hospital and Center for Restorative Breast Surgery
New Orleans, LA

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"After a decade of practice I was hoping that a firm like Cohen Howard actually existed. They represent a group with the experience, deep knowledge, and tenacity to succeed in the complex world of medical reimbursements. Within this environment they have produced excellent financial results on a substantial number of my cases. Their professionalism and communication make for an unparalleled service."

Ross Cooperman, MD

Cooperman Plastics
Livingston, NJ

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"Cohen Howard is a truly unique group who has a profound understanding in the medical insurance industry. I am very pleased with Leslie Howard and her professionalism. Her staff is also very knowledgeable, detail oriented and quick to respond to all questions that arise. I am very impressed with their consistent ability to help increase my practice's out of network claims revenue. I would highly recommend them!"

Tzvi Small, MD, FACS

Bergen Plastic Surgery
Paramus, NJ

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"Leslie Howard and her staff have helped us find revenue on our out-network-claims that we never knew existed. Fantastic job! Whatever you're doing, it's working."

David L. Abramson, MD

Plastic, Reconstructive & Cosmetic Surgery
NY and NJ

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"Cohen Howard's team of professionals have been amazing partners in increasing our out-of-network claims revenue. Their professionalism and attention to detail are remarkable. We gave them some amazingly difficult claims to work on and they were able to successfully recover funds that we had basically written off. Thank you."

Sean Bidic, MD, MFA, FAAP, FACS

American Surgical Arts
Vineland, NJ

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"I have been working with Cohen Howard for years now and they have been able to retrieve several hundreds of thousands of lost revenue. They are extremely knowledgeable in the field and I recommend them with high praise!"

Steven Priolo, MD, FACS

Atlantic Shore Surgical Associates
Brick, NJ

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