Washington, DC Healthcare Law

Healthcare Legal Solutions, LLC (“HLS”) is a collections firm that recovers third party payer medical claims for hospitals and health systems. We supplement hospitals’ in-house case management and denial management departments by submitting legal appeals through the payers’ administrative grievance processes. We collect on problematic medical claims on behalf of our clients from institutional payers at the federal and state level.

Our areas of expertise include:

  • Authorization
  • Commercial insurance recoupment
  • ERISA appeals
  • Medical necessity denials
  • RAC, CERT and MIC audits
  • Case management denials
  • Denial management
  • Medicaid denials
  • Medicare appeals
  • Underpayment recoveries
  • Workers’ compensation

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We work with the following hospital departments:

  • Central Business Office (CBO)
  • Patient Access
  • Case Management / Care Management
  • Compliance and Audits
  • Contracting
  • Revenue Cycle
  • Patient Financial Services