Deborah SamenowOf Counsel
Deborah Samenow concentrates her practice on complex health care regulatory matters, with special focus on reimbursement disputes and audits with federal and commercial payers as well as enrollment and compliance matters.
She has more than a decade of federal government experience reviewing and adjudicating Medicare claims for coverage and reimbursement. Deborah has drawn on that experience to help advise clients on provider enrollment and reimbursement issues, licensure matters, overpayment disputes, and related regulatory matters such as those associated with internal and external audits, due diligence analyses, compliance plans, claim appeals, and billing and coding issues. She assists clients on effectively navigating regulatory hurdles and managing risk so that they can focus on patient care.
During her tenue as an Administrative Appeals Judge on the Medicare Appeals Council at the U.S. Department of Health & Human Services (HHS) Departmental Appeals Board, Deborah adjudicated Medicare claims on appeal from the Office of Medicare Hearings and Appeals. She issued final agency decisions on behalf of the Secretary of HHS. Before serving as a Judge, she was Deputy Director of the division that supports the Medicare Appeals Council. In that role, she collaborated with leadership on internal rulemaking, policy formation, and operational management within the Department.
- J.D., University of Maryland School of Law
- B.A., University of Wisconsin-Madison
- Co-author, "Centers for Medicare & Medicaid Services Issues First HCPCS Code and Medicare DME Benefit Category Determination for Therapeutic Virtual Reality Device," The Journal of Federal Agency Action (July–August, 2023)
My latest insights
FDA issues draft guidance for clinical investigations of psychedelic drugs
19 July 2023 .6 minute read
CMS releases highly anticipated proposal for a Medicare coverage pathway for breakthrough...
18 July 2023 .6 minute read