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.
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