Health Care
Viggo Boserup, Esq. is a Certified Electronic Discovery Specialist and an accomplished neutral respected by counsel for his impartiality and ability to quickly identify critical issues. His exceptional listening skills and sensitivity toward each party make him particularly well-suited for resolving mediations of emotionally charged, complex cases. Known for his fortitude in obtaining a productive result and going the extra mile, Mr. Boserup follows up with parties to effect a settlement long after the mediation session is over.
Mr. Boserup is highly experienced in healthcare issues involving medical necessity, reasonable value, coding, Medicare pre-emption, networks, post-stabilization and a variety of other issues arising between payers and providers. He is a member of the California Society of Healthcare Attorneys and the Health Law Section of the ABA.
Representative Matters
- Claims by ER physicians for reimbursement based on Usual, Customary and Reasonable (UCR) rates
- Claims by non-participating physicians based on varying interpretations of Children's Hospital v. Blue Cross
- Claims based on Business and Professions Code 17200 where parties are neither competitors nor customers
- Dispute involving claims under Medicare Advantage plans preempted by Medicare & Mobilization Act of 2003
- Matter related to alleged agreements by payers to pay billed charges during coverage verification calls
- Claims arising from termination of carrier of in-network physicians due to referrals to non-participating ambulatory centers
- ERISA claims alleging no exhaustion of administrative remedies
- Appeals of benefit claims filed late-benefits negotiated between provider and HMO
- Claim by hospital regarding patient who was no longer a member of HMO
- Claims by hospital for payment of maternity benefits where no maternity benefit provided by HMO contract
- Hospital vs. HMO regarding patient billings-unpaid and underpaid claims
- Dispute over application of case rate versus per diem after reaching threshold amount
- Dispute regarding hospital rates with HMO regarding per diem clause
- HMO claims offset for overpaid claims against claims by provider for unpaid benefits
- Hospital claims against HMO barred by statute of limitations
- Hospital claims regarding UB 92’s filed timely
- Hospital versus carrier regarding per diems
- Multiple claims by hospital where no appeals filed per required procedure
- Reorganization of physician-owned hospital
- Class action by non-exclusive physicians against medical group for discounting fees based on non-exclusivity
- Patient vs. IPA for negligent utilization of review/referral approval
- Buyers of hospital vs. sellers for return of retained Medicare and Medicaid funds generated after purchase
- Hospitals vs. HMO for failure to pay claims timely and for diverting patients to other facilities
- Claim for excess payments required to be made to non-contracting facilities
- Surgical center vs. health plan for reimbursements on 100+ patients
- Medication provider vs. carrier for usual and customary fees
- Multiple claims of surgical center vs. health plan
- Claim for fees for consulting services rendered in obtaining Medicare reimbursements for national hospital chain and skilled nursing facilities
