Barbara A. Reeves, Esq., CEDS (Certified E-Discovery Specialist) is an accomplished neutral in the area of health care disputes who is widely respected by counsel for her impartiality in treating all parties fairly and her ability to identify critical issues quickly and focus efforts to resolve disputes.
Ms. Reeves began her work in the health care field as an outgrowth of her insurance coverage expertise, handling disputes between hospitals and insurance companies as well as disputes between policyholders/members and insurance companies. Her listening skills and ability to understand each party’s position make her particularly well suited for resolving emotionally charged, complex cases.
In mediation she is known for her fortitude in obtaining a productive result and going the extra mile. In arbitration she is a quick study, and brings her economics training to bear on complex damages and financial issues.
Representative Matters
- Disputes between medical provider groups and insurance companies involving insurance coverage for medical services provided to patients
- Cases between hospital systems and health plans to determine reasonable value
- False claims case between the government and relator, on the one hand, and a pharmaceutical company
- False claims case between the government and provider of outpatient services for services not rendered
- Claims by ER physicians for reimbursement based on Usual, Customary and Reasonable (UCR) rates
- Coding dispute, involving upcoding, bundling and DRG issues between major hospital chain and insurance plan
- Dispute involving Medicare Advantage claims and the issue of preemption
- Claim by hospital-patient following lapsing of HMO membership
- Hospital versus HMO regarding patient billings--unpaid and underpaid claims
- Hospital versus commercial insurer regarding patient billings--unpaid and underpaid claims
- Professional malpractice matters between patients and health care providers
- Medical malpractice cases between patients and/or heirs and their insurance carriers
- Hospitals versus HMO for failure to pay claims timely and for diverting patients to other facilities
- Dispute among members of physician group following breakup of the group
- Multiple claims of surgical center claims versus insurance plan
- Intellectual property dispute involving conflicting claims to health care technology
- Dispute involving medical billing services and hospital group
