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Carrie Douglas

Carrie Douglas is a passionate advocate who works tirelessly to achieve maximum reimbursements from commercial payors and third-party administrators for hospital systems, ambulatory surgery centers and large physician practices. She represents clients in a variety of reimbursement related legal disputes, involving managed care contracts and other payor-provider disputes wherein she uses her efforts to resolve matters at the pre-litigation stage. Carrie has extensive experience on matters pertaining to unilateral payor policies involving COVID-19 reimbursement, reference-based pricing, out-of-network plans and E/M downcoding. She has also established successful strategies related to disputes involving experimental/investigational designations, medical necessity, diagnosis-related groups (DRG) downgrades and refunds, offsets and other adjustments, which have allowed for pre-litigation resolutions. In addition, she advises hospitals and health systems on compliance with the Hospital Price Transparency Rule. · Bracewell LLP

United StatesHealthcare Law, Managed Care

About

Carrie Douglas represents healthcare providers in reimbursement disputes with commercial payors and third-party administrators, focusing on managed care contracts and pre-litigation resolution. She also advises on compliance with the Hospital Price Transparency Rule.

Practice areas

Healthcare LawManaged CareProvider Reimbursement

Office

Expertise

Hospital SystemsAmbulatory Surgery CentersLarge Physician PracticesManaged Care Contract DisputesHospital Price Transparency

Education

  • J.D., The University of Texas School of Law, 2004
  • B.A. and B.B.A., The University of Texas at Austin, 2001, with honors

Admissions

  • Texas Bar Association