Michael J. McDougall

Michael has represented health care systems and hospitals in all phases of Medicare reimbursement litigation. He has counseled health plans in reimbursement and Medicare Advantage contract appeals before CMS Hearing Officers and managed Freedom of Information requests and appeals. His previous experience includes serving as an attorney advisor and Hearing Officer at the U.S. Department of Health and Human Services, Center for Medicare & Medicaid Services. In this role, Michael provided legal and technical support to the Provider Reimbursement Review Board, with a focus on the jurisdictional elements of PRRB appeals. As a Hearing Officer, he adjudicated Medicare Advantage and Part D plan contract appeals.  Michael has deep insight on CMS and PRRB appeal procedures and decision-making processes.

• Publications