Josh Arters leverages a deep understanding of the issues health care entities encounter in the constantly-evolving health care industry to serve health care providers’ business and legal objectives. Josh has experience representing a diverse group of health care entities, including premier profit and not-for-profit hospital systems, hospital associations, ambulatory surgery centers, air ambulance service providers, specialty providers, national physician groups, ancillary service providers, and medical device companies. Josh’s practice focuses on managed care disputes, strategies, and litigation, which is supported by nearly a decade of experience assisting clients ascertain tailored solutions to complex commercial disputes through strategic negotiation, mediation, arbitration, and litigation in state and federal courts across the United States.
Josh counsels clients on a broad range of commercial and managed care matters, strategies, and disputes, including:
- Underpayments and denials
- Recoupments and offsets
- Commercial payor audits
- Network contracting
- Out-of-network reimbursement
- Code-editing and downcoding policies
- Medical device coverage policies
- State Medicaid assessments
- Surprise and balance billing
- Health care transparency
- COVID-19 issues
