Ranked in 1 Practice Areas
5

Band 5

Healthcare

Texas

1 Years Ranked

About

Provided by Carrie Douglas

USA

Practice Areas

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, overpayment notices, offsets and other adjustments, which have resulted in numerous pre-litigation resolutions. In addition, she has created successful programs to pursue reimbursements via the No Surprises Act CMS portal and Texas IDR portas. She also advises hospitals and health systems on compliance with the Hospital Price Transparency Rule.

Professional Memberships

• Law360, Healthcare Editorial Advisory Board, 2025

• Jewish Family Service of San Antonio, Immediate Past Board President

• Jewish Community Center for San Antonio, Campus Board Member

• Texas Bar Association

Personal

• The University of Texas School of Law, J.D., 2004

• The University of Texas at Austin, B.A. and B.B.A., 2001, with honors

Chambers Review

Provided by Chambers

Chambers Guide to the USA

Healthcare - Texas

5
Band 5
Individual Editorial

Carrie Douglas is a strong healthcare lawyer with experience representing hospitals and health systems in various complex matters, with a particular focus on reimbursement disputes. She also advises her clients on compliance matters.

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Provided by Chambers

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