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 both claims that are governed by managed care contracts and other non-contracted 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 including COVID-19 reimbursement, reference-based pricing, out-of-network plans, line-item denials, and E/M downcoding. She has also established successful strategies related to disputes involving experimental/investigational designations, medical necessity challenges, plan exclusions, 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 portals. She also advises hospitals and health systems on compliance with the Hospital Price Transparency Rule.

• Law360, Healthcare Editorial Advisory Board, 2025-2026

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

• Jewish Community Center for San Antonio, Campus Board Member

• Texas Bar Association

• 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