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Deborah S. Samenow

Of Counsel

Deborah Samenow concentrates her practice on complex health care regulatory matters, with special focus on reimbursement disputes with federal and commercial payers as well as enrollment and compliance issues.

Professional Biography


Deborah Samenow is a health care regulatory lawyer with more than ten years of federal government experience reviewing and adjudicating Medicare claims for coverage and reimbursement. She has drawn on that experience to help advise providers and suppliers on provider enrollment and reimbursement issues, licensure matters, overpayment disputes, and related regulatory matters such as those associated with internal and external audits, due diligence analyses, compliance plans, claim appeals, and billing and coding issues. She advises clients on effectively navigating regulatory hurdles and managing risk so that they can focus on patient care.

Prior to joining Baker Donelson, Ms. Samenow served as an Administrative Appeals Judge on the Medicare Appeals Council at the United States Department of Health & Human Services (HHS) Departmental Appeals Board (DAB). In this role, she adjudicated Medicare claims on appeal from the Office of Medicare Hearings and Appeals (OMHA), issuing final administrative actions on behalf of the Secretary of HHS.

Before serving as an Administrative Appeals Judge, Ms. Samenow was Deputy Director of the division that supports the Medicare Appeals Council within the DAB. She collaborated with leadership on internal rulemaking, policy formation, and claim appeals operations within the Department.

  • Represented health care clients in Medicare revocation appeals and provider enrollment disputes with CMS.

  • Represented Medicare providers and suppliers in administrative appeals of Medicare reimbursement denials before the Office of Medicare Hearings and Appeals.

  • Advised health care providers and suppliers on Medicare federal and commercial enrollment policies and procedures.

  • Represented health care providers and suppliers in federal and commercial payer disputes from initial denial or audit.

  • Negotiated settlements with payers on various reimbursement disputes on behalf of health care clients.

  • Conducted health care regulatory due diligence to assist health care clients through transactions.

  • Assisted health care clients with voluntary refunds of identified overpayments to Medicare, Medicaid, and commercial payers.

  • "Medicare Provider Enrollment 2.0 – New Rules and Consequences," Nashville Council of Health Care Attorneys (August 2020)
  • "Denials Prevention and Appeals Management," Wolters Kluwer webinar (February 2020)

Education

  • University of Maryland School of Law, J.D., 2005
    • Senior Articles Editor – Journal of Health Care Law and Policy
    • Member – Moot Court Board
  • University of Wisconsin-Madison, Political Science, 2002

Admissions

  • Maryland, 2005
  • Washington, D.C., 2007

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