Glenn Hendrix is “noted for his handling of a wide range of contentious matters in the healthcare space, including Medicare and Medicaid reimbursement disputes. Interviewees name him as a ‘great attorney.’”

Chambers USA (2018)

Glenn also has significant experience conducting internal investigations, often at the initiative of public company boards of directors. These tend to involve compliance with the “60-day rule” for refunding overpayments to federal healthcare programs (42 U.S.C. § 1320a-7k(d)). He utilizes deep knowledge of reimbursement principles and the “reverse false claims” provisions in the False Claims Act to make considered judgments regarding the provider’s compliance obligations. He brings an open mind, common sense, and good judgment to the process.

Glenn is a frequent speaker on health law topics—primarily in the areas of healthcare arbitration, reimbursement, compliance, fraud and abuse, and risk management. For some of his presentations, click here.

Glenn is the immediate past chair of the AHLA Dispute Resolution Service Review Board, which rules on petitions to remove arbitrators. He is a member of AHLA and the ABA Health Law Section.

Glenn is “well versed across a comprehensive range of healthcare matters.”

Chambers USA (2017)

Representative Arbitrator Appointments

• Multiple arbitrations of healthcare provider-payor disputes regarding reimbursement and managed care for healthcare services, including:
  • Dispute between multiple hospitals and a third-party payor regarding reimbursement for implants (sole arbitrator; administered by AAA)
  • Out-of-network reimbursement dispute between a Tennessee hospital chain and a third-party payor (co-arbitrator; ad hoc)
  • Dispute between Texas health system and a third-party payor involving differential payment rates for hospitals within the system (sole arbitrator; administered by AHLA)
  • Dispute between hospital and a third-party payor involving claims for in-network emergency services (chair; administered by AAA)
  • Dispute between South Carolina hospital and a third-party payor regarding denial of payment based on alcohol exclusion in patient insurance policy (sole arbitrator; administered by AHLA)
  • Dispute between orthopedic ambulatory surgery centers and a third-party payor regarding claim denials (sole arbitrator; administered by AAA)
  • Claim by emergency physician group regarding downcoded claims and a third-party payor’s alleged failure to timely enroll the group’s physicians (sole arbitrator; administered by AAA)
  • Dispute involving multiple reimbursement issues between Florida hospitals and third-party payor (co-arbitrator; administered by AHLA)
  • Dispute between third-party payor and Tennessee and Georgia hospitals regarding medical necessity claim denials (co-arbitrator; administered by AHLA)
  • Dispute between California hospitals and third-party payors involving claim downcoding and denials (sole arbitrator; administered by AAA)
  • Reimbursement dispute between South Carolina chiropractic group and third-party payor, including claims for breach of contract, negligent misrepresentation, and unfair and deceptive trade practices (sole arbitrator; administered by AAA)
  • Dispute between Alabama hospital and third-party payor involving medical necessity claim denials (sole arbitrator; administered by AHLA)
  • Dispute between a Florida hospital and a Florida Medicaid managed care plan (sole arbitrator; administered by AHLA)
  • Dispute between Florida health system and third-party payor regarding reimbursement for outpatient drugs acquired pursuant to Section 340B of the Public Health Service Act and provided to Medicare Advantage benefit plans (chair; administered by AAA)
  • Dispute between multiple hospitals and a third-party payor regarding reimbursement for implants (sole arbitrator; administered by AAA)
  • Dispute between Texas health system and a third-party payor involving differential payment rates for hospitals within the system (sole arbitrator; administered by AHLA)
  • Dispute between hospital and a third-party payor involving claims for in-network emergency services (chair; administered by AAA)
  • Dispute between South Carolina hospital and a third-party payor regarding denial of payment based on alcohol exclusion in patient insurance policy (sole arbitrator; administered by AHLA)
  • Dispute between orthopedic ambulatory surgery centers and a third-party payor regarding claim denials (sole arbitrator; administered by AAA)
  • Claim by emergency physician group regarding downcoded claims and a third-party payor’s alleged failure to timely enroll the group’s physicians (sole arbitrator; administered by AAA)
  • Dispute involving multiple reimbursement issues between Florida hospitals and third-party payor (co-arbitrator; administered by AHLA)
  • Dispute between third-party payor and Tennessee and Georgia hospitals regarding medical necessity claim denials (co-arbitrator; administered by AHLA)
  • Dispute between California hospitals and third-party payors involving claim downcoding and denials (sole arbitrator; administered by AAA)
  • Reimbursement dispute between South Carolina chiropractic group and third-party payor, including claims for breach of contract, negligent misrepresentation, and unfair and deceptive trade practices (sole arbitrator; administered by AAA)
  • Dispute between Alabama hospital and third-party payor involving medical necessity claim denials (sole arbitrator; administered by AHLA)
  • Dispute between a Florida hospital and a Florida Medicaid managed care plan (sole arbitrator; administered by AHLA)
  • Dispute between Florida health system and third-party payor regarding reimbursement for outpatient drugs acquired pursuant to Section 340B of the Public Health Service Act and provided to Medicare Advantage benefit plans (chair; administered by AAA)
• Emergency arbitrator in dispute between U.K. and U.S. pharmaceutical manufacturers (emergency arbitrator; administered by ICDR)
• Partnership dispute between physician-owners of medical group (sole arbitrator; administered by AHLA)
• Payment dispute between a clinical laboratory company and a rural hospital (sole arbitrator; administered by AHLA)
• Dispute between a Tennessee-based employer-funded health plan and a third-party benefits administrator (sole arbitrator; administered by AAA)
• Contract dispute between anesthesiology physician group and health system (sole arbitrator; administered by AHLA)
• Dispute between a billing company and a national physician group (co-arbitrator; administered by AHLA)
• Dispute between Japanese and U.S. companies regarding a healthcare education JV (sole arbitrator; administered by ICC)
• Claim by physician group versus insurance company for alleged wrongful settlement of medical malpractice litigation (chair; administered by AHLA)
• Indemnity dispute between Washington-based health plan and New York-based Medicare Advantage organization in connection with False Claims Act investigation (sole arbitrator; administered by AHLA)

The foregoing list is merely representative and not inclusive of all arbitrator appointments.