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Experience

Andrew represents hospitals, physician groups, air ambulance services, and other healthcare providers in disputes with health insurers regarding the failure to pay for services provided to their patients.  This has included claims involving medical necessity denials, readmission denials, DRG downgrades, line item/charge audits and disallowances, and various payor policies.  Andrew has also represented out-of-network providers in litigation involving failure to pay the usual and customary rate.  Andrew has also represented providers in government investigations involving governmental program payments.

Representative Matters

  • Represented hospital and healthcare providers in managed care disputes with insurance companies, including Aetna, BlueCross BlueShield, Cigna, Humana, and UnitedHealthcare
  • Represented air ambulance company in dispute with health maintenance organization
  • Represented out-of-network healthcare providers in reimbursement litigation for services rendered to insured patients
  • Represented healthcare providers enforcing their rights under the Texas “prompt pay” statutes
  • Represented physician in healthcare fraud prosecution
  • Represented healthcare providers in fraud and civil RICO matters, both as plaintiffs and defendants
  • Represented healthcare providers in partnership disputes
  • Represented healthcare providers with regard to non-competition agreements
  • Representation of pharmaceutical company in national hormone therapy litigation
  • Represented food product manufacturer in multiple alleged nationwide and statewide class actions related to false and misleading advertising for various products
  • Represented consumer product manufacturer in agency proceeding regarding allegations of false and misleading advertising

Prior Employment

  • Law Clerk for the Honorable Nathan L. Hecht, Texas Supreme Court, 2008-2009
  • Judicial Intern for the Honorable Barbara M.G. Lynn, U.S. District Court, Northern District of Texas, 2007
  • Judicial Intern for the Honorable Frederico Hinojosa, Texas Thirteenth Court of Appeals, 2006

Honors & Affiliations

Distinctions/Honors

  • The Best Lawyers in America®by Woodward/White Inc. (Mass Tort Litigation/Class Actions – Defendants), 2021
  • Texas Rising Stars® by Thomson Reuters (Business Litigation), 2015-2018
  • Chambers USA by Chambers and Partners (Healthcare), 2021

Memberships/Affiliations

  • Co-Chair, Diversity & Inclusion Committee, 2021
  • Eagle Scout
  • Dallas Area Habitat for Humanity CORE Volunteer
  • Member, American Health Lawyers Association (AHLA)

Education & Admissions

Education

  • J.D., 2008, magna cum laude, SMU Dedman School of Law; Managing Editor, 2007-2008, Staff Editor, 2006-2007, SMU Law Review Association; Dean’s List; Dean’s Scholarship Recipient
  • B.S., 2005, University of Virginia; Pi Kappa Phi Fraternity, Beta Upsilon Chapter; Greater Charlottesville Habitat for Humanity

Admissions

  • Texas
  • U.S. District Court for the Eastern District of Texas
  • U.S. District Court for the Northern District of Texas
  • U.S. District Court for the Western District of Texas
  • U.S. District Court for the Southern District of Texas
  • U.S. Court of Appeals for the Fifth Circuit

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