Abril Law

10/02/2026

What can your claims data tell you about how your organization is actually being reimbursed?

In the October 2026 edition of South Florida Hospital News & Healthcare Report, Abril Law asssociate Trevor Biglin explores how healthcare providers can use AI and claims analytics to move beyond individual underpayments and identify broader reimbursement patterns.

When hundreds or thousands of claims are analyzed together, seemingly isolated payment variances may reveal systemic issues, allowing providers to quantify their financial impact and evaluate whether further investigation, dispute resolution, arbitration, or litigation is warranted.

The opportunity isn't simply more data. It's using that data to better understand where reimbursement may not match contractual or other applicable expectations.

Read the full article to learn how claims analytics and legal strategy can work together to turn reimbursement data into actionable insight:

https://www.abrilaw.com/post/beyond-the-individual-claim-using-ai-and-data-analytics-to-identify-reimbursement-trends

Artificial intelligence and advanced analytics are beginning to change that perspective. Rather than evaluating reimbursement one claim at a time, providers can increasingly analyze thousands of claims simultaneously to identify patterns that may reveal systemic reimbursement issues.

09/30/2026

Obtaining a favorable No Surprises Act IDR award should mean the end of a reimbursement dispute.

But what happens when the payer still doesn’t pay?

Recent litigation involving unpaid IDR awards highlights a growing challenge for healthcare providers: winning the reimbursement dispute and actually collecting the money can be two very different things.

In our latest article, Abril Law examines the full recovery lifecycle, from pursuing reimbursement through the federal IDR process to evaluating litigation and, where appropriate, enforcing judgments through post-judgment collection remedies.

For providers, the goal isn’t simply obtaining an award.

The goal is recovery.

Read the full article: https://www.abrilaw.com/post/winning-the-idr-award-is-only-half-the-battle-enforcing-no-surprises-act-reimbursement

09/10/2026

Abril Law is featured on the cover of the September 2026 issue of the South Florida Hospital News and Healthcare Report!

In “The Cost of Getting Paid: Why Reimbursement Strategy Matters More as Hospital Margins Tighten,” Senior Associate Trevor Biglin examines a growing challenge for healthcare leaders: providers are generating more revenue and treating more patients, yet financial stability remains elusive.

As margins tighten and technology makes recurring reimbursement issues easier to identify, when does a revenue cycle problem become a reimbursement enforcement problem?

Read the full article to learn why protecting and recovering earned reimbursement is becoming an increasingly important part of healthcare financial strategy:

https://www.abrilaw.com/post/the-cost-of-getting-paid-why-reimbursement-strategy-matters-more-as-hospital-margins-tighten

09/02/2026

When Business Partners Disagree: Navigating Partnership and Shareholder Disputes

Many successful businesses begin with strong partnerships.

Unfortunately, disagreements over ownership, finances, or management can quickly place years of hard work, and the future of the business itself, at risk.

Our newest article explores common partnership and shareholder disputes, fiduciary duties, buyout considerations, and strategies for protecting both your business and your investment.

Many successful businesses begin with a shared vision. Partners or shareholders come together with complementary skills, mutual trust, and the common goal of building a thriving company. Over time, however, disagreements over finances, management, or the future direction of the business can strain e...

08/28/2026

The No Surprises Act continues to evolve and today’s newly issued Federal IDR Final Rule represents another major development for healthcare providers navigating out-of-network reimbursement disputes.

Our latest article breaks down the key operational and reimbursement changes impacting:
Emergency Providers
Hospitals & ASCs
Physician Groups
Air Ambulance Providers
Revenue Cycle Teams

From increased scrutiny over IDR eligibility and batching requirements to new transparency rules involving CARCs/RARCs and ongoing QPA litigation, providers should expect a more compliance-driven arbitration landscape moving forward.

At Abril Law, we continue to monitor these developments closely to help providers protect reimbursement rights while adapting to the ever-changing NSA framework.

08/26/2026

The Cost of a Broken Contract: What Businesses Should Do When an Agreement Is Breached

A contract is only as valuable as your ability to enforce it.

When a customer, vendor, or business partner fails to honor their contractual obligations, knowing your legal options early can help preserve your rights and improve the likelihood of recovery.

Our latest Commercial Litigation Insights article discusses breach of contract claims, documenting your case, available remedies, and when litigation may become necessary.

08/25/2026

Healthcare staffing challenges are no longer just a clinical issue, they are a financial one.

While much of the industry discussion focuses on physician and nursing shortages, healthcare organizations are increasingly facing critical workforce gaps in revenue cycle operations, coding, denial management, utilization review, and reimbursement recovery.

The impact is significant: delayed claims, aging accounts receivable, increased denials, cash flow disruption, and mounting pressure on already strained healthcare margins.

In Abril Law Associate, Trevor Biglin's, latest article, originally published in the June 2026 edition of the South Florida Hospital News & Healthcare Report, he explores how staffing shortages are affecting healthcare organizations beyond the bedside, why consolidation and workforce turnover continue to create operational challenges, and how providers are adapting through technology, strategic partnerships, and hybrid staffing models.

As reimbursement becomes increasingly complex, workforce strategy has become a critical component of financial performance.

Technology and automation have helped alleviate some staffing pressures, but they have not eliminated the need for experienced personnel. While artificial intelligence can assist in identifying trends, prioritizing accounts, and reducing repetitive administrative tasks, it remains dependent on knowl...

08/20/2026

Please join us in congratulating Trevor Biglin!

Trevor, who practices from Abril Law’s Miami, Florida office, has been recognized in the 2027 edition of Best Lawyers: Ones to Watch™ in America for his work in Health Care Law, Commercial Litigation, and Insurance Law.

Trevor has been recognized since 2025, and we are proud to celebrate this continued distinction with him.

Congratulations, Trevor!

08/19/2026

When Business Relationships Break Down: Protecting Your Interests Through Commercial Litigation

Most business disputes don't begin in a courtroom, they begin with a broken promise, a missed payment, or a disagreement that can no longer be resolved through negotiation.

Knowing when to involve legal counsel can make a significant difference in protecting your business and preserving your rights.

In the first installment of our Commercial Litigation Insights series, we explore the types of disputes businesses commonly face, the role litigation plays in resolving them, and how strategic legal representation can help businesses achieve practical, cost-effective outcomes.

Commercial litigation exists to protect businesses when negotiations fail and legal intervention becomes necessary. While many business owners hesitate to involve an attorney, obtaining experienced legal counsel early often leads to more efficient resolutions, stronger negotiating positions, and, wh...

08/18/2026

Revenue cycle technology is evolving at an unprecedented pace. AI-driven workflows, predictive analytics, contract intelligence, and automation are giving healthcare providers greater visibility into their financial performance than ever before.

But technology alone doesn't recover underpayments, resolve complex payer disputes, or navigate increasingly sophisticated reimbursement challenges.
In our latest article, we explore the latest trends in revenue cycle software, and why the greatest results come from combining intelligent technology with experienced legal and reimbursement professionals.

Read the full article below and let us know your thoughts.