Carrie Douglas is a healthcare and litigation attorney in Holland & Knight's Austin office. Ms. Douglas is a passionate advocate for healthcare providers and works tirelessly to achieve maximum reimbursements from commercial payors and third party administrators for hospital systems, ambulatory surgery centers and large physician practices. She develops cost-effective pre-litigation solutions for her clients' reimbursement issues, and she navigates the tricky balance of expediting resolutions of these disputes with the impact of the settlements on future dealings with payors.
Primarily representing in-network providers, Ms. Douglas has built an impressive track record resolving coverage and reimbursement disputes between healthcare organizations and private health insurers and public payors. Her experience includes issues related to unilateral payor policies involving COVID-19 reimbursement, reference-based pricing, out-of-network plans and E/M downcoding. She has also established successful strategies related to disputes involving experimental/investigational designations, medical necessity, diagnosis-related groups (DRG) downgrades and refunds, offsets and other adjustments, which have allowed for pre-litigation resolutions. Additionally, she has hospitals and health systems on compliance with the Hospital Price Transparency Rule.
Ms. Douglas grew up with parents who were in the healthcare field, and her husband is an electrophysiologist as well. She routinely draws from that background when assisting her clients. She deeply understands the revenue cycle needs of providers, and she is dedicated to her clients' success. She has brought in an excess of $13 million dollars over the past five years for the largest regional health system in West Texas.
Ms. Douglas is active in the medical community where she speaks regularly to residents and fellows on how to negotiate physician employment contracts and the best strategies to use to maximize reimbursement.
Previously, Ms. Douglas was a member of Clark Hill, where she successfully resolved overpayment and recoupment demands in the favor of providers and negotiated several million dollars in favorable settlements for healthcare clients involving under-reimbursement of insurance claims by national health insurance companies.
- The University of Texas School of Law, J.D.
- The University of Texas at Austin, BBA, Finance and Business Honors Program, with honors
- The University of Texas at Austin, B.A., Plan II Honors Program
- U.S. District Court for the Southern District of Texas
- Texas Bar Association
- Jewish Family Service of San Antonio, Board President
- Jewish Community Center of San Antonio, Campus Board
- Rising Star, Healthcare, Texas Super Lawyers magazine, 2015-2019