Overview
Kelsey is a business litigator who works closely with clients faced with complex commercial disputes, with an emphasis in the managed care industry. Kelsey represents clients as plaintiffs and defendants in federal and state lawsuits, as well as arbitrations, involving contractual and extra-contractual disputes, as well as overpayment and fraudulent billing issues. She advises group insurers, plan administrators, third-party claim administrators, employers, and pharmacies in lawsuits involving medical benefits, including ERISA and state law claims.
Kelsey has experience in all stages of litigation, including drafting pleadings and discovery requests, briefing jurisdictional and procedural issues, managing complicated discovery dockets, responding to evidentiary challenges, working with experts, interviewing witnesses, and handling bench and jury trials. Kelsey has represented clients in Texas, Oklahoma, Delaware, and Florida. While the range of business disputes on which Kelsey works crosses many industries, she has extensive experience in managed care litigation. Kelsey handles cases involving disputes over medical benefits, claim billing and payment, reimbursement disputes, fraud, and other healthcare issues.
Kelsey’s pro bono practice includes working as a volunteer prosecutor for the City of Houston Municipal Court where she tried numerous jury trials to verdict and handled all aspects of pretrial motions, voir dire, direct and cross-examination, and closing arguments.
Experience
Managed Care Experience
Kelsey handles contested proceedings brought by or against managed care clients; she has extensive experience defending and/or prosecuting many types of claims and causes of action, including:
- Disputes involving facility-based providers, free-standing emergency centers, hospital-based providers, and facilities.
- Disputes involving anesthesia services, pharmaceutical services, emergency services, medical billing and coding issues, and bariatric surgeries and related procedures.
- Disputes involving prompt payment laws, payment and claim processing policies, pharmaceutical reimbursement, balance billing, surprise billing, and out-of-network payment methodologies.
Other Experience
- Represented pharmacy in lawsuit relating to usual and customary billing; following jury trial, obtained complete verdict in client’s favor.
- Represented managed care company in litigation involving surprise emergency medical billing; obtained favorable result for client.
- Represented managed care company and prosecuted fraud claim against out-of-network hospital and affiliated emergency clinics; obtained summary judgment award based on misrepresentations regarding the nature and location of service provided.
Accolades
Honors & Recognitions
- Selected as a Rising Star for Business Litigation, Texas Monthly and Texas Super Lawyers Magazine, 2021-2023
Affiliations
Professional
- South Texas College of Law Alumni Coach for Mock Trial & Moot Court
- Volunteer Prosecutor, City of Houston (2015)
Insights
Legal Updates
Events & Speaking Engagements
News
Education
JD, South Texas College of Law, Order of the Barristers, 2014
BA, Rhodes College, 2011
Admissions
Texas
Courts
US District Court, Southern District of Texas
US District Court, Western District of Texas
US District Court, Northern District of Texas
US District Court, Eastern District of Texas
