Overview

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George Scoville is an Attorney in the Firm’s Nashville office and a member of the Litigation practice group. Mr. Scoville is a seasoned commercial litigator who focuses his practice on complex disputes in the health care industry, particularly high-stakes managed care reimbursement litigation against commercial and government-sponsored health benefit plans. He represents in-network and out-of-network health systems, hospitals and other providers in matters involving interpreting provider agreements, underpayment, audit and recoupment practices, and large portfolios of discrete reimbursement claims.

He is known for developing efficient, business-oriented strategies that position clients for early resolution where appropriate while preserving leverage for litigation and arbitration. Mr. Scoville has helped clients achieve favorable outcomes in a range of complex reimbursement disputes, including helping to develop a strategy used nationwide for defending revenue-cycle consultants in plan-initiated federal RICO and common-law fraud actions arising from favorable awards for providers in the Independent Dispute Resolution process under the No Surprises Act; setting up a multi-hospital health system for the successful mediation of hundreds of underpaid claims in a single proceeding; securing full-value direct resolution of a $50 million reimbursement dispute; and obtaining a seven-figure pre-judgment interest award in a bifurcated arbitration. He has also litigated novel issues by raising constitutional challenges to Medicare recovery audit practices and other matters with industry-wide implications.

In addition to his health care practice, Mr. Scoville represents businesses and individuals in a broad range of complex commercial disputes, including contract actions, business torts, bet-the-company governance disputes, and litigation involving multi-party business break-ups. Before entering private practice, he served as a law clerk to Chief Judge Sheryl H. Lipman of the U.S. District Court for the Western District of Tennessee at Memphis, where he managed a complex docket and supported multiple jury trials in a single one-year term. He began his professional career in Washington, D.C. as a public policy analyst and communications strategist, experience that informs his ability to translate complex legal issues into clear, practical advice for clients and persuasive advocacy in tribunals.

  • Defended a revenue-cycle consultant from RICO litigation filed concurrently in three federal courts by affiliated health benefit plans trying to recover their losses in the federal Independent Dispute Resolution arbitral process under the No Surprises Act, leading to dismissal with prejudice of federal RICO wire fraud, Federal Arbitration Act vacatur, and ERISA claims in one jurisdiction.
  • Pursued unjust-enrichment claims in state court on behalf of a regional out-of-network hospital to recover underpayments for emergency and post-stabilization services from a large commercial health insurer and prevailed on a motion to remand when the insurer attempted to remove the case to federal court under ERISA.
  • Helped guide a regional health system of more than 40 hospitals in the successful mediation of almost 300 underpaid discrete reimbursement claims in one sitting.
  • Assisted a network of end-stage renal care providers in pursuing damages for breach of contract by a managed Medicaid health benefit plan.
  • Arbitrated a hospital network’s $50 million breach-of-contract and statutory prompt-pay and pre-judgment interest claims against a regional health benefit plan and its affiliates, which underpaid the client’s reimbursement claims when CMS adjusted the Medicare wage index for the region, and guided the client to a settlement for 100% value.
  • Obtained a $1 million pre-judgment interest award for an out-of-network non-profit hospital in the arbitration of a payment dispute with a commercial health benefit plan.
  • Pursued a hospital network’s breach-of-contract, unjust enrichment, and ERISA claims in federal court against the “home plan” of the patients’ local insurance carrier.
  • Represented a health care services provider in federal trial court and on appeal in constitutional litigation concerning statistical sampling in a post-payment Medicare recovery audit.
  • Represented a high-net-worth individual in the business divorces of six limited liability companies attendant to the client’s marital divorce.
  • Defended three affiliated construction companies and their principal from a creditor’s claims for alleged breaches of secured promissory notes and personal guaranties.
  • Served as regional coordinating counsel in the pursuit of a commercial property owner’s breach-of-contract claims against a defaulting tenant leasing units in Tennessee, Kentucky and Florida.
  • Represented a hospitality-industry entrepreneur in a commercial lease dispute arising from the landlord’s failure to cure structural deficiencies in the leased property that the client uncovered during pre-opening renovations.
  • Defended a consumer product manufacturer in a multi-million-dollar indemnity action filed by an international retailer following class-action litigation against the retailer.
  • Defended a regional bank in a federal lawsuit alleging violations of the Defend Trade Secrets Act and vicarious liability for state-law claims arising from a new employee’s alleged breaches of fiduciary duties to the plaintiff.
  • Pursued breach-of-contract, business tort, and veil-piercing claims on behalf of a construction contractor and common stockholder in bet-the-company litigation against preferred stockholders of a closely held limited liability company.
  • Prevailed on a motion for summary judgment in defense of the U.S.-based distributor of an international vehicle manufacturer in a personal-injury and loss-of-consortium action alleging defective transmission design and manufacture.
  • Defended a domestic heavy equipment lessor in a personal-injury action arising from alleged faulty maintenance, litigating the case to summary judgment and resulting in a favorable settlement for the client.

  • Institute for Free Speech, Adjunct Fellow
  • American Health Law Association
  • Tennessee Bar Association
  • Nashville Bar Association
    • Young Lawyers Division Board of Directors, 2026
  • Nashville Bar Foundation Leadership Forum, Class of 2023
  • Belmont University College of Law Inn of Court, Barrister Member, 2022-Present
    • Executive Committee, 2025-Present
    • Programming Committee, 2025-Present
    • Mentoring Committee, 2025-2026
  • Belmont University College of Liberal Arts & Social Sciences Advisory Board Member, 2022-Present
  • Belmont University Adjunct Professor of Political Science, 2014-Present
  • Phi Sigma Tau International Philosophy Honor Society Inductee and Member, 2009-Present

  • Retrieving Independence, Inc., Board Member, 2021-Present

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