Our Team

Leslie Howard, JD, is the Co-Founder and CEO of CH Revenue Management Solutions and the Managing Partner of the law firm Cohen Howard. Since 2012, Leslie has focused her work on out-of-network reimbursement, helping providers navigate payment disputes with commercial insurance companies and third-party administrators at a time when few resources existed for independent practices operating outside traditional networks.

Leslie’s experience is grounded in sustained, day-to-day engagement with insurance payors and a deep understanding of ERISA and state healthcare regulatory frameworks. Her work has spanned billing, appeals, negotiations, regulatory filings, and federal and state dispute resolution processes, including class actions matters involving insurer reimbursement practices. This work has taken place across multiple phases of industry change, including the evolution of state balance billing laws and the implementation of the No Surprises Act.

Over more than a decade in this space, Leslie has accumulated a proprietary body of historical payor payment data, insurance correspondence, and plan documentation, reflecting patterns and practices that are not visible in short-term or transactional engagements. This longitudinal perspective informs the work of CHRMS and supports a disciplined, experience-driven approach to reimbursement management.

In addition to her operational work, Leslie is a frequent speaker for medical associations and has authored and contributed to published articles and interviews on out-of-network reimbursement and payer practices.