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About Sunil V. Lalla, MD, FACS, CPC - Chief Medical Officer

Sunil V. Lalla, MD

Sunil V. Lalla, MD, FACS, CPC is Chief Medical Officer at CGS Administrators for the Jurisdiction B Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC). As a contractor medical director, he is responsible for providing expert clinical guidance in the development of local coverage determinations and policy articles to provide criteria for coverage, coding, claim review, and technology assessment for durable medical equipment, prosthetics, orthotics and supplies in the Fee-for-Service Medicare program. Dr. Lalla is significantly involved in the development of the Jurisdiction B medical review strategy including TPE audits, Comprehensive Error Rate Testing (CERT) error rate reduction plans, and supplier focused education.

Dr. Lalla attended medical school at Emory University School of Medicine and completed his residency in Surgery at the University of Tennessee Health Sciences at Memphis, TN. He has over 25 years of clinical operative experience and has been active with the American Medical Association, the American College of Surgeons, the South Carolina Medical Association Board of Trustees, and the Members Insurance Trust Board of Trustees. Dr. Lalla is also a Certified Professional Coder (CPC). Dr. Lalla has extensive experience in Medicare and has previously served as a Medical Director with an A/B MAC prior to joining CGS Administrators as the Chief Medical Officer for Jurisdiction B.

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