Healthcare Law Partner
CurrentMedicare and Medicaid ReimbursementProvides regulatory advice and administrative litigation services to healthcare providers with regard to Medicare reimbursement and Medicaid financing issues. Comments on Medicare and Mediciad payment policy. Represents providers before the Provider Reimbursement Review Board and in federal court in reimbursement disputes involving, e.g., Graduate Medical Education, Area Wage Index, and Allied Health Program issues. Advises on Medicaid financing arrangements. Graduate Medical EducationRepresents Academic Medical Centers and Teaching Hospitals in a wide array of compliance and reimbursement issues including Medicare payments for training residents, moonlighting, teaching physician supervision, and other operational matters.Licensing and CertificationRepresents and advises healthcare providers and suppliers on transaction and post-transaction regulatory filings for state licensure as well as for Medicare and Medicaid certification. Has extensive experience addressing general and Change of Ownership-specific licensing, certification, and provider enrollment matters for many different provider types in many different states. Post-Acute Administrative AppealsHandles administrative and civil appeals of citations and deficiencies for post-acute providers relating to survey and certification matters and appeals of privacy penalties before the U.S. Department of Health and Human Services Departmental Appeals Board, California Superior Court, the California Department of Public Health, and the Department of Health Care Services’ Office of Administrative Hearings.ComplianceAdvises hospitals and clinics on billing and cost report issues, anti-kickback and self-referral matters, as well as self-disclosures.
