1. Tell us about your practice.
For 20 years, I've been helping clients navigate the complex (often downright byzantine) world of Medicare reimbursement and fraud and abuse rules. Healthcare is a constantly shifting landscape, so I never take anything for granted. I have a glass "whiteboard" in my office on which I am constantly drawing diagrams of proposed transactions (usually with multiple colors of dry-erase markers). I want to make sure that I'm not missing a single facet of a deal that could implicate reimbursement, certification or fraud and abuse regulations.
2. What is an interesting trend happening right now related to your field of practice?
Even with the usual fluctuations in the healthcare landscape, it would be hard to top the seismic shift represented by the passage of MACRA, the Medicare Access and CHIP Reauthorization Act of 2015. MACRA exponentially accelerates the move to value-based purchasing by government healthcare programs. Just last month, CMS issued final regulations to implement one of the cornerstones of MACRA, the elimination of the Sustainable Growth Rate (SGR) and the old fee-for-service methodology for reimbursing physicians. The old methodology will be replaced with merit-based and alternative payment systems. Healthcare lawyers are living in exciting times.
3. Why did you choose to pursue a career in the legal field?
For the intellectual challenge. Practicing as a healthcare regulatory lawyer has certainly never let me down in this respect!