Leslie Demaree Goldsmith has more than 30 years of experience grappling with Medicare reimbursement issues. She has advised healthcare providers on reimbursement questions involving prospective payment systems (PPS), provider-based status, co-location, wage index, bad debt, quality data, medical education (including Graduate Medical Education (GME), Indirect Medical Education (IME), nursing and allied health), disproportionate share hospital (DSH) calculations and cost allocation. She provides guidance to healthcare providers, including hospitals, home health agencies, hospices and skilled nursing facilities, on challenges involving conditions of payment and conditions of participation regulations.
Leslie has represented many healthcare providers before the Provider Reimbursement Review Board (PRRB) and the Centers for Medicare & Medicaid Services (CMS) Administrator, as well as in federal courts.
Leslie also guides clients on billing and claims issues, such as the Two-Midnight rule, quality reporting, telemedicine, the 340B program and Medicare bundled payments. She provides advice on compliance issues related to potential overpayments and the False Claims Act (FCA) involving allegations of improper billing and fraudulent cost reports.
Leslie is the author of numerous articles on healthcare topics that have been published in legal and healthcare financial journals and is a frequent speaker at industry conferences.