Ms. Cohen counsels health care providers and suppliers on a variety of complex regulatory and reimbursement issues, including graduate medical education (GME) payments and academic affiliations; billing for inpatient, outpatient, and physician services; enrollment and claims submission; cost reporting and wage index issues; provider-based rules; the 60-day Overpayment Rule; the Anti-kickback Statute, and the False Claims Act.
She has extensive experience providing the legal guidance necessary to successfully navigate the various health care regulations and payment systems implicated by clinical expansions, transactions, and health care innovation. Her clients rely on her to develop solutions to compliantly achieve clinical, operational, and business objectives.
On behalf of clients, Ms. Cohen structures agreements and arrangements between providers and suppliers to comply with applicable billing and reimbursement requirements as well as federal fraud and abuse laws and regulations. In addition, she has experience with Medicare audits and appeals and representing health care organizations in Provider Reimbursement Review Board appeals.
Ms. Cohen is active in providing regulatory counsel with respect to telehealth agreements and arrangements to provide other remote or digital health services. In this area, her practice includes analyzing and structuring telemedicine agreements between hospital systems, practitioners, and other health care providers. She regularly evaluates arrangements for remote services and provides guidance regarding reimbursement, fraud and abuse, licensure, scope of practice, supervision, and corporate practice of medicine matters.
Prior to joining Baker Donelson, Ms. Cohen practiced at another national law firm and served as a senior policy and regulatory specialist for the Association of American Medical Colleges (AAMC) Advocacy Alliance.