Ms. Cohen counsels health care providers and suppliers with respect to Medicare coverage and reimbursement issues, including those relating to graduate medical education payments, billing for inpatient and outpatient services, cost reporting issues, complying with provider-based rules, the 60-day Overpayment Rule, and the False Claims Act. On behalf of clients, she also provides advice on structuring 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, Ms. Cohen 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 arrangements and agreements 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 telemedicine arrangements and provides guidance regarding reimbursement, fraud and abuse, licensure, scope of practice, supervision, and corporate practice of medicine matters.
Her recent engagements have included advising clients on regulatory issues related to:
- Provider-based rules and co-location guidance
- Incident to, split/shared, and teaching physician billing rules
- Establishment of new medical and dental residency programs
- Medicaid, state medical board telehealth requirements, supervision, and scope of practice issues for national providers and suppliers
Prior to joining Baker Donelson, Ms. Cohen served as a senior policy and regulatory specialist for the Association of American Medical Colleges (AAMC), and as a public policy specialist for the Susan G. Komen Advocacy Alliance.