Mary Grace provides guidance to health systems, hospitals, physician groups, behavioral health facilities, clinical laboratories, pharmacies, and other health care providers on federal and state issues relating to fraud and abuse, payment and reimbursement, compliance, licensure, certificate of need (CON), privacy and security (HIPAA/HITECH), telemedicine, and medical staff issues. She also advises on regulatory and structuring aspects of health care transactions and represents clients undergoing CMS, Joint Commission, EMTALA, and state surveys.
Mary Grace advises clients across the health care industry with respect to the development, implementation, and assessment of corporate compliance programs. She assists with disclosure of compliance issues to state, federal and commercial payors, as well as internal investigations related to potential compliance concerns. Mary Grace also has experience preparing, submitting, and resolving matters under various self-disclosure protocols.
Mary Grace regularly assists clients with the structuring or restructuring of contractual arrangements to minimize regulatory risk. She also advises clients regarding implications of changing payment models to their organizations, and strategies for adapting to such changing models while managing regulatory risks. Mary Grace helps clients design and implement alignment strategies, including through developing Accountable Care Organizations (ACOs) along with a variety of other mechanisms.
In addition, Mary Grace advises providers on corporate issues, including proper structuring of physician-related arrangements pursuant to corporate practice of medicine restrictions, and assists with contractual relationships, including drafting and negotiating clinician employment agreements and other services arrangements. She also assists clients with obtaining state and federal approvals for complex transactions, including state attorney general approvals for hospital mergers, acquisitions, and integrations.