Mary Grace provides guidance to health care clients on federal and state issues relating to fraud and abuse, 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, including corporate practice of medicine, hospital authorities and districts, and state attorney general approvals.
She defends hospitals, long term care providers, physician groups, pharmacies, and other health care entities in Medicare and Medicaid fraud and abuse issues, including physician self-referral and Anti-kickback issues, as well as federal False Claims Act (FCA) matters and investigations. She also represents clients undergoing CMS, EMTALA and state surveys, QIO hearings, Medicare terminations and regulatory review, and advises on voluntary disclosures and state and federal surprise billing laws.
Mary Grace has experience pursuing administrative appeals on behalf of clients to recover and maximize Medicare and Medicaid reimbursements and counseling providers in identifying overpayments to state Medicaid agencies and the Centers for Medicare & Medicaid Services (CMS).