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Wayne State University Law School:
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Board of Visitors, member, 2003-2009
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Law School Alumni Association: President,
1998-1999; Member, Board of Directors, 1997-2003
Wayne State University School of Medicine:
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Faculty, Department of Internal Medicine
Residency Program, 2003-present
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Lecturer, Year II Medical Ethics Course,
2000-2003
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Committee of Visitors, Vera P. Shiffman Medical
Library, 1999-2003
Wayne State University, Irvin D. Reid Honors
College:
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Board of Visitors, Chair, 2011 - present
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Board of Visitors, member, 2009 - present
Healthcare Financial Management Association:
American Health Lawyers Association (Faculty, Annual
Meeting, 2006: co-author of various AHLA
publications) (member since 1986)
Oakland County Bar Association (Member,
Medical-Legal Committee, 2008-present; Member,
Public Advisory Committee on Judicial Candidates,
2004)
Detroit Metropolitan Bar Association (Member,
Medical-Legal Section)
Federal Bar Association
(Detroit Chapter)
American Bar Association (Health Care Law Section)
Overview of Practice Areas and Experience
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Business Organization:
Organizing and advising many health care
entities, including physician group practices,
physician organizations, rehabilitation
facilities and agencies, diagnostic facilities,
community mental health agencies, clinical
laboratories, home health agencies, durable
medical equipment suppliers and others, in the
areas of business organization, administrative
structure, employment and independent contractor
agreements, certificates of need, compliance
programs, third party payment compliance,
Medicare certification, personnel policies and
medical records organization.
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Contracting:
Negotiating and drafting many health care
contracts and arrangements, such as physician
employment and shareholder agreements,
hospital-physician joint venture agreements,
management services agreements, physician
capitation arrangements, participation
agreements, medical director contracts,
consultant agreements, co-ownership arrangements
for medical equipment, and space sharing
agreements.
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Payer Audits:
Representing physicians, providers and suppliers
in Medicare, Blue Cross and other third party
payer audits.
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Fraud-and-Abuse:
Advising clients in health care fraud-and-abuse
and physician self-referral matters, including
Stark Law, anti-kickback law and Michigan
licensing restrictions. Represented physicians
in leading Michigan case on physician
self-referral.
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License Discipline:
Representing physicians and other health care
professionals in State license disciplinary
investigations and proceedings.
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Medical Staff Credentialing:
Representing physicians and other health care
professionals in credentialing and staff
privilege matters.
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Compliance Programs:
Designing and instituting compliance programs;
on-going compliance counsel.
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Legal Disputes and Litigation:
Representing health care entities and
professionals in legal disputes, mediation,
facilitation and civil litigation involving
payment disputes, breach-of-contract claims and
other health care law matters. Experienced as
court-appointed case facilitator.
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Investigations:
Representing health professionals and entities
in civil fraud investigations and cases,
seizures under search warrant, federal grand
jury inquiries and other criminal and
quasi-criminal investigations and proceedings.
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Business Sales and Purchases:
Representing sellers and purchasers of health
care facilities and practices.
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Employee Benefit Plans:
Negotiating and drafting contracts between
employee benefit plans and health care provider
organizations.
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Government Relations:
Experienced in legislative and administrative
matters, including drafting, lobbying and
testifying for and against health care
legislation at the State and federal levels.
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Frequent speaker and author
on health law topics.
Selected Presentations and Articles on Health Law
Topics
“ACOs: A Bold Idea With Legal Challenges,”
portion of State Bar of Michigan Health Care Law
Section Annual Meeting, Rochester, MI. Presented
September 2011.
“What
Every Physician Should Know About Medical Marihuana
and Disability Examinations,”
portion of Clinical Skills and Competency rotation,
Internal Medicine Residency Program, Wayne State
University School of Medicine, Detroit, Michigan.
Lecturer. October 2010.
“Legal Compensation for Marketers,”
portion of 9th Annual Power Home Health Referrals
Program, sponsored by Home Health Line,
Nashville, Tennessee. Presented February 24-26,
2010.
“Retail Trends in Health Care Delivery,”
portion of program
15th Annual Michigan Health Law Institute,
Plymouth, Michigan; sponsored by The Institute of
Continuing Legal Education and the State Bar of
Michigan Health Care Law Section. Presented March
2009.
“Physician Agreements,”
chapter in Representing Physicians Handbook;
(publication of American Health Lawyers
Association). Published November 2009.
“Legal
Issues: What Every Physician Should Know,”
portion of Clinical Skills and Competency rotation,
Internal Medicine Residency Program, Wayne State
University School of Medicine, Detroit, Michigan.
Lecturer. October 2008 - January 2009.
“Proposed Stark Law Changes-the Government’s
Response to Physician-Hospital Competition,”
portion of
Annual Michigan Health Law Institute,
sponsored by The Institute of Continuing Legal
Education and State Bar of Michigan Health Care Law
Section. Detroit, Michigan. Presented September
2008.
“The Intersection of Today's Law and Tomorrow’s
Medicine: Legal Protection for Physicians at the
Forefront in Developing New Techniques and
Treatments,”
portion of Advanced Vaginal & Pelvic Reconstructive
Surgery program; sponsored by Workshops in Pelvic
Surgery; The Royal College of Obstetricians and
Gynaecologists, London, UK. Presented June 2008.
“Overview of Latest Developments in Antitrust Law,”
portion of program
Health Care and the Antitrust Laws,
Novi, MI; co-sponsored by the Antitrust, Franchising
and Trade Regulation Section and the Health Care Law
Section, State Bar of Michigan. Presented May 2008.
“Medical Staff Privileges & Licensing,”
portion of program
14th Annual Michigan Health Law Institute,
Plymouth, Michigan; sponsored by The Institute of
Continuing Legal Education and the State Bar of
Michigan Health Care Law Section. Presented March
2008.
“The Pros and Cons of an Independent Staff in a
Physician Practice,”
sponsored by the Oakland County Bar Association.
Presented February 2008.
“Home
Health Agencies: Legal Issues and Compliance,”
portion of Home Health Agency Management Program,
A.D. Maxim Seminars, Troy MI, Miami FL, Chicago IL.
Presentations November 2007 – February 2008.
“Legal
Issues: What Every Physician Should Know,”
portion of Clinical Skills and Competency rotation,
Internal Medicine Residency Program, Wayne State
University School of Medicine, Detroit, Michigan.
Lecturer. October 2007 - January 2008.
Program Chair “Consumer-Driven Health Care:
Better Care or a Passing Fad?” and Roundtable
Discussion Moderator, “Stark Law and Anti-Kickback
Law Update,” Annual Meeting, Health Care Law
Section, State Bar of Michigan, Detroit, Michigan.
September 2007.
“Corporate Practice of Medicine: Physicians,
Physician Extenders & Allied Health Professionals,”
portion of program
13th Annual Michigan Health Law Institute,
Plymouth, Michigan; presenter and program moderator;
sponsored by The Institute of Continuing Legal
Education and the State Bar of Michigan Health Care
Law Section. Presented March 2007.
“Clients’ Use of the Health Care Lawyer as a
Marketing Tool - When Does the Lawyer Cross the
Line?”
chapter in
Health Law Handbook, 2007 Edition,
published by WestGroup Publishing 2007.
“Legal Issues For Physicians,”
portion of Clinical Skills and Competency rotation,
Internal Medicine Residency Program, Wayne State
University School of Medicine, Detroit, Michigan.
Lecturer. October 2006 - January 2007.
“Legal Ethics: Clients’ Use of the Health Care
Lawyer as a Marketing Tool – When Does the Lawyer
Cross the Line?”
portion of Annual Meeting, American Health Lawyers
Association, Philadelphia, Pennsylvania. Presented
June 2006.
“Anti-Kickback and Stark Law Update,”
portion of Health Care Law Roundtable, Novi,
Michigan; sponsored by State Bar of Michigan Health
Care Law Section. Discussion Leader. May 2006.
“Recent Developments in Antitrust,”
portion of program 12th Annual Michigan
Health Law Institute, Troy, Michigan; sponsored
by The Institute of Continuing Legal Education and
the State Bar of Michigan Health Law Section.
Presented March 2006.
“Legal Issues: What Every Physician Should Know,”
portion of Integrative Medicine rotation, Internal
Medicine Residency Program, Wayne State University
School of Medicine, Detroit, Michigan. Lecturer.
October 2005 - January 2006.
“Stark Law and Fraud-and-Abuse,”
Health Care Law Roundtable, portion of State Bar of
Michigan Health Care Law Section Annual Meeting,
Dearborn, Michigan. Discussion Leader. September
2005.
“New Stark Regulations,”
portion of program 11th Annual Michigan
Health Law Institute, Troy, Michigan; sponsored
by The Institute of Continuing Legal Education and
the State Bar of Michigan Health Law Section.
Presented March 2005.
“Legal Issues for Physicians,”
portion of Integrative Medicine rotation, Internal
Medicine Residency Program, Wayne State University
School of Medicine, Detroit, Michigan. Lecturer.
September - December 2004.
“Stark Law Phase II Regulations: Physician Issues,”
portion of Health Care Law Roundtable, Livonia,
Michigan; sponsored by State Bar of Michigan Health
Care Law Section. Discussion Leader. June 2004.
“Systems-Based Practice – Legal Issues,”
Core Competency program, Michigan State University
College of Osteopathic Medicine, Statewide Campus
System, East Lansing, Michigan. Lecturer. April
2004.
“Negotiating and Drafting Hospital/Physician
Agreements,”
portion of program Michigan Health Law Institute,
Troy, Michigan; sponsored by The Institute of
Continuing Legal Education and the State Bar of
Michigan Health Law Section. Presented March 2004.
“Legal Issues for Physicians,”
portion of Integrative Medicine rotation, Internal
Medicine Residency Program, Wayne State University
School of Medicine, Detroit, Michigan. Lecturer.
September - December 2003.
“Legal Issues for Dentists: What Every Dentist
Should Know,”
Oakland County Dental Society luncheon speaker
series, Bloomfield Hills, Michigan. Presented April
2003.
“Law and Medicine,”
portion of Year
II Medical Ethics course, Wayne State University
School of Medicine, Detroit, Michigan. Presented
April 2003.
“Legal Issues for Physicians: What Every Physician
Should Know,”
Internal Medicine Residency Program, Wayne State
University School of Medicine, Detroit, Michigan.
Lecturer. September - December 2002.
“Still Crazy After All These Years: Michigan Looks
to the Stark Law To Make Its Physician Self-Referral
Law More Clear,”
Michigan Health Law Report (publication of State Bar
of Michigan, Health Care Law Section), published
September 2002.
“Public Act 402 of 2002: Replacing
Indenbaum With a Michigan Version of The Stark
Law,” statewide teleconference sponsored by the
State Bar of Michigan, Health Care Law Section.
Presented August 2002.
“Law and Medicine,”
portion of Year
II Medical Ethics course, Wayne State University
School of Medicine, Detroit, Michigan. Lecturer.
April 2002.
“Legal Issues in Counseling: What Every Counselor
Should Know,”
joint program of the Michigan Association of
Marriage and Family Counselors and the Michigan
Mental Health Counselors Association, Royal
Oak, Michigan. Presented January 2002.
“Law and Medicine,”
portion of Year II Medical Ethics course, Wayne
State University School of Medicine, Detroit,
Michigan. Lecturer. January 2001.
“Medical Practice Compliance: Making It Work For
You, Your Staff and Your Patients,”
with John A. Cook and Nancy L. Lukey, Pontiac,
Michigan; sponsored by Oakland Physician Network
Services. Presented January 2001.
“Dealing with the Payers,”
portion of program Investigations and
Organizational Compliance, Lansing, Michigan;
sponsored by the Health Care Compliance Association
(Michigan Chapter). Presented November 2000.
“Third Party Payer Audits: Practical Advice for
Physicians”
and “Compliance Programs for Physician
Practices,” portions of program Corporate
Compliance: Investment or Expense, Saginaw,
Michigan; co-sponsored by Saginaw Cooperative
Hospitals, Inc., and Yeo & Yeo, Certified Public
Accountants. Presented November 1999.
“Fraud and Abuse in the Home Care Industries”
portion of program Season of Change - 1999 Annual
Conference, Grand Rapids, Michigan; sponsored by
the Michigan Home Health Association. Presented May
1999.
“Third Party Payer Audits: Practical Advice for
Physicians,”
Southfield, Michigan, sponsored by the Healthcare
Financial Management Association, Eastern Michigan
Chapter, Compliance Committee. Presented March
1999.
“Physician Billing and Payment: Blue Cross/Medicare
Reimbursement Update,”
portion of program Michigan Health Law Institute,
Troy, Michigan; sponsored by The Institute of
Continuing Legal Education and the State Bar of
Michigan Health Law Section. Presented March 1999.
“Drafting Documents for Professional Practices,”
portion of program 1998 Drafting Business and
Corporate Document Series, Troy, Michigan;
sponsored by The Institute of Continuing Legal
Education. Presented December 1998.
“Compliance For Medical Practices”
and “Third Party Payer Audits,” portions of
program Protecting Your Practice: Audits, Fraud &
Abuse, Botsford General Hospital Seminar Series
1998, Farmington Hills, Michigan. Presented
November 1998.
“Compliance For Small Medical Practices,”
portion of program Health Care Compliance: How To
Avoid Prosecution, East Lansing, Michigan;
sponsored by Michigan State University and Sparrow
Health System. Presented November 1998.
“Compliance For Medical Practices,”
sponsored by the Orthopedic Managers Association,
Troy, Michigan. Presented October 1998.
“Fraud and Abuse Issues In The Home Care
Industries,”
portion of program Michigan Health Law Institute,
Troy, Michigan; sponsored by The Institute of
Continuing Legal Education and the State Bar of
Michigan Health Law Section. Presented February
1998.
“Medical Record Documentation of Difficult
Patients,”
portion of program Strategies for Working with
Difficult Cases - A Team Approach, Southfield,
Michigan; sponsored by Michigan Hand Rehabilitation
Center. Presented November 1997.
“Could Medical License Sanctions be Imposed on Third
Party Payers’ Medical Consultants for Denying
Pre-Approval of Necessary Care?”
Feature Article, The Bulletin, Oakland County
(MI) Medical Society, Published September 1997.
“Self Referral After the Indenbaum Case,”
portion of program Mercy Health Services 1997
Legal Symposium, Detroit, Michigan; sponsored by
Mercy Health Services. Presented August 1997.
“Third Party Payer Audits,”
portion of program Michigan Health Law Institute,
Troy, Michigan; sponsored by The Institute of
Continuing Legal Education and the State Bar of
Michigan Health Law Section. Presented February
1997.
“Stark Law Prohibitions Against Physician
Self-Referral,”
portion of program Michigan Health Law Institute,
Troy, Michigan; sponsored by The Institute of
Continuing Legal Education. Presented February 1996.
“Third Party Payer Audits: Practical Advice For
Physicians, Part Two.”
Published: The Orthopod, April 1995; The
Bulletin, Oakland County (MI) Medical Society,
May 1995.
“Third Party Payer Audits: Practical Advice For
Physicians, Part One.”
Published: The Orthopod, September 1994;
The Bulletin, Oakland County (MI) Medical
Society, April 1995.
“Stark Law Prohibitions Against Physician
Self-Referral,”
portion of program Michigan Health Law Institute,
Troy, Michigan; sponsored by The Institute of
Continuing Legal Education. Presented February 1995.
“Confronting Resident Abuse By Nurse Aides: What You
Should Know, What You Must Do”;
Lansing, Michigan; sponsored by The Valley
Connection. Presented March 1994.
“Defending Civil Audits: Practical Advice,”
portion of program Health Care Reimbursement,
Physician Sanctions and Fraud and Abuse
Investigations; Grand Rapids and Troy, Michigan;
sponsored by The Institute of Continuing Legal
Education. Presented February 1994.
“Complying With The Stark Law: A Common Sense
Approach For Physician-Owned Laboratories,”
portion of program Medicare Do’s & Don’ts: The
Plain English Workshop; Arlington, Virginia;
sponsored by United Communications Group. Presented
September 1991.
“Medical Records: Basic Legal Considerations for
Therapists”
and “Basic Deposition Guidelines,”
Southfield, Michigan; sponsored by Michigan Hand
Rehabilitation Center. Presented May 1991.
Panelist, “An Array of Fraud and Abuse
Prosecutions - The Law Is Becoming Defined: The
Greber Case, The Kats Case, The Bay State Ambulance
Case, The Smith-Kline Lab Case and Others”;
Panel Moderator, “Alternatives and Options in a
Changing Regulatory Climate”; portions of
program Survival of Outpatient Business in the
90’s: Restructuring of Physician Limited
Partnerships to Meet New Federal Guidelines;
Fort Lauderdale, Florida; sponsored by Technicore
Corporation. March 1991.
Organizer, Host and Moderator, National Health
Lawyers Association Breakfast Reception,
Southfield, Michigan, featuring Congressman Sander
Levin; included moderating questions and answers on
the Stark Law and health care reform proposals.
February 1990.
“Fraud and Abuse,”
portion of Health/Legal Seminar, Novi,
Michigan; sponsored by Michigan Health Care Lawyers
Association and Michigan Association of Osteopathic
Physicians and Surgeons. Presented November 1986.
“Federal and State Laws Against Financial Abuse,”
portion of program Competition and New Business
Relationships in the Health Care Industry;
Detroit, Michigan; sponsored by the Federal Trade
Commission and the Federal Bar Association (Detroit
Chapter). Presented 1985.
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