Cases
Representative Matters: Represented Piramal Group in its acquisition of a drug manufacturing
development facility in Pennsylvania.
Represented a Wisconsin pathologist physician group practice with respect to a payor aggressively seeking to recoup purported overpayments made to the group, resulting in the payor not recovering the overpayments.
Counsel to statewide classes of pathologists in Illinois, Texas
Tennessee asserting class action claims in three separate class action arbitrations against health insurance companies arising out of improper reimbursement for the professional component of clinical pathology services provided to beneficiaries enrolled in the insurer's health care plans.
Represented a Missouri pathology group in litigation with payor in dispute over the billing of the professional component of clinical pathology services, which resulted in the client obtaining a $3 million settlement.
Represented a Florida physician group practice with respect to a payor aggressively seeking to recoup purported overpayments for the professional component of clinical pathology services made to the group, resulting in the payor recovering considerably less than the amount it initially sought.
Represented 22 physician group practices in a dispute with a payor regarding the payor's failure to compensate the group practices for the professional component of clinical pathology services.
Represented a Missouri pathology group in a dispute with a payor over the billing of the professional component of clinical pathology services, resulting in the payor agreeing to sign the previously negotiated
ab
oned participation agreement.
Represented Hunterdon Healthcare in its joint partnership with Atlantic Health System, home to seven award-winning New Jersey hospitals.
Represented Texas Hospice Holdings, LLC, a multi-state hospice facility operator, in connection with the sale of all of its outst
ing equity to Amedisys Inc., a publicly-held hospice company.
Represented Iroko Pharmaceuticals, LLC in connection with a $140 million secured loan facility with CRG, a healthcare investment fund,
the simultaneous pay-off of Iroko's loan facility with another lender.
Obtained on behalf of a physician a decision relieving the client of a dem
ed $700,000 in Medicare overpayment obligation under the Centers for Medicare & Medicaid Services (CMS) Victimized Provider Project
Safeguard Services (SGS), a Medicare program integrity contractor.
Representing Virtua Health Inc.
Capital Health System Inc. in a case against the state of New Jersey, seeking to hold unconstitutional as special legislation a law that transfers the right to provide emergency medical services from Virtua
Capital to other hospitals without regard to the established regulatory structure.
Obtained summary judgment on behalf of Virtua Health, Inc., a health system of four hospitals in southern New Jersey, against Deborah Heart
Lung Center, a specialty hospital in southern New Jersey, in federal antitrust litigation in which the court held Deborah failed to show any adverse effect on competition in the market.
Represented a national pharmacy in a transaction which granted an option to a strategic to purchase the business for an aggregate purchase price of $230 million.
Obtained settlement in a complex litigation on behalf of the Hospital
Healthsystem Association of Pennsylvania (HAP) with the Commonwealth of Pennsylvania, in which the Commonwealth agreed to repay or credit to hospitals
physicians $200 million in overpayments of state-m
ated assessments intended to finance the Medical Care Availability
Reduction of Error (MCARE) Fund for professional liability claims.
Obtained on behalf of the Hospital
Healthsystem Association of Pennsylvania (HAP) a ruling from the Commonwealth Court of Pennsylvania that held that the Pennsylvania Insurance Department had overbilled healthcare providers more than $100 million over three years to fund a program that provides excess coverage for medical malpractice claims under the state's Medical Care Availability
Reduction of Error Act (MCARE).
Represented a non-profit health system in acquisition of a for-profit hospital
related ancillary businesses, such as diagnostic imaging, sleep lab, home health
physician practices.
Represented a non-profit health system in its divestiture of a for-profit DME subsidiary.
Represented a healthcare management company with regard to drafting an assumption of risk
release of liability agreement concerning an application designed to demonstrate rehabilitative exercises
therapies
track patient process.
Restructured two physician-owned specialty hospitals
a physician group practice into a unified health care system, including corporate, licensing
regulatory issues.
Represented a holding company in the simultaneous acquisition of 18 skilled-nursing facilities, five personal care homes
four home health agencies, including all licensing
regulatory issues.
Obtained a complete reversal of a Medicaid Recovery Audit Contractor (RAC) audit alleging that a developmental disabilities company improperly billed for patient days when patients were temporarily hospitalized.
Counseled third-party administrator on compliance issues related to state
HIPAA Breach Notification requirements in all 50 states as a result of a data breach involving personally identifiable health information.
Conducted internal investigation of a hospital's policies, procedures
employment practices following the arrest of a non-employed physician on sexual abuse charges. ( Jane Doe 30, et al. v. Earl Bradley, M.D., et al. )
Appellate Counsel, Cooper Univ. Hospital v. Jacobs (N.J.), represented hospital defending Certificate of Need (CON) to participate in elective angioplasty demonstration project against appeal by competing hospital.
Counsel, U.S. ex rel. Kite v. Lourdes Health System, et al., (D.N.J.), defense of hospitals regarding allegations of improper receipt of outlier reimbursement from Medicare.
