JANE BELLO BURKE Partner

Similar documents
EMINA PORICANIN Partner

JOSEPH L. BRACCIO Partner; Employment, Benefits & Immigration Practice Area Leader

Lori C. Ferguson Partner

Linda O. Headley. Focus Areas. Overview. Discrimination and Harassment Labor Management Relations Unfair Competition and Trade Secrets

Linda O. Headley. Focus Areas. Overview

Danielle Trostorff. Overview. Representative Matters. Shareholder

Stephanie A. Webster

Forward-thinking healthcare solutions It s what we do. Healthcare Law

DISTINCTIONS Martindale-Hubbell AV -Preeminent Peer Review Rated, Best Lawyers in America Litigation - Construction, Super Lawyers

What To Do When the OMIG Investigates Your Health Center

OMIG AUDIT PROTOCOL ASSISTED LIVING PROGRAM (ALP) Effective 11/22/13

Understanding the New OMIG Audit Protocol for Assisted Living Programs

REGULATION, ACCREDITATION, AND PAYMENT PRACTICE GROUP (June, July, August 2004)

Office of the Medicaid Inspector General (OMIG) Investigations and More

Giovanna Tiberii Weller

10.0 Medicare Advantage Programs

HOUSE AMENDMENT Bill No. HB 255

Webinar: CPC+ Implications, Strategies and Stakeholder Issues

Preparing for DSRIP: Legal and Strategic Issues for Long-Term Care Providers. LeadingAge New York Webinar

Gina Ginn Greenwood, CIPP/US

Paul Salvatore. Proskauer.com. Partner. New York

Codequest June 8, am - 12:30 pm. Connecticut Society of Eye Physicians partnered with American Academy of Ophthalmology

INVITATION TO NEOGOTIATE ISSUED DATE ITN #

Number RH-BP-AD25:00 15 Category Business Practices (BP) Effective Date

State advocacy roadmap: Medicaid access monitoring review plans

RECENT COURT DECISIONS INVOLVING FQHC PAYMENTS AND METHODOLOGY

Involuntary Discharges and Transfers from

Health Law Practice. Pillsbury Winthrop Shaw Pittman LLP pillsburylaw.com

Compliance Issues For Multi-Provider Collaborations: How To Spot & Avoid Potential Pitfalls

Consumer s Quick Guide to Problems with Nursing Home Contracts and Problems with Nursing Home Stays

Richard Y. Cheng, CHC

Criminal Justice Division

DEPARTMENT OF HEALTH MEDICAID OVERPAYMENTS FOR MEDICARE PART B BENEFICIARIES. Report 2008-S-63 OFFICE OF THE NEW YORK STATE COMPTROLLER

GENESEE COUNTY PUBLIC DEFENDER S OFFICE 2017 PROGRAM BUDGET

Johns Hopkins Notice of Privacy Practices for Health Care Providers

Leslie Demaree Goldsmith

Testimony of: NEW YORK STATE HEALTH FACILITIES ASSOCIATION and NEW YORK STATE CENTER FOR ASSISTED LIVING (NYSHFA/NYSCAL) on the

NOTICE OF PRIVACY PRACTICES

OMIG s Compliance Certification Process for Mandatory Compliance Programs:

Requirements of Participation - Phase 1 Admission Updates Guide

Notre Dame Law School 3111 Eck Hall of Law Notre Dame, Indiana

Informed Consent for Assessment

Page 1 of 7. August 7, 2017

Delivery System Reform Incentive Payment Program ( DSRIP ) NewYork-Presbyterian Performing Provider System

GEORGIA BAR FOUNDATION, INC. Request for Proposals

NOTICE OF PRIVACY PRACTICES

[SKILLED NURSING FACILITY LETTERHEAD] (Must be issued for all SNF discharges) SKILLED NURSING FACILITY EXHAUSTION OF MEDICARE BENEFITS

(9) Efforts to enact protections for kidney dialysis patients in California have been stymied in Sacramento by the dialysis corporations, which spent

FEDERAL PROSECUTIONS OF WORKERS COMPENSATION CLINICS

Patient Rights and Responsibilities

As promised in the 2006 statute1 and accompanying

NOTICE OF PRIVACY PRACTICES

FAMILY PHARMACEUTICAL SERVICES NOTICE OF PRIVACY PRACTICES effective 9/23/2013

New CMS Regulations: Arbitration, Future Litigation and Impact on Your Clients. Peter B. Winterburn. Lewis, Thomason, King, Krieg & Waldrop, P.C.

Legal Issues Facing Homecare Agencies:

J.C. Blair Memorial Hospital Huntingdon, PA

Workers Compensation. Putting Worker Back In Worker s Compensation. SB 112 Senator Cathy Giessel Senate District N

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. Senate Bill 58

AN ANALYSIS OF TITLE VI TRANSPARENCY AND PROGRAM INTEGRITY

New York s 1115 Waiver Programs Downstate Public Comment and PAOP Working Session. Comments of Christy Parque, MSW.

Provider Certification Standards Adult Day Care

15. Legal and Regulatory Issues. 1. Laws governing medicine and medical ethics complement and overlap each other.

2016 Equal Justice Works Fellowship Application Guide. Equal Justice Works Fellowship Application Guide Page 1

Involuntary Transfer/Discharge: A Growing Problem We Can Do Something About!

Notice of Health Information Privacy Practices Acknowledgement

Elder Resolution Partners, LLC (626) and (310) Elder Resolution Partners, LLC

BON SECOURS RICHMOND NOTICE OF PRIVACY PRACTICES

Implementing the New FLSA Rule for Home Care Providers in California

Nursing Home (Rehabilitation Facility) 1 : Involuntary Transfer/Discharge

For Office Use Only

HEALTHCARE, LIFE SCIENCES & PHARMACEUTICALS

Veterans Treatment Courts: Lessons Learned

Criminal Justice Division

S 2734 S T A T E O F R H O D E I S L A N D

Chapter 8: Options for Hospital Bills

Blood Alcohol Testing, HIPAA Privacy and More

PUBLIC DEFENDER S OFFICE

Patient Consent Form

Protecting the Rights of Low-Income Older Adults

CHAPTER Committee Substitute for Committee Substitute for Senate Bill No. 202

2012 Affordable Care Act Update. Roadmap. Health Care Reform 1/16/2012. Daniel E. McBrayer, Esq. Johnston Barton Proctor & Rose LLP

NOTICE OF PRIVACY PRACTICES

Innovations in Addressing Malpractice Claims, Part I

WAKE FOREST BAPTIST HEALTH NOTICE OF PRIVACY PRACTICES

Long Term Care Briefing Virginia Health Care Association August 2009

Township Law E-Letter

The New Survey Process What To Expect Paula G. Sanders, Esq.

Overpayments for Services Also Covered by Medicare Part B. Medicaid Program Department of Health

Commonwealth Health Corporation Notice of Privacy Practices CHC COMMONWEALTH HEALTH CORPORATION

John W. Steele, Ph.D., Licensed Psychologist 1285 Fairfield Drive, Boulder, CO 80305

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES UNIVERSITY OF CALIFORNIA RIVERSIDE CAMPUS HEALTH CENTER

MEMPHIS LUNG PHYSICIANS FOUNDATION AN OFFICE OF BAPTIST MEDICAL GROUP NOTICE OF PRIVACY PRACTICES

The Olmstead Decision: Consumer Rights to and Opportunities for Nursing Home Alternatives. Prepared by Hollis Turnham, Esquire Center Consultant

Grievances and Resident/Family Councils

If you have any questions about this notice, please contact the SSHS Privacy Officer at:

NOTICE OF PRIVACY PRACTICES

Forward-thinking healthcare solutions. It s what we do. Healthcare Law

STATEMENT OF ESTIMATED REGULATORY COSTS JANUARY 2017 PROPOSED RULE 58M-2.009, FLORIDA ADMINISTRATIVE CODE

2018 Northern California HMO Provider Manual Kaiser Foundation Health Plan, Inc.

Transcription:

Partner jbburke@hodgsonruss.com 518.433.2404 Jane helps health care providers navigate the network of health care laws and regulations so they can focus on what they do best: providing care and services to the individuals they serve. Jane represents an array of health care providers, including hospitals, nursing homes, assisted living facilities, home care agencies, social services agencies and individual practitioners. With a focus on regulatory, reimbursement and compliance issues, Jane guides providers through matters involving governmental agencies with overlapping authority, including the Centers for Medicare and Medicaid Services (CMS), New York State Department of Health (DOH) and New York State Office of the Medicaid Inspector General (OMIG) and others. Jane represents providers in Medicaid audits, investigations and appeals and counsels them in the implementation of effective compliance programs. A seasoned litigator, Jane also represents providers in federal and state litigation, including Article 78 challenges to governmental authority and administrative hearings before the Health and Human Services Departmental Appeals Board (DAB) and Provider Reimbursement Review Board (PRRB). Jane keeps tabs on regulatory initiatives aimed at transforming the delivery of health care and monitors developments in the growing field of telehealth. Jane has been a noted presenter at conferences and seminars throughout the United States. Jane began her career as a litigation attorney at Skadden Arps in New York. She is the chair of the Long-Term Care Committee of the New York State Bar Association s Health Law Section. Jane is recognized as one of the leading health care attorneys in New York in Chambers USA: America's Leading Lawyers for Business and is listed in Best Lawyers in America. Honors Listed, Best Lawyers in America (Health Care Law) 2018 677 Broadway Suite 301 Albany, NY 12207 New York City 605 Third Avenue Suite 2300 New York City, NY 10158 212.751.4300 Areas of Practice Administrative & Regulatory Health Home Care Industry Groups Health Care Life Sciences Admissions New York U.S. Supreme Court U.S. Court of Appeals for the Second Circuit U.S. District Courts for the Northern, Southern, Eastern, and Western Districts of New York Education B.S., magna cum laude, Georgetown Attorney advertising. Prior results do not guarantee a similar outcome. Practice restricted to U.S.

Chambers USA: America s Leading Lawyers for Business, 2016-2017 Experience Below are specific examples of some of the work Jane has performed for her clients: University J.D., cum laude, American University, Washington College of Law Jane has assisted SNFs in their successful challenges to immediate jeopardy deficiencies relating to compliance with abuse reporting and prevention, accident prevention, infection control, and many other regulatory requirements. In these cases, Jane assists the client in evaluating survey findings, pursuing informal dispute resolution, and filing administrative appeals before the DAB (Departmental Appeals Board). Through these appeals, Jane has succeeded in convincing CMS to reduce the scope and severity of challenged deficiencies below the immediate jeopardy level in numerous cases, which has enabled the SNFs to restore their good names in the communities they serve. Jane has worked with hospitals, nursing homes, assisted living programs, licensed home care services agencies and other Medicaid providers to challenge OMIG audits. In many cases, these challenges have led to substantial reductions in the amount of the claimed disallowances and, in some cases, the withdrawal of the audits in their entirety. Jane Bello Burke and a team of Hodgson Russ attorneys obtained an important victory for a major New York health care system, after PHHPC (the Public Health and Health Planning Council) proposed to disapprove a CON (certificate of need) application to operate an ambulatory surgery center. Following an evidentiary hearing, the administrative law judge issued a strongly worded opinion rejecting a competing health care system s opposition, which he concluded was driven by selfinterest, was exaggerated, and did not form a sound basis for decision. As a result of the successful challenge, the ambulatory surgery center is up and running, providing needed services to the community. A team of Hodgson Russ attorneys achieved a speedy and successful resolution for a clinical laboratory with an Article 78 proceeding against DOH and OMIG, which had denied the laboratory s application to enroll as a Medicaid provider on the basis of an unpublished DOH laboratory density policy. Our client brought suit, and OMIG and DOH offered to settle the matter, on the strength of the submissions and without filing a response, by approving our client s application for enrollment in the Medicaid program. Due to the team s successful efforts, the client may now offer its important laboratory services to practitioners serving Medicaid recipients in New York.

Jane Bello Burke assisted three child care providers in their successful challenge to placement on the New York Central Register of Child Abuse and Maltreatment following a child s allergic reaction to an unknown causative agent at a day care center. The successful challenge enabled the child care providers to continue to pursue their chosen careers. Hodgson Russ has represented counties and local industrial development agencies in the restructuring of the provision of public nursing home services. In several situations, the restructuring involved the transfer of the nursing home from the local county to a private owner and operator. In one situation, we formed a local development corporation controlled by the local county to operate the local nursing home. News Hodgson Russ Receives Top Marks for Chambers USA 2018 Directory Press Release, May 4, 2018 Fifty-two Hodgson Russ Attorneys Named to 2018 Best Lawyers Listing, Five Included in Lawyer of the Year Categories Press Release, August 15, 2017 Hodgson Russ Practice Teams Listed in 2017 Chambers USA Press Release, June 12, 2017 Arbitration rule challenges WNY nursing homes Buffalo Law Journal & Business First, December 19, 2016 Hodgson Russ Practice Teams Recognized In America's Leading Lawyers For Business June 3, 2016 Nursing Home Arbitration Enforceable in NYS Buffalo Law Journal, July 27, 2015 Jane Bello Burke Joins Health Law Practice Group September 19, 2012 Presentations Greater New York Health Care Facilities Association, The Use of Electronic Medical Records in ediscovery Uniondale, New York, June 21, 2018 LeadingAge: The Role of Telehealth in the Delivery of Long Term Care Saratoga Springs, NY, May 24, 2018 NY Chapter of the American College of Health Care Administrators 49th Annual Convention: What's in Your EMR? Callicoon, NY, March 12, 2018

WNYHA Compliance Officers' Meeting Tonawanda, NY, January 17, 2017 New York State Health Facilities Association's Foundation for Quality Care's 2016 Quality Improvement Series: The Ins and Outs of Confidentiality and Your Quality Data Troy, NY, June 7, 2016 Western New York Healthcare Association: Discharge Planning and the Role of Patient Choice in Evolving Models of Care Batavia, NY, May 17, 2016 Foundation for Quality Care s 2015 Advanced Administrator Leadership Program: Current Legal Issues Affecting Long Term Care Elmhurst, NY, April 28, 2015 NYSHFA/NYSCAL District 10: Uncharted Territory: The Future of Assisted Living in the Continuum of Long-Term Care Buffalo, NY, February 11, 2015 Directors of Nursing Services/ Directors of Social Work Annual Conference & Exposition: Successful Strategies for Protecting Your Facility LeadingAge 2014, Immediate Jeopardy? Now What? Saratoga Springs, NY, November 20, 2014 New York State Health Facilities Association: Immediate Jeopardies- Successful Strategies and Practical Tips Verona, NY, April 25, 2014 Publications Lawsuit Seeks to Invalidate DOL s Emergency Regulation Governing Compensation of Live-in Aides Home Care Alert, May 10, 2018 The Promise of Telehealth, Part I in a Series Addressing the Role of Telehealth in the Delivery of Health Care in New York January 18, 2018 New York Legislature Expands Death and Felony Reporting Requirements Health Care Alert, December 20, 2017 Another Federal Court Defers to the N.Y. DOL Opinion Letter on Compensation of Live-in Aides Home Care Alert, December 19, 2017 The Governor Signs Fiscal Intermediary Legislation Home Care Alert, December 19, 2017 Influenza Season and Related Obligations to Commence Home Care Alert, December 14, 2017

Workers Advocacy Group Seeks to Invalidate Emergency Regulation Relating to Live-In Aides Home Care Alert, December 13, 2017 New York DOH Indicates it May Issue Guidance Regarding Fiscal Intermediary Authorization Applications Home Care Alert, November 15, 2017 House and Senate Tax Reform Bills May End Fringe Benefits Frequently Used to Satisfy Wage Parity Act Requirements Home Care Alert, November 14, 2017 DOH Releases Fiscal Intermediary Authorization Application Home Care Alert, November 3, 2017 Professional Affiliations American Health Lawyers Association New York State Bar Association Chair, Long-Term Care Committee of the New York State Bar Association Health Law Section