Experienced California-licensed health care regulatory and transactional attorney with law firm and in-house experience assisting professional providers and facilities. Expertise includes the following areas: • Medicare / Medicare Advantage and Medi-Cal / Medicaid reimbursement, managed care payment • Medicare and Medicaid (Medi-Cal) provider enrollment • Licensing and certification of health facilities • Defense of providers in investigations and audits (e.g., California Department of Public Health and California Department of Health Care Services (Audits & Investigations) • Negotiating and drafting managed care contracts with and on behalf of health plans and IPA's • Compliance of business arrangements, contracts and merger/ acquisition transactions with physician self-referral (including Stark), the Anti-Kickback Statute, Civil Monetary Penalties Law (beneficiary inducement, etc.) and other fraud and abuse laws • Home health agency regulatory matters • Physician / hospital alignment strategies and clinical integration arrangements • HIPAA compliance • Knox-Keene regulations (including prompt-payment rules) • Clients include physicians, IPA's, FQHC's, hospitals, integrated health systems, ambulatory surgery centers, home health agencies, clinical laboratories and pharmacies