Jeff Mark
“Our clients deserve accurate and insightful responses, on time, every time. I strive to ensure that our clients feel as confident and comfortable calling me for assistance as they would anyone inside their own organization.”

Jeff Mark

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David Edquist
“Any attorney can be a service provider. I aim higher, to be a partner: first to understand, then to counsel, and always to be there when needed.”

David Edquist

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Michelle Frazier
“Not staying on top of the frequent changes in health law can put a health care organization in critical condition.”

Michelle Frazier

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Lisa Gingerich
“Our approach to providing legal services is simple: we listen, we counsel, we deliver and we are available when you need us.”

Lisa Gingerich

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Mary Lee Ratzel
“Our team of health lawyers provide clients with helpful, up-to-date advice and counseling. However, if the unexpected occurs we can assist and defend in mediating and resolving issues, and if necessary, we have the experience and expertise to provide a strong defense in litigated matters.”

Mary Lee Ratzel

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1/24/2012

OIG Posts Tips for Implementing an Effective Compliance Program

Yesterday the Office of Inspector General (OIG) added a video to its HEAT training website. The newest video outlines the OIG’s tips for implementing an effective compliance program. The six tips include:

  1. Foster a culture of compliance: Support your compliance program with sufficient resources. A financial commitment to compliance will show the OIG that your organization values integrity.
  2. Functional policies and procedures: C... (Read More)

1/13/2012

HHS Finds “Unreasonable” Rate Hikes Using ACA Rate Review Authority

The U.S. Department of Health and Human Services (HHS) announced yesterday that premium increases proposed by an insurer in five states were “unreasonable” and “excessive.” HHS has authority under the Affordable Care Act to review premium increases over 10% to determine if such increases are reasonable. If HHS determines that a premium increase is unreasonable, the insurance company must post a justification on its website within 10 days. The rate increase at issue in yesterday’s announcement is a 13%... (Read More)

1/10/2012

Providing Health Services Under TRICARE No Longer Creates Affirmative Action Requirements for Health Care Employers

On December 31, 2011, President Obama signed the National Defense Authorization Act for Fiscal Year 2012. A conference report in this Act ends OFCCP’s push to expand its jurisdiction by way of TRICARE contracts. The new Section 715 of the conference report states that TRICARE managed care support contracts will not be considered contracts to provide health care services such that these providers become subject to OFCCP jurisdiction. TRICARE is the Department of Defense health care program for active duty and retired military and their famili... (Read More)