VALLEY FORGE, PA, March 18, 2016 – Stevens & Lee Shareholders Kirsten McAuliffe Raleigh and Daniel J. Hennessey presented at the Pennsylvania Bar Institute’s 22ndAnnual Health Law Institute held March 15-16, 2016, in Philadelphia, PA.
In “The Current Status of Provider-Based Status,” Ms. Raleigh discussed the Bipartisan Budget Act of 2015’s provision that altered the future reimbursement of off-campus provider-based departments. The presentation delved into the impact of the new law on existing and proposed provider-based departments and what hospitals can do to best preserve their abilities to continue receiving provider-based payments under the Outpatient Prospective Payment System. The session also featured a discussion of the reimbursement implications of various provider-based scenarios.
Mr. Hennessey presented “Operationalizing the Final 501(r) Regs … Time to Comply!” With the final 501(r) regulations becoming effective this year, tax-exempt hospitals must navigate many intricate details and nuances and update internal policies and procedures, as well as certain relationships with third parties, in order to achieve full compliance. The session provided a brief overview of the final regulations and an interactive forum where participants shared their varied experiences and “lessons learned” as the new hospital exemption requirements are implemented and operationalized.
Ms. Raleigh focuses her practice on providing regulatory, reimbursement, compliance, and operational advice to clients in the health care industry. She helps clients understand and apply the wide variety of regulatory requirements with which health care businesses must comply. She has expertise advising clients on Medicare and Medicaid enrollment; operational and ownership changes; Medicare and Medicaid coverage and reimbursement issues; service reconfiguration and provider based restructuring considerations; licensure, certification and accreditation of providers; and EMTALA compliance.
In addition, Ms. Raleigh assists clients in developing and implementing corporate compliance programs and in handling internal regulatory investigations. She advises clients on the implementation of corrective action plans, including self-reporting overpayments and regulatory violations to appropriate governmental agencies. Ms. Raleigh’s representation of clients often arises in connection with mergers, acquisitions, restructuring and other business transactions entered into by entities that own and operate health care providers and suppliers. She is a former intern with James Sheehan in the Health Care Fraud Unit of the U.S. Attorney’s Office in the Eastern District of Pennsylvania. Ms. Raleigh holds a J.D., cum laude, from Widener University School of Law, where she served as an Editor of The Widener Law Review, and a B.A. from Bucknell University.
Mr. Hennessey focuses his practice on health care matters including tax, regulatory, corporate and transactional issues, and has represented health care systems, hospitals, managed care organizations, accountable care organizations, clinically integrated provider networks, post-acute care providers, medical laboratories, physician practices and other health care providers. He advises clients on a variety of issues involving fraud and abuse laws, tax-exempt organization matters, state and federal licensure and regulation of health care entities and managed care organizations/insurance companies, corporate transactions, mergers and acquisitions, joint ventures, health care contracting and physician compensation.
Mr. Hennessey has presented and written on various health care and tax issues affecting nonprofit health care organizations including, among others, health care reform initiatives and new payment models, accountable care organizations and the Medicare Shared Savings Program, and new tax exemption requirements for Section 501(c)(3) hospital facilities under Section 501(r) of the Internal Revenue Code.
Mr. Hennessey has a J.D., summa cum laude, from George Mason University School of Law, where he served as a member of the George Mason Law Review and as Managing Editor of The Docket, and a B.A. and B.S., high distinction, with honors, from The Pennsylvania State University, Schreyer Honors College.
