Mark A. Stanley
Bar Admissions
- Maryland
Court Admissions
- Court of Appeals of Maryland
Education
- University of Maryland School of Law (J.D., cum laude, 2006)
- Comcast Scholarship Recipient
- Maryland Law Review, Notes and Comments Editor
- University of Maryland at College Park (B.A., 2004)
- Dean’s List
- Howard Hughes Medical Institute Research Fellow
Mark A. Stanley
Recently Published
Client Alerts
Health Care Legislation Update - Issue 1
April 26, 2010
By: Sanford V. Teplitzky, Joshua J. Freemire, Thomas W. Coons, Mark A. Stanley, Lisa D. Stevenson, Donna J. Senft, Julie E. Kass, and Kristin Cilento Carter
Newsletters
IRS Proposes Regulations Regarding Community Health Needs Assessments for Charitable Hospitals, Health Law Alert
May 10, 2013
By: Steven R. Smith and Mark A. Stanley
CMS Releases Proposed FFY 2014 IPPS Rule, Payment Matters
May 2, 2013
By: Mark A. Stanley
AHA Survey Continues to Bird Dog RAC Program, Payment Matters
April 18, 2013
By: Mark A. Stanley
Court Grants Unexpected Victory to Providers on Medicare DSH Adjustment, Payment Matters
April 18, 2013
By: Thomas W. Coons and Mark A. Stanley
PRRB Upholds Liquidation Requirement for Pension Expenses in Wage Index Calculation, Payment Matters
April 4, 2013
By: Mark A. Stanley
Payment Adjustments for Low-Volume Hospitals and Medicare-Dependent Hospital Program Extended, Payment Matters
March 21, 2013
By: Mark A. Stanley
No Judicial Review of Contractor's Finding of a High Payment Error Rate, a Condition for Extrapolation, Payment Matters
February 7, 2013
By: Mark A. Stanley
AHA Survey Identifies Continuing Problems with Medicare RAC Program, Payment Matters
January 24, 2013
By: Mark A. Stanley
CMS Releases its CY 2013 Physician Fee Schedule Final Rule, Payment Matters
November 29, 2012
By: Mark A. Stanley
CMS Releases Home Health Prospective Payment System Final Rule for CY 2013, Payment Matters
November 14, 2012
By: Mark A. Stanley
RACs Unleashed: 9th Circuit's Palomar Decision Gives Even More Discretion to Medicare Contractors, Payment Matters
September 20, 2012
By: Mark A. Stanley
CMS Announces Comprehensive Primary Care Initiative, Payment Matters
September 6, 2012
By: Mark A. Stanley
CMS Releases Final FFY 2013 IPPS Rule, Payment Matters
August 8, 2012
By: Mark A. Stanley
CMS Releases its CY 2013 Physician Fee Schedule Proposed Rule, Payment Matters
July 12, 2012
By: Mark A. Stanley
CMS Releases Proposed FFY 2013 IPPS Rule, Payment Matters
May 3, 2012
By: Mark A. Stanley
CMS Issues Revised 2006-2009 SSI Percentages, Payment Matters
April 3, 2012
By: Thomas W. Coons and Mark A. Stanley
Pre-Payment Review: CMS Contractors Fail to Follow the Rules, Payment Matters
March 21, 2012
By: Paul W. Kim and Mark A. Stanley
Job Creation Act Includes Key Medicare Payment Provisions, Payment Matters
March 8, 2012
By: Mark A. Stanley
Court Rules Dual Eligible Days Properly Included in Medicaid Fraction of Medicare DSH Calculation, Payment Matters
February 16, 2012
By: Mark A. Stanley
CMS Proposed Rule May Offer Relief to Medicaid DSH Providers, Payment Matters
January 25, 2012
By: Mark A. Stanley
Prepayment Review: CMS Signals Changes that May Be in Store for the RAC Program, Payment Matters
December 20, 2011
By: Mark A. Stanley
CMS Releases Calendar Year 2012 Physician Fee Schedule Final Rule with Comment Period
November 9, 2011
By: Mark A. Stanley
D.C. Appeals Court Provides Mixed Victory to Provider on DSH Calculation Involving Medicare Part C Days, Payment Matters
September 28, 2011
By: Mark A. Stanley
Calendar Year 2012 OPPS and ASC Proposed Rules Released by CMS, Payment Matters
July 14, 2011
By: Mark A. Stanley
CMS Releases its Calendar Year 2012 Physician Fee Schedule Proposed Rule, Payment Matters
July 14, 2011
By: Mark A. Stanley
FFY 2012 IPPS Proposed Rule Would Eliminate Hospice Data from the IME and DSH Calculations, and Would Modify the ESRD Add-On Payment Calculation, Payment Matters
May 13, 2011
By: Leslie Demaree Goldsmith and Mark A. Stanley
CMS Releases Proposed FFY 2012 IPPS Rule, Payment Matters
April 28, 2011
By: Mark A. Stanley
CMS Contractors Disallow Pension Costs in FFY 2012 Wage Index, Finding Pension Plans Overfunded in 2008, Payment Matters
April 14, 2011
By: Mark A. Stanley
CMS Proposes Rule for Medicaid Nonpayment in the Event of Health Care Acquired Conditions, Payment Matters
March 10, 2011
By: Mark A. Stanley
Supreme Court Upholds IRS Rule that Hospitals Must Pay FICA Taxes on Resident Stipends, Payment Matters
January 26, 2011
By: Mark A. Stanley
CMS Releases Final Rule for IME/GME Provisions in the Health Care Reform Legislation, Payment Matters
December 9, 2010
By: Thomas W. Coons and Mark A. Stanley
OIG’s 2011 Work Plan – What Can Long-Term Care and Community-Based Providers Expect to See in the Coming Year? Payment Matters
November 4, 2010
By: Mark A. Stanley
CMS Releases Proposed Rule for IME/GME Provisions in the Health Care Reform Legislation, Payment Matters
July 30, 2010
By: Thomas W. Coons and Mark A. Stanley
Proposed CY 2011 Physician Fee Schedule Offers Glimpse of Changes to Come Under Health Care Reform, Payment Matters
July 9, 2010
By: Mark A. Stanley
District Court Reaffirms Decision in Favor of Hospitals that Split Costs for Training Residents at a Nonhospital Site, Payment Matters
February 4, 2010
By: Thomas W. Coons and Mark A. Stanley
Physician Specialists Who Perform Consultation Services Can Expect Administrative Hassles Under 2010 Physician Fee Schedule Final Rule, Payment Matters
January 6, 2010
By: Mark A. Stanley
CMS Finally Finalizes Medicare Claims Appeal Procedures, Payment Matters
December 18, 2009
By: Paul W. Kim and Mark A. Stanley
CMS Releases 2010 Payment Rules for Services Furnished in Hospital Outpatient Departments and Ambulatory Surgical Centers, Payment Matters
December 3, 2009
By: Thomas W. Coons and Mark A. Stanley
Home Health Agencies Face New Outlier Rules and Program Safeguard Provisions, Payment Matters
December 3, 2009
By: Carel T. Hedlund and Mark A. Stanley
Physician Fee Schedule Promises Significant Reimbursement Changes in the Coming Year, Payment Matters
November 13, 2009
By: Julie E. Kass and Mark A. Stanley
California Federal Court Rejects CMS's Method for Counting Available Beds for IME Adjustment, Payment Matters
October 29, 2009
By: Mark A. Stanley
CMS Allows Exceptions to Local Coverage Determinations, Payment Matters
October 15, 2009
By: Mark A. Stanley
CMS Issues Final Rule Limiting Recoupment of Overpayments, Payment Matters
October 1, 2009
By: Mark A. Stanley
Tips from the RAC Cave: "RAC Man and QIC Boy Wonder Unmasked," Payment Matters
September 2, 2009
By: Paul W. Kim and Mark A. Stanley
Court Offers Mixed Decisions on Medical Education Reimbursement for Managed Care Patients, Payment Matters
August 18, 2009
By: Thomas W. Coons and Mark A. Stanley
Tips from the RAC Cave: "Witnesses: Physicians vs. Patients," Payment Matters
August 18, 2009
By: Paul W. Kim and Mark A. Stanley
One Court Upholds Medicare "Written Agreement" Requirement for GME/IME, Payment Matters
July 31, 2009
By: Thomas W. Coons and Mark A. Stanley
Enforcement Date for Red Flag Rules Delayed Until November 1st - Additional Guidance to be Released, Payment Matters
July 31, 2009
By: James B. Wieland and Mark A. Stanley
Tips from the RAC Cave: "Hearings: Telephone vs. Video," Payment Matters
July 31, 2009
By: Paul W. Kim and Mark A. Stanley
Medicare Payment for Consultation Codes to be Eliminated by CMS Proposed Rule, Payment Matters
July 15, 2009
By: Julie E. Kass and Mark A. Stanley
Tips from the RAC Cave: "Pre-RAC Audits vs. RAC Preparation," Payment Matters
July 15, 2009
By: Paul W. Kim and Mark A. Stanley
CMS Releases RAC Phase-In Strategy, Payment Matters
July 1, 2009
By: Paul W. Kim and Mark A. Stanley
Tips from the RAC Cave: "Interqual vs. Milliman," Payment Matters
July 1, 2009
By: Paul W. Kim and Mark A. Stanley
Tips from the RAC Cave: "Outpatient Observation vs. Inpatient Admission", Payment Matters
June 12, 2009
By: Paul W. Kim and Mark A. Stanley
CMS Proposes Changes to DSH Patient Day Count and IME Bed Count Calculations, Payment Matters
June 2, 2009
By: Leslie Demaree Goldsmith and Mark A. Stanley
CMS Publishes IPPS FY 2010 Proposed Rule, Payment Matters
May 14, 2009
By: Mark A. Stanley
New CMS Regs, PRRB Rules Set Rights for Part A Appeals, Health Law Alert
Spring 2009
By: Leslie Demaree Goldsmith
Deadline Approaches for Resolution of Baystate DSH/SSI Case, Payment Matters
April 9, 2009
By: Thomas W. Coons and Mark A. Stanley
Medicare Administrative Contractor Awards Protested, Payment Matters
March 18, 2009
By: Mark A. Stanley
CMS Expands Off-Label Prescription Drug Use for Cancer Treatment, Payment Matters
February 19, 2009
By: S. Craig Holden and Mark A. Stanley
Clarity Is Hard to Find: CMS's CY 2009 "Clarification" Regarding Physician Direct Supervision Requirement for Hospital Outpatient Department Services Raises More Questions than it Answers, Payment Matters
January 23, 2009
By: Thomas W. Coons and Mark A. Stanley
Makin' a Rule, Changin' it Twice: CY 2009 Physician Fee Schedule Further Modifies CY 2008 Changes to Diagnostic Test Billing Rules, Payment Matters
January 8, 2009
By: Robert E. Mazer and Mark A. Stanley
Battle of Bounty Hunters, Payment Matters
November 12, 2008
By: Paul W. Kim and Mark A. Stanley
CMS Releases Final Rule Limiting the Duration of Non-Random Prepayment Complex Medical Review, Payment Matters
October 15, 2008
By: Mark A. Stanley
CMS Releases New Rules Limiting Recoupment Pending Claims Appeals, Payment Matters
October 2, 2008
By: Paul W. Kim and Mark A. Stanley
CMS Releases Final IPPS Rule for FY 2009, Payment Matters
August 6, 2008
By: Mark A. Stanley
CMS Issues Proposed Outpatient PPS/ASC Payment Update, Payment Matters
August 6, 2008
By: Thomas W. Coons and Mark A. Stanley
CMS Proposes Bold Changes for the 2009 Medicare Physician Fee Schedule, Payment Matters
July 10, 2008
By: Paul W. Kim and Mark A. Stanley
CMS Adopts Final Rule Addressing Part A Appeals Before Intermediaries and the PRRB, Payment Matters
June 11, 2008
By: Leslie Demaree Goldsmith and Mark A. Stanley
Final PRRB Rules Issued, Payment Matters
May 28, 2008
By: Leslie Demaree Goldsmith and Mark A. Stanley
CMS "Manualizes" Incident to Rules, Payment Matters
May 15, 2008
By: Julie E. Kass and Mark A. Stanley
CMS Releases Proposed IPPS Rule for FY 2009, Payment Matters
April 18, 2008
By: Leslie Demaree Goldsmith and Mark A. Stanley
Published Articles
OIG Report Acknowledges That CMS Consistently Overstates the Medicare Error Rate
March 21, 2012
AHLA Regulation, Accreditation, and Payment Practice Group Email Alert (American Health Lawyers Association)
By: Mark A. Stanley
CMS Announces Medicaid Demonstration to Expand Access to Emergency Psychiatric Care
March 15, 2012
AHLA Regulation, Accreditation, and Payment Practice Group Email Alert (American Health Lawyers Association)
By: Mark A. Stanley
