Paul W. Kim
Bar Admissions
- District of Columbia
- Maryland
Court Admissions
- Court of Appeals of Maryland
- Court of Appeals of the District of Columbia
Education
- The Johns Hopkins University School of Public Health (M.P.H., 2000)
- Health Policy and Management Department
- University of Maryland School of Law (J.D., 1998)
- Student Health Law Organization
- The Johns Hopkins University (B.A., 1992)
- Phi Beta Kappa
Paul W. Kim
Experience
Paul W. Kim is a principal in the Health Law Group at Ober|Kaler who represents health care providers and manufacturers. Paul advises clients in all aspects of health law – from corporate compliance counseling to reimbursement litigation. Having worked on reimbursement, fraud and abuse, privacy and clinical research issues from the patient, provider, payor and government perspectives, Paul has a unique understanding of the health care industry and an in-depth knowledge of the issues and challenges today’s clients face. For manufacturers, Paul obtains for their products the three C’s of Medicare: coverage, coding, and cash. He also negotiates various agreements with their distributors. For providers, Paul appeals overpayment assessments by recovery audit contractors (RACs) and other Medicare contractors. He also pursues administrative law judge (ALJ) hearings to obtain or maintain their Medicare enrollment and billing privileges. In addition, he advises both covered entity and business associate clients on HIPAA and HITECH compliance, including on the requirements for the meaningful use of certified electronic health record (EHR) technology by the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC).
Professional Memberships
- American Health Lawyers Association
- Asian Pacific American Bar Association of Maryland
- President, 2006-2007
- District of Columbia Bar
- Health Law Section Steering Committee, 2006–2009
Community Service
- Legal Aid Bureau
- Equal Justice Council, 2006-2007
- Pro Bono Resource Center of Maryland
- Board of Directors, 2007-2010
Honoraries
- Fellow, American Bar Foundation
- Fellow, Maryland Bar Foundation
- Selected by Nightingale's Healthcare News as one of the Outstanding Young Healthcare Lawyers for 2005
- Selected by Smart CEO Magazine as one of the Legal Elites for 2009
Professional Background
- Medicare Policy Analyst, Centers for Medicare & Medicaid Services, U.S. Department of Health & Human Services
- Medicaid Policy Analyst, Maryland Department of Health & Mental Hygiene
- Adjunct Professor, George Mason University School of Law
- Presenter, "Incident Three: New Developments in the Medicare Incident to Policy," Webinar, Association of Health Care Auditors and Educators, 2012
- Presenter, "HIPAA/HITECH - Back to the Basics," Distance Learning Program, Healthcare Billing & Management Association, 2012
- Presenter, "CMS Exposed: An Interview with a Former Bureaucrat," Annual Compliance Conference, Healthcare Billing & Management Association, 2012
- Presenter, “Physician Supervision Requirements and False Claims Implications for Diagnostic Testing,” Webinar, American Health Lawyers Association, 2012
- Presenter, "Medicare Contracting & Compliance Issues," 11th Annual Joint National Podiatric Carrier Advisory Committee - Private Insurance Advisory Committee Representatives Meeting, American Podiatric Medical Association, 2011
- Presenter, “RAC Program Management: Appeals Process,” Audio Seminar, American Health Information Management Association, 2011
- Moderator, “Incident To in Hospitals and Physician Offices,” Webinar, American Health Lawyers Association, 2011
- Presenter, “HIPAA and HITECH,” Dallas County Winter Meeting, Texas Podiatric Medical Association, 2011
- Presenter, "Regulatory Issues: RAC & HIPAA," 10th Annual Joint National Podiatric Carrier Advisory Committee - Private Insurance Advisory Committee Representatives Meeting, American Podiatric Medical Association, 2010
- Presenter, “Incident-To for Auditors: Insight from the Author,” National Conference, Association of Health Care Auditors and Educators, 2010
- Presenter, "Legal Issues in Clinical Research," Annual Conference, Association of Healthcare Internal Auditors, 2010
- Presenter, "What To Do When You Face a RAC Appeal," Compliance Officers' Forum, Association of American Medical Colleges, 2010
- Presenter, "MICS, RACs, and ZPICs: How To Prepare Your Facility," Reimbursement Update Conference, Health Facilities Association of Maryland, 2010
- Presenter, “Whatever Happened to Incident One? An Insider’s View of the Incident to Regulations,” Annual Conference, American College of Medical Coding Specialists, 2009
- Presenter, “Anatomy of a RAC Appeal,” Key Steps for RAC Readiness, New Jersey Hospital Association, 2009
- Presenter, “Recovery Audit Contractor (RAC) Attack,” Quarterly Business Meeting & Educational Program, Maryland Health Information Management Association, 2007
- Presenter, “Whatever Happened to Incident One?: An Insider’s View,” Physician’s Practice Compliance Conference, Health Care Compliance Association, 2007
- Presenter, “Medicare Physician Fee Schedule Regulatory and Policy Issues,” Annual Convention, Health Facilities Association of Maryland, 2007
- Presenter, Regulatory Action Panel, “Healthcare Finance Summit," Equipment Leasing and Financing Association, 2007
- Presenter, “Health Law,“ National Asian Pacific American Bar Association Southeast Regional Conference, APABA – South Florida, 2007
- Presenter, “Medicare Non-Physician Practitioners,” “Medicare Diagnostic Services, ” Institute on Medicare & Medicare Payment Issues, American Health Lawyers Association, 2000–2003, 2005–2007
- Presenter, “45 Million Uninsured Americans,” Annual Convention, National Asian Pacific American Bar Association, 2006
- Presenter, “Medicare Ambulatory Surgical Centers,” ASC Billing, Coding & Compliance Conference, DecisionHealth, 2005
- Presenter, “HIPAA-tizing Patient-Level Data,” Anonymous Patient-Level Data & Analysis, Center for Business Intelligence, 2003, 2005
- Presenter, “Gifts to Physicians,” Marketing Compliance Congress, Food and Drug Law Institute, 2004
- Presenter, “HIPAA and Patient-Level Data,” Optimizing Patient-Level Data, Pharmaceutical Education Associates, 2004
- Presenter, “Legal Hurdles to Establishing an Imaging Center,” Annual Meeting, American Health Lawyers Association, 2004
- Presenter, “HIPAA and Prescription Data,” Privacy Compliance, Barnett International Conference Group, 2003
- Presenter, “Drafting Business Associate and Clinical Research Agreements,” HIPAA for Drug and Device Companies, Institute for International Research, 2003
- Presenter, “Gifts to Physicians,” 39th Annual Meeting, Drug Information Association, 2003
- Presenter, “Gifts to Physicians,” Sample Accountability, Center for Business Intelligence, 2003
- Presenter, “eGifts to Physicians,” eMarketing for Pharmaceuticals, Center for Business Intelligence, 2003
- Presenter, “Medicare Non-Physician Practitioners: How Hospitals Can Optimize Care and Maximize Reimbursement,” Audio-conference, NPP News, 2003
- Presenter, “Medicare Non-Physician Practitioners,” In-House Counsel Practice Group Mid-Year Luncheon, American Health Lawyers Association, 2003
- Presenter, “Gifts to Physicians,” Sample Accountability, Center for Business Intelligence, Barnett International Conference Group, 2002
- Presenter, “Gifts to Physicians,” Disseminating Off-Label Use Information, Center for Business Intelligence, 2002
- Presenter, “Medicare Non-Physician Practitioners,” Non-Physician Practitioner Conference, Part B News, 2002
- Presenter, “Medicare Diagnostic Services,” Medicare Conference, American College of Nurse Practitioners, 2002
- Presenter, “Medicare Diagnostic Services,” Medicare Coverage & Reimbursement Conference, Radiological Society of North America, National Electrical Manufacturers Association, 2001
- Presenter, “Medicare Diagnostic Services,” Medicare Reimbursement & Compliance, American Bar Association, 2001
- Presenter, “Medicare Non-Physician Practitioners,” Compliance Officers’ Forum, Association of American Medical Colleges, 2000
