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Rob is a principal in Ober|Kaler's Health Law Group. He represents hospitals, clinical laboratories and other diagnostic services providers, and physicians, particularly with respect to third-party payment, self-referral and fraud and abuse issues, and related business arrangements. Rob advises health care providers how to comply with reimbursement and regulatory requirements for diagnostic services while meeting their legitimate business objectives. He also assists providers facing government investigations and demands for the return of alleged overpayments made by government and private third-party payers.
Rob is a frequent lecturer and author and has spoken at conferences sponsored by the American Institute of CPAs, American Bar Association, American Hospital Association, Clinical Laboratory Management Association, Medical Group Management Association, American Health Lawyers Association and Washington G-2 Reports. For six years, Rob served as co-chair and program coordinator of a conference addressing Financial Representation of Physicians sponsored by the National Health Lawyers Association and/or the Maryland Association of CPAs. Until the committee was dissolved in 1999, Rob was a member of the Health Care Committee of the American Institute of CPAs, and served as chair of its task force on health care compliance and reporting issues.
Rob is co-author of Federal Limits On Physician Referrals-How The Stark Law Affects Your Business Arrangements (Washington G-2 Reports, 1996, rev. ed. 1998); Medicare Anti-Fraud and Abuse: A Guide for Hospitals, Labs & MDs (1992, rev. ed.); and Developments in Medicare Reimbursement for Hospital Services, 1990, 1991 Health Law Handbook (Clark Boardman). He has also written a special section addressing "Legal Issues" in "Business Strategies for Laboratory Outreach Programs" (Washington G-2 Reports, 2002, rev. ed. 2007), and a chapter addressing "CLIA Sanctions & Other Legal Issues" in "CLIA Compliance Handbook" (Washington G-2 Reports, 2007). Rob also serves on the Advisory Board of Washington G-2 Reports and Laboratory Compliance insider. He is a frequent contributor to Ober|Kaler's Internet publication Payment Matters, including articles addressing Ambulatory Surgical Centers, Independent Diagnostic Testing Facilities ("IDTFs"), Advanced Beneficiary Notices, CMS' unlawful reliance on unpublished payment principles and pathology payment issues. |
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Publications & Presentations |
Author, "CMS Takes Another Look at Stark 'Stand in the Shoes' Rules," National Intelligence Report, Washington G-2 Reports, 2008
Author, "OIG Reviews Relationship Between Critical Access Hospital and Hospital-based Radiologists," Health Lawyers Weekly, 2008
Presenter, "How the New Stark Phase III Developments Affects your Business," Lab Law, Compliance & Liability Summit, Washington G-2 Reports, 2007
Presenter, "Paths, PODS & Pricing: Getting a Handle on Key Pathology Legal Issues," Lab Institute 2007, Washington G-2 Reports, 2007
Presenter, "Self-Referral & Payment Changes Targeted By CMS — Pathology, Lab & Imaging in the Crosshairs," Audio Conference, Washington G-2 Reports, 2007
Presenter, "Lab Compliance with OIG's Safe Harbor Guidance Concerning Hardware and Software," Executive War College on Lab and Pathology Management, 2007
Author, "Why Don't Doctors Do It In the Office — Medical Practice's Provision of Diagnostic Services Raises Complex Legal Issues," Maryland Bar Journal, 2006
Presenter, "The Maryland Self Referral Statute — Has Anything Changed?" Maryland State Bar Association, Health Law Section, 2006
Presenter, "Latest in Healthcare Compliance: Key Trends & Outlook," Lab Institute 2005, Washington G-2 Reports, 2005
Co-author, "The Office of the Inspector General Takes Another Look at Hospital-based Physicians and Hospital Requests for Free Services," RBMA Bulletin, Radiology Business Management Association, 2005
Presenter, "Fallout from the Anti-kickback Statute and Stark Law: Identifying Risks and Avoiding Penalties with Physician Referrals," Audioconference, Strafford Publications, 2005
Presenter, "Compensation Requirements for Hospital-based Physicians: The OIG's Latest Twist," Audioconference, Washington G-2 Reports, 2005
Author, "OIG's Supplemental Hospital CPG Looks at Hospital-based Physicians," Health Law Alert, 2005
Presenter, "Key Compliance Concerns for Labs in 2005," G-2 Compliance Report Service, Tips on Tape, 2005
Presenter, "Self-Referral Laws," Compliance: Touching All the Bases, Maryland Medical Group Management Association, 2005
Presenter, "Legal Issues in Health Care - Stark, Anti-Kickback, Fraud and Abuse," American Gastroenterological Association, AGA GI Practice Management Skills Workshop, 2004
Presenter, "Hospital-Based Pathologist Compensation: Getting What You Pay For," Lab Institute 2004, Washington G-2 Reports, 2004
Author, "Compliance Perspectives, Stark II - Phase II Rulemaking: Are We There Yet? New Regulations Complete Two-Phased Rulemaking," Compliance Report, 2004
Presenter, "Clinical Laboratory Issues: Navigating Through the Devil's Triangle," 10th Annual Health Law Institute, Pennsylvania Bar Institute, 2004
Presenter, "Avoiding Legal Problems in Laboratory Outreach," Achieving Outreach Leadership For Lab and Pathology Services, Washington G-2 Reports, 2004
Author, "OIG Tackles Discount Issues," Health Lawyers Weekly, 2004 |
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