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Jason M. Healy            

Principal


jhealy@healylawdc.com

Before forming this law firm, Jason was a Partner in the Life Sciences & Health Industry practice group at the Washington, DC office of Reed Smith LLP.

 

Jason has represented hospitals, skilled nursing facilities, home health agencies, hospices, institutional pharmacies, medical device manufacturers, durable medical equipment suppliers, health care trade associations and medical educators.  His practice encompasses a wide range of regulatory, litigation, legislative, corporate and contractual matters for health care clients.

 

Jason concentrates in counseling long term acute care hospital (LTCH), rehabilitation hospital (IRF), psychiatric hospital (IPF), and other hospital providers on legislative, regulatory, reimbursement, compliance, development and other issues.  He served as General Counsel to the Acute Long Term Hospital Association (ALTHA), a leading LTCH trade association with over 300 member hospitals.  In this capacity, Jason advised ALTHA on legislative, rulemaking, and other legal matters affecting its membership.

 

Over the past 20 years, Jason has represented hundreds of providers before the Provider Reimbursement Review Board, the CMS Administrator, Administrative Law Judges, the HHS Departmental Appeals Board, state and federal courts, and other administrative tribunals in Medicare and Medicaid reimbursement appeals, coverage appeals, enrollment appeals, and termination appeals.  He has significant experience and success with large group cases, complex reimbursement, statistical sampling, and medical necessity cases.

 

Jason has defended health care clients in government enforcement actions, including audits, investigations, qui tam False Claims Act cases, and other administrative and litigation matters.  In addition, Jason has helped providers develop compliance programs and appropriately respond to compliance issues.

 

Jason also advises clients on how to properly structure transactions and other business activities to comply with health care fraud and abuse laws, such as the AntiKickback Statute and the Physician Self-Referral ("Stark") Law. 

 

In support of legislative initiatives for trade association and provider clients, Jason has drafted significant model legislation to advance federal tort reform; enhanced confidentiality of quality of care information; and LTCH certification criteria and payment policies.

 

Jason is a speaker at national health care conferences and has published a variety of articles on these topics.

 

Bar Admissions

 

District of Columbia

Maryland

 

Court Admissions

 

United States Court of Appeals for the District of Columbia Circuit

United States Court of Appeals for the Eighth Circuit

United States Court of Appeals for the Eleventh Circuit

United States District Court for the District of Columbia

District of Columbia Court of Appeals

Maryland Court of Appeals

 

Professional Affiliations

 

American Health Lawyers Association

American Bar Association

District of Columbia Bar Association

Maryland Bar Association

 

Experience

 

1997-2011  Reed Smith LLP

1994-1996  Fitzpatrick, Cella, Harper & Scinto

 

Legal Education

 

1999  J.D., Catholic University of America, Columbus School of Law

Catholic University Law Review

 

Undergraduate Education

 

1994  B.A., Colgate University, Philosophy and Political Science

 

Publications

 

Health Care Provider Legal Alerts, Vols. 1-6


Recent Amendments to the Federal False Claims Act, Continuum Magazine, Vol. 5, No. 1 (Spring 2010)

 

CMS Updates LTACH Payments and Policies for RY 2010, Revises FY 2009 Relative Weights MidYear, and Continues to Amend Regulations Based Upon MMSEA and ARRA, Continuum Magazine, Vol. 4, No. 2 (Fall 2009)

 

What LTACH Providers Should Know About the Recovery Audit Contractor (RAC) Program, Continuum Magazine, Vol. 4, No. 1 (Winter 2009)

 

The MMSEA Maze: CMS Implements the LTACH Provisions of the Medicare, Medicaid, and SCHIP Extension Act of 2007, Continuum Magazine, Vol. 3, No. 2 (Summer 2008)

 

The Medicare, Medicaid, and SCHIP Extension Act of 2007 Enacted Into Law, Continuum Magazine, Vol. 3, No. 1 (Spring 2008)

 

Ninth Circuit Rules That Provider Reimbursement Review Board May Order Reimbursement of Expenses Not Claimed In Cost Report or Previously Considered by Intermediary, Health Care Clients Memorandum (August 10, 2007)

 

CMS Proposes Major Reforms of Medicare Inpatient Hospital Payment System and Changes for Long‐Term Care Hospital Payments, Health Care Client Memorandum (April 21, 2006), co‐author

 

Patient Safety and Quality Improvement Act of 2005 Signed Into Law, Health Care Client Memorandum (September 8, 2005), co‐author

 

HHS Agencies Issue Industry Guidance on Hospital Discounts, Health Care Client Memorandum (April 6, 2004), co‐author

 

Federal Legislation Needed to Protect Confidentiality of Quality‐of‐Care Information, Health Law Monitor (Fall 2002)

 

Confidentiality of Health Care Provider Quality of Care Information, 40 Brandeis L.J. 595 (Spring 2002)

 

Logging Onto Sound Financial Practices, Provider Magazine (August 2000), co‐author

 

Presentations

 

Long-Term Care Hospital Regulatory, Legislative & Judicial Update, Monthly Teleconference
(2011-present)
Long-Term Care Hospital Regulatory, Legislative & Judicial Update, Monthly Teleconference
(2011-present)
Long-Term Care Hospital Regulatory, Legislative & Judicial Update, Monthly Teleconference
(2011-present)

Long-Term Care Hospital Regulatory, Legislative and Judicial Update, Monthly Teleconference (2011-Present)


Site-Neutral Payment Proposals for Post-Acute Care Providers, 2015 UDSMR Annual Conference (August 6, 2015)


The Impact of Health Reform on Long-Term Care Hospitals, Acute Long Term Hospital Association (ALTHA) 2010 Legal Issues Meeting (October 31, 2010)

 

Overview of LTACH Legal Landscape, Acute Long Term Hospital Association (ALTHA) 2009 Legal Issues Meeting (October 13, 2009)

 

The Medicare Regulation of Long‐Term Acute Care Hospitals and Inpatient Rehabilitation Facilities, LTCSIR Tutorial, American Health Lawyers Association (January 15, 2009)

 

The National Recovery Audit Contractor (RAC) Program: Past, Present & Future, Reed Smith University (January 14, 2009)

 

Long‐Term Acute Care Hospital Medical Necessity Reviews Under MMSEA, Acute Long Term Hospital Association (ALTHA) Teleconference (March 23, 2009)

 

The Age of MMSEA: The MMSEA Maze; The Ins & Outs of the Moratorium, moderator and panel speaker, Acute Long Term Hospital Association (ALTHA) 2008 LTAC Hospital Conference & Exhibition (October 23, 2008)

 

Preparing for Medical Necessity Reviews, Acute Long Term Hospital Association (ALTHA) 2008 LTAC Hospital Conference & Exhibition (May 16, 2008)

 

Medicare Appeals: From A to C, Reed Smith CLE (February 26, 2003)

 

Effective Compliance Programs, Reed Smith CLE (March 22, 2002)