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Abby Pendleton, Esq.

Founding Partner
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Phone: (248) 996-8510
Fax: (248) 996-8525
Phone: (212) 734-0128
Fax: (917) 210-2952

2460 Fairmount Blvd, #326
Cleveland Heights, Ohio 44106
USA

29566 Northwestern Hwy, #200
Southfield, Michigan 48034
USA

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The Greenberg, Dresevic, Iwrey, Kalmowitz,
Lebow & Pendleton Law Group

A Division of The Health Law Partners, P.C.

100 Quentin Roosevelt Blvd., Ste. 102
Garden City, NY 11530
(tel) 516-492-3390
(fax) 516-492-3389

1370 Broadway, Ste. 558
New York, NY 10018
(tel) 212-734-0128
(fax) 917-210-2952

The Health Law Partners, P.C.

29566 Northwestern Highway
Ste. 200
Southfield, MI 48034
(tel) 248-996-8510
(fax) 248-996-8525



ABBY PENDLETON is a founding partner of The Health Law Partners, P.C. She graduated Magna Cum Laude from Wayne State University Law School in 1996 and is a member of the Order of the Coif. Ms. Pendleton was a member of the Wayne State Law Review and served on its editorial board as a Senior Articles Editor. While at Wayne State, she was a recipient of the American Jurisprudence Book Awards in Contracts and Criminal Law as well as the Deloitte and Touche LLP Award for her achievement in tax law.

Ms. Pendleton has been practicing healthcare law since 1996. She regularly provides counsel to healthcare providers and organizations in a number of areas, including but not limited to: compliance, Recovery Audit Contractors ("RAC"), Medicare and other payor audits, fraud and abuse, reimbursement matters, and HIPAA Privacy and Security, and physician staff privilege and licensure matters. Ms. Pendleton also specializes in legal issues impacting billing and management companies, anesthesia and pain management providers, hospice providers and mental health agencies.

Ms. Pendleton is a member of the State Bar of Michigan (Member, Health Care Law Section) and State Bar of New York (Member, Health Law Section); the American Bar Association; the American Health Lawyer's Association; the Health Care Compliance Association; the Medical Group Management Association and the Michigan Medical Group Management Association.

Education

J.D., Wayne State University Law School, Detroit, Michigan, 1996
Honors: Magna Cum Laude Honors: Order of the Coif Honors: Law Review: Wayne Law Review Senior Articles Editor Honors: Recipient of the American Jurisprudence Book Awards in Contracts and Criminal Law Honors: Recipient of the Deloitte and Touche LLP Award for Tax Law

B.S.B.A, Central Michigan University, Mount Pleasant, Michigan, 1993
Honors: Cum Laude Major: Finance

Jurisdictions Admitted to Practice

Michigan
New York
S. District Court Eastern District of Michigan

Professional & Bar Association Memberships

State Bar of Michigan
Health Care Law Section

American Health Lawyers Association

Health Care Compliance Association

American Bar Association

Medical Group Management Association

State Bar of Michigan Health Care Law Section Providers Subcommittee of the Substantive Law Committee
Past Chair

State Bar of Michigan, Health Care Council
Member

New York State Bar Association
Health Law Section

Published Works

"Medicare Appeals Adjudication Delay Update:  Lawsuit Decided in Favor of Appellants (For Now)," by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., ABA The Health Lawyer, February 2017.

"Be on NOTICE:  CMS's Proposed Rule on the NOTICE Act Has Been Published," by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., ABA Health eSource, Volume 12 No. 10., June 2016.

Abby Pendleton, Esq. and Clinton Mikel, Esq. were quoted in "3 Common HIPAA Breaches - And How to Avoid Them" by Kristin J. Webb for the May 2016 issue.



"Healthcare Providers and Suppliers Eagerly Anticipate Planned Improvements to Recovery Audit Program," By Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., ABA Health eSource, February 2015.

Legal Manual for New York Physicians, 4th Edition, Vol. 2, Chapter 56, "Medicare Audits of Physician Claims and the Medicare Appeals Process," by Abby Pendleton, Esq., and Jessica L. Gustafson, Esq., New York State Bar Association/Medical Society of the State of New York 2014.

"Partial Relief in Sight:  CMS Proposes Settlement of Pending Inpatient Hospital "Status" Appeals, by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., ABA Health eSource, October 2014, Vol. 11 No. 2.

"What Are Medicare Appeals?" by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., American Bar Association, 2014.

"Hospitals Must Continue Implementation of Controversial 2-Midnight Rule," by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., American Case Management Association, Collaborative Case Management, Vol. 11, Issue 05, Summer 2014.

"Medicare Appeals Adjudication Delays: Implications for Healthcare Providers and Suppliers", by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., The Health Lawyer, Volume 26, Number 5, June 2014.

"How Long Must We Wait?  Repercussions for Health Care Providers and Suppliers of ALJ Adjudication Delays", by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., AHLA Newsletter, May 2014.

"Hospitals Brace for 'Probe and Educate' MAC Audits as Physician Documentation in Hospitals Takes on Even Greater Importance:  Impact of the 2014 Inpatient Prospective Payment System ('IPPS') Final Rule on Hospital-Based Physician Documentation," by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., BC Advantage, February/March 2014.

"2-Midnight Rule Update: Hospitals Must Continue Implementation of the 2-Midnight Rule", by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., The Health Lawyer, Volume 26, Number 4, April 2014.

"The Latest Development in Federal Health Care Audit Programs: Supplemental Medical Review Contractor", by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., BC Advantage, January 2014.

Abby Pendleton, Esq. and Jessica Gustafson, Esq. were quoted in, "Whacked by RAC", Hospitals & Health Networks, January 14, 2014.

"Billing for and Appealing Denials of Inpatient Hospital Services:  Where have we been?  Where are we now?  What does the future hold?"  ABA Health Law Section, The Health Lawyer, by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., December 2013.

"The Latest Development in Medicare Audits: Supplemental Medical Review Contractor ("SMRC") Audits", by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., ABA Health eSource, October 2013, Volume 10, No. 2.

Abby Pendleton, Esq., Adrienne Dresevic, Esq., Carey Kalmowitz, Esq., Robert Iwrey, Esq., and Jessica Gustafson, Esq. were named Attorneys of The Month by Attorney At Law Magazine and were featured on the front page and on page 16 in, "Healthy Growth: The Health Law Partners Has Rapidly Become One Of The Industry's Premier Health Care Law Firms", by Katherine Bishop, Attorney At Law Magazine, Metro Detroit Edition, Vol. 2, No. 6, October, 2013.

Abby Pendleton, Esq. and Jessica Gustafson, Esq. were quoted in, "Report on Medicare Compliance", Volume 22, Number 36, October 2013.

Abby Pendleton, Esq. and Jessica Gustafson, Esq. were quoted in, "Claims under the microscope: Hospitals add observation units to reduce inpatient stays; costs fall, but scrutiny rises", Crain's Detroit Business, September, 2013.

"CMS Publishes 2014 IPPS Final Rule: Revises Reimbursement Criteria Related To Patient Status", by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., Health Lawyers Weekly, August 23, 2013.

"CMS Publishes 2014 Inpatient Prospective Payment System ("IPPS") Final Rule: CMS Payment Policies Related to Patient Status Revised", by Abby Pendleton Esq. and Jessica Gustafson, Esq., August, 2013.

Abby Pendleton, Esq. and Jessica Gustafson, Esq. were quoted in, "Reaping the Rewards of Experience: The DOs and DON'Ts for Filing Claim Appeals", Medicare Compliance, Volume 22, Number 27, page 2 & 3,  July 29, 2013.

Abby Pendleton, Esq. and Jessica Gustafson, Esq. were quoted in, "CPR Refusal Highlights Risk of Overly Strict Policies", Healthcare Risk Management, May 2013, Vol. 35, No. 5.

"CMS Acquiesces to Hospital Pressure, Allows Part B Billing of Hospital Services Following Part A Denial of Inpatient Hospital Claims for Medical Necessity: Is It Enough?", by Jessica Gustafson, Esq. and Abby Pendleton, Esq., ABA Health eSource, March 2013, Volume 9, Number 7.

Abby Pendleton, Esq. and Jessica Gustafson, Esq. were interviewed and quoted in, "Facing an Audit? Here's What You Need to Know", an article on The Recovery Audit Contractor (RAC) program, by Deborah Abrams Kaplan, Diagnostic Imaging, February 6, 2013.

Abby Pendleton, Esq. and Adrienne Dresevic, Esq. were interviewed and featured in the December 4, 2012 issue of Motion Magazine in an article titled, "In Good Health".

Abby Pendleton, Esq. and Jessica Gustafson, Esq. were interviewed and quoted in the November 12, 2012 issue of Physician's Money Digest in an article titled, "Putting Practices on the RAC".

Abby Pendleton, Esq. was interviewed and quoted in the article, "Audits Look for Medicare Overbilling", which was featured in Crain's Detroit Business on November 12th, 2012.

Abby Pendleton, Esq. was interviewed and quoted in the article, "Hospitals Brace for Audits of Short-Stay Admissions", which was featured in Crain's Detroit Business on November 5th, 2012.

"CLIENT ALERT: Viewing The Recent OIG Company Model Advisory Opinion For What It Truly Is: Meaningful Guidance That Must Be Incorporated Into These Arrangements (But Certainly Not the Death Knell to All Company Models Across the Country)", by Abby Pendleton, Esq., Adrienne Dresevic, Esq., and Carey F. Kalmowitz, Esq.

"OIG Advisory Opinion 12-06: Insightful Guidance from the OIG For Structuring Company Model Arrangements", by Abby Pendleton, Esq., Carey F. Kalmowitz, Esq., and Kathryn Hickner-Cruz, Esq., ABA Health eSource, June 2012.

"Proposed Meaningful Use Stage 2 -- What it Means to the Anesthesia and Pain Communities", by Abby Pendleton, Esq. and Stephanie P. Ottenwess, Esq., Communique, Spring 2012.

"Anesthesia Practices Should Prepare for More Audit Activity", by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Communique, Winter 2011.

"Sleeping Giants: Compliance in the Age of Electronic Medical Records", by Ranjan Sachdev, MD, MBA, CHC, Abby Pendleton, Esq., and Jessica L. Gustafson, Esq., Association of Healthcare Internal Auditors New Perspectives, Winter 2011.

"The Future of the Recovery Audit Contractor Program", by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., ABA eSource, August 2011

Compliance Can Be Tricky in the Age of Electronic Medical Records, by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report, Spring 2011.

"The Recovery Audit Contractor ("RAC") Program: What Can Laboratories and Pathologists Expect?", by  Abby Pendleton, Esq.  and Jessica L. Gustafson, Esq., G-2 Compliance Report, February 2011.

"Compliance Corner: Focus on Compliance," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Communique, Fall 2010.

"RAC Program Proposed Rule Published," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report Winter 2011.

"The OIG's New Roadmap on Avoiding Fraud and Abuse," by Stephanie P. Ottenwess, Esq. and Abby Pendleton, Esq., Michigan Medical Law Report Winter 2011.

Proposed HIPAA Regulations: What Physician Practices Need to Know,” by Abby Pendleton, Esq., Jessica L. Gustafson, Esq., and Stephanie Ottenwess, Esq., Michigan Medical Law Report Fall 2010.

"Health care reform measures, increased audit scrutiny, and more reasons why compliance programs matter," by Abby Pendleton, Esq. and Kathryn Hickner-Cruz, Esq., Michigan Medical Law Report, Vol. 6, No. 2, Summer 2010. p.12

"The Anesthesia Community Must Be Prepared for Increased Audit Activity by RACS and Others," by Abby Pendleton, Esq., Communique, Spring 2010.

"AHLA Deciphering Codes: Fraud & Abuse for Coders and Coding Insight for Healthcare Lawyers," a chapter in the AHLA/AAPC Coding Manual, Abby Pendleton, Esq., published in 2010.

"Breach Notification Final Rule," by Jessica L.Gustafson, Esq. and Abby Pendleton, Esq., The Communique, Winter 2010.

"HIPAA enforcement strengthened, penalties increased," by Jessica L.Gustafson, Esq. and Abby Pendleton, Esq., Michigan Medical Law Report, Vol. 5, No. 4, Winter 2010.

"The RAC Program: What Can Radiology Providers Expect as RACs Begin Auditing?," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Radiology Management, November/December 2009.

"Physicians Can Choose to Opt Out of Medicare Participation," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report, Vol. 5, No. 3, Fall 2009.

"HITECH in a High Tech Era," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Communique, Fall 2009.

"What Anesthesiologists And Pain Management Physicians Need To Know About The RAC Program," by Abby Pendleton, Esq. and Jessica Gustafson, Esq., Communique, Summer 2009.

"Medicare eases rule on termination of provider medical records review," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report, Vol. 5, No. 1, Spring 2009

"Recovery Audit Contractors And Medicare Audits: What Can Hospitals and Health Systems Expect as the RAC Program Expands Nationwide?,” co-authored: Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., American Health Lawyers Association, Hospitals and Health Systems Practice Group Member Briefing, January 2009.

"Get Ready -- Recovery Audit Contractors Are Coming to Michigan," co-authored: Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report, Vol. 4, No. 4, January 2009

"RAC to the Future: What Can Medicare Providers and Suppliers Expect from the Recovery Audit Contractor Program?," co-authored: Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., The Health Lawyer, The ABA Health Law Section, Vol. 21, No. 2, December 2008

"The RACs Are Coming - Are You Ready?" co-authored: Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., The RAP Sheet, American Health Lawyers Association, December 2008

"Recovery Audit Contractors and Medicare Audits: Successful Strategies for Defending Audits," co-authored: Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Caring, National Association of Home Care and Hospice, November 2008

"Planning for Compliance," by Abby Pendleton, Esq. and Adele P. Jorissen, Esq., Anesthesia Business Consultants Communique, Fall 2008

"Can Medicare take my money? What the One-Time Notification means," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report, Vol. 4, No. 2, Summer 2008

"Compliance Corner: OIG Workplan 2008," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Anesthesia Business Consultants Communique, Spring 2008

"OIG Work Plan 2008: What can providers expect in 2008?" by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report, Vol. 4, No. 1, Spring 2008

"Is Medicare being billed the right way? Here's how to avoid the risks," by Abby Pendleton, Esq., Michigan Medical Law Report, Vol. 3, No. 4, Winter 2008

"Get Ready: RACs may be nationwide sooner than expected!" co-authored: Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., HCCA Compliance Today, Vol. 9, No. 10, October 2007

"Get ready for increased nationwide Medicare audit activity," co-authored: Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report, Vol. 3, No. 3, Fall 2007

"Legal issues impacting physician recruitment relationships," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report, Vol. 2, No. 4, Winter 2007

"What all physicians need to know about the proposed changes to the Medicare physician fee schedule," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report, Vol. 2, No. 3, Fall 2006

"3 Cost-Effective Compliance Tips to Jump Start Your Compliance Efforts," by Abby Pendleton, Esq., Communique, Fall 2006

"Prescribing controlled substances: What every physician should know," by Abby Pendleton, Esq. and Robert S. Iwrey, Esq., Michigan Medical Law Report, Vol. 2, No. 2, Summer 2006

"The New Medicare Part A and Part B Appeals Process," co-authored: Abby Pendleton, Esq., Health Law Handbook 2006, Part I, Chapter I, 2006

"The Michigan Social Security Number Privacy Act, new whistleblower provisions of the Michigan Medicaid False Claims Act and more," co-authored: Abby Pendleton, Esq., Michigan Medical Law Report, Vol. 2, No. 1, Spring 2006

"Billing: Three key compliance tips that every physician should implement," co-authored: Abby Pendleton, Esq., Michigan Medical Law Report, Vol. 1, No. 4, pg. 5, 10, Winter 2005

"Compliance Auditing: Three Key Issues That Every Physician Should Consider," co-authored: Abby Pendleton, Esq., Michigan Medical Law Report, Vol. 1, No. 3, Fall 2005

"The New Medicare Appeals Process," co-authored: Abby Pendleton, Esq., The Health Lawyer, The ABA Health Law Section, Vol. 17, No. 3, June 2005

"Third-Party Payor Audits: The Impact on Anesthesia Groups," co-authored: Abby Pendleton, Esq., Anesthesia Business Consultants Communique, Fall 2004

"Third-Party Payor Audits: Impact on Physician and Healthcare Provider Clients," co-authored: Abby Pendleton, Esq., Laches, July 2004

"Medicare Appeal and Recovery Reforms under the Medicare Prescription Drug, Improvement and Modernization Act of 2003," co-authored: Abby Pendleton, Esq., The Health Lawyer, The ABA Health Law Section, March 2004

"Have you Engaged in Compliance Activities Lately?" co-authored: Abby Pendleton, Esq. and Robert S. Iwrey, Esq., MSA Ventilator, December 2003

"Final HIPAA Security Rule Allows Greater Flexibility," co-authored: Abby Pendleton, Esq., The Health Lawyer, The ABA Health Law Section, April 2003

"New HIPAA Privacy Guidance Reduces ASC Fears," co-authored: Abby Pendleton, Esq., FASA Update: Journal of the Federated Ambulatory Surgery Association, Volume XX, Number 1, January/February, 2003

"Proactive Compliance as an Audit Defense Strategy,” by Abby Pendleton, Esq. and Robert S. Iwrey, Esq., The Ventilator, January 2002

"Cpt 2000: Pain Management Coding Compliance," co-authored: Abby Pendleton, Esq., Anesthesia Business Consultants Communique, Winter, 2000

"OIG Softens its Overall Approach in Releasing the Final Compliance Guidance for Individual and Small Group Physician Practices," co-authored: Abby Pendleton, Esq., The Health Lawyer, The ABA Health Law Section, October 2000

"OIG Issues Draft Compliance Guidance for Individual and Small Group Physician Practices," co-authored: Abby Pendleton, Esq., The Health Lawyer, The ABA Health Law Section, June 2000

"Hospice Providers are Well Advised to Address OIG Identified Hospice Risk Areas," co-authored: Abby Pendleton, Esq., Health Care Weekly Review, February 2000

"OIG Issues Special Advisory Bulletin on Gainsharing Arrangements," co-authored: Abby Pendleton, Esq., Anesthesia Business Consultants Communique, Fall 1999

"Continuing Education is Key to Compliance," co-authored: Abby Pendleton, Esq., Anesthesia News, November 1999

"OIG Issues Compliance Guidance for the Hospice Industry and Medicare + Choice Organizations," co-authored: Abby Pendleton, Esq., The Health Lawyer, The ABA Health Law Section, October 1999

"HCFA Issues Final Rule on Medical Direction," co-authored: Abby Pendleton, Esq., Anesthesiology News, November/December 1998

"HIPAA Security Workbook and Toolkit," co-authored: Abby Pendleton, Esq., FASA

"HIPAA Privacy Workbook and Toolkit," co-authored: Abby Pendleton, Esq., FASA

"Anesthesia Time: Compliance Tips," co-authored: Abby Pendleton, Esq., Anesthesia Business Consultants Communique

"HIPAA Security Workbook and Toolkit," co-authored: Abby Pendleton, Esq., United Communications Group

"HIPAA Privacy Workbook and Toolkit," co-authored: Abby Pendleton, Esq., United Communications Group

Speaking Engagements




Jessica L. Gustafson, Esq. and Abby Pendleton, Esq. gave a Legal and Regulatory Update at the 9th National RAC and MAC Summit, Washington D.C., November 13-14, 2014.
 
Jessica L. Gustafson, Esq. and Abby Pendleton, Esq. presented at the World Congress 2nd Annual West Physician Advisor & Case Management Summit, on the topic of "Strategies to Successfully Manage Denials and the Appeals Process,"  San Diego, CA, October 20-21, 2014.

Abby Pendleton, Esq. presented on the topic of Compliance at the Michigan Association of Reimbursement Officers (MARO) Fall Conference.

Abby Pendleton, Esq. and Jessica Gustafson, Esq. presented at The National RAC Summit 2nd Physician Advisor and UR Team Boot Camp Best Practices from Pre-Admission to Appeal, Chicago, IL, July 14-16, 2014.

Abby Pendleton, Esq., Jessica Gustafson, Esq., and Michael Salvatore, MD presented, "Successfully Deal with Denials", Pre-Summit Workshops, Hotel Caribe Royale, Orlando, Florida, March 24, 2014.

Abby Pendleton, Esq. and Jessica Gustafson, Esq. presented, "Overview and Recap of the 2014 CMS IPPS Final Rule", Pre-Summit Workshops, Hotel Caribe Royale, Orlando, Florida, March 24, 2014.

"Compliance in 2014: What you Need to Know!", presented by Abby Pendleton, Esq. and Ranjan Sachdev, MD, MBA, CHC, and Jack Bert, MD, Moderator, American Academy of Orthopaedic Surgeons Annual Meeting, New Orleans, LA, March 14, 2014.

Abby Pendleton, Esq. presented, "Healthcare Laws and Legal Issues", AHIA Michigan Regional Seminar, February 18, 2014.

"Advanced Practice Providers-The Role of Nurse Practitioners", by Abby Pendleton, Esq. and Nancy George., ICLE's 20th Annual Health Law Institute, March 6-7, 2014, 4:35pm, The Inn at St. John's in Plymouth.

"Legal Issues Arising from Health Information Technology", by Abby Pendleton, Esq. and Kathryn Hickner-Cruz, Esq., Transitioning to Accountable Care Organizations, St. Johns, Plymouth, September 18, 2013.

"CMS's New Two-Midnight Rule for Inpatient Admissions: Strategies for Hospital Compliance", by Abby Pendleton, Esq. and Jessica Gustafson, Esq., AIS Webinar, September 26, 2013.

On August 16, 2013, Abby Pendleton presented on the 2014 IPPS Final Rule on Appeal Academy’s Finally Friday.

Abby Pendleton, Esq. presented with Jack Bert, M.D. and Ranjan Sachdev, M.D. MBA, CHC on March 19, 2013 at the American Academy of Orthopaedic Surgeons Annual Meeting in Chicago.  They presented on the topic “Compliance 2013- What You Need to Know”.

Presentation on RAC Audits and Appeals to The Healthcare Financial Management Association of Western New York, by Abby Pendleton, Esq., Claudia Hinrichsen, Esq., and Lori La Salle Esq.- Friday, September 28, 2012 , 8:30 AM to 12:00 PM

"How to Comply with Proposed CMS Overpayment Rules," by Abby Pendleton, Esq., and Claudia Hinrichsen, Esq., a HCCS Webinar, April 25, 2012.

“The Latest on Medicare RACs,” by Lori S. Baker, moderated by Abby Pendleton, Esq., an American Health Lawyers Association Webinar, February 13, 2012.

“The Medicaid RAC Final Rule: What Legal Counsel Representing Healthcare Providers Need to Know,” by Jessica L. Gustafson, Esq. and Susan Emanual, moderated by Abby Pendleton, Esq., an American Health Lawyers Association Webinar, January 25, 2012.

“Covenants Not to Compete in the Michigan Health Care Marketplace,” by Thomas W. H. Barlow, Esq. and moderated by Abby Pendleton, Esq., State Bar of Michigan Health Care Law Section Teleconference, June 1, 2011.

“The Michigan Audit Landscape: Medicare, Medicaid, and Private Payor Audits,” by Jessica L. Gustafson, Esq. and Connie Blachut, MPH, MBA, moderated by Abby Pendleton, Esq., State Bar of Michigan Health Care Law Section Teleconference, June 15, 2011.

“ZPICs, RACs, MICs and More: What Radiology Practices Need to Know about Federal Auditing Programs,” Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., AHRA Annual Meeting and Exposition, August 17, 2011, Grapevine, TX.

"The Current Audit Landscape, Is Your Organization Prepared?" Abby Pendleton, Esq., NYSARC, May 10, 2011, Albany, NY.

“The Compliance Landscape for Chronic Pain” by Abby Pendleton, Esq. and Neda Mirafzali, Esq., Advanced Techniques for Acute and Chronic Pain Management 2011, May 1, 2011, Detroit, MI

“The Fraud and Abuse Environment for Anesthesiologists,” Abby Pendleton, Esq., Anesthesia Business Consultants, LLC, Tulane University School of Medicine Department of Anesthesiology & The Center for Continuing Education Tulane University Health Sciences Center, April 26, 2011, Webinar.

"Compliance in the Age of Electronic Health Records," Health Care Compliance Association's 15th annual Compliance Institute, April 10-13, 2011 Orlando, FL.

Legal Issues Regarding Difficult Pain Patients: Noncompliance, Drug testing and terminating physician/patient relationships, Abby Pendleton, Esq., MGMA AAA Conference, March 20, 2011 in Baltimore, MD.

"Navigating Claim Denials," World Research Group Panel Discussion, March 2, 2011.

“OIG’s Roadmap for New Physicians,” Abby Pendleton, Esq., Glenn Martin, Esq., and Linda Baumann, Esq., ABA Health Law Section Webinar, December 10, 2010.

“What’s New In Compliance: Mandatory compliance plans, False Claims Act enforcement (refunds of overpayments, EHR compliance risks),” Abby Pendleton, Esq., Anesthesia Business Consultants’ Anesthesia and Pain Medicine Update for 2011 Webinar, December 10, 2010.

"Society for Pain Practice Management Billing and Coding Workshop," September 23-26, 2010.

"Recovery Audit Contractors and Medicare Audits," The Association for Medical Imaging Management (AHRA) 38th Annual Meeting & Exposition, August 22-26, 2010.

"Recovery Audit Contractors: Is Your Organization Ready for the RAC Attack?" American Association of Nurse Anesthetists (AANA) Annual Meeting, August 11, 2010, Seattle, WA.

"RAC Attack," The Medical Group Management Association 2010 Anesthesia Administration Assembly Conference, May 24-26, 2010, San Antonio, TX.

"RAC and Medicare Appeals: What Physicians Need to Know," The Michigan Osteopathic Association 10th Annual Michigan Osteopathic Association Practice Manager Program, May 13-14, 2010.

"The Audit Landscape for Michigan Providers and Suppliers," Michigan Health Care Law Section Teleconference, March 18, 2010.

"Audits, Refunds, Denials, Appeals And All The Other Things That Can Sink Your Practice!" "Medicare and Third Party Payor Audits," "Focus on Compliance 2010," and "HIPAA, HITECH Act, Identity Theft, and Breach Notification - Practical Action Steps for the Pain Practice," Society for Pain Practice Management 23rd Annual Pain Management Symposium February 27-March 3, 2010.

"Recovery Audit Contractors and Medicare Audits: Strategies for Successful Appeals," 2010 Georgia Hospice and Palliative Care Organization Annual Leadership and Clinical Conference, February 25, 2010.

"Recovery Audit Contractors and Medicare Audits," Decision Health Teleconference, February 18, 2010.

"Recovery Audit Contractors and Medicare Audits," United Physicians-National City Partnership, January 20, 2010.

"Managing the RAC Appeals Process," A World Research Group Healthcare Management Conference: Reducing RAC and MIC Audit Exposure, December 7 through 8, 2009.

"Recovery Audit Contractors and Medicare Audits: Lessons Learned and the Road Ahead," 2009 American Health Lawyers Association Fraud and Compliance Forum, October 4 through 6, 2009 (with co-presenters Don Romano, attorney and Connie Leonard, Director, CMS Division of Recovery Audit Operations).

"The New Environment for Fraud and Abuse Enforcement for Anesthesia & Pain Management," Anesthesia Business Consultants Webinar, August 20, 2009.

Recovery Audit Contractors 'RAC' Program and Successful Strategies for Appeal, The Association for Medical Imaging Management (AHRA) 2009 Annual Meeting and Exposition, August 9-13

Managing the RAC Appeals Process, World Research Group Healthcare Management Conference, August 3-4, 2009

Recovery Audit Contractors, Michigan Association of Physicians of Indian Origin (MAPI), March 15, 2009

Recovery Audit Contractors and Medicare Audits, National Hospice & Palliative Care Organization (NHPCO), October 24, 2008

The Medicare Appeals Process and Strategies for Successful Appeals, Michigan Home Health Association (MHHA), May 14, 2008

Billing Coding and Compliance, Society for Pain Practice Management (SPPM), July 20, 2007 - July 22, 2007

The Future of Healthcare, BOC Athletic Trainer Regulatory Conference, July 12, 2007 - July 13, 2007

Compliance Program Challenges & Opportunities (Panel Member), Health Care Compliance Association, June 15, 2007

Third Party Payor Audits, American Society of Addiction Medicine (ASAM), April 26, 2007 - April 29, 2007

Billing, Avoiding Malpractice, SPPM, March 10, 2007 - March 14, 2007

Multiple Topics, SPPM, January 20, 2007 - January 21, 2007

The New Medicare Appeals Process, Annual Meeting of the Medical Group Management Association (MGMA), October 25, 2006

Fraud and Abuse Compliance Issues, United Communications Group Physicians National Summit, September 14, 2006 - September 16, 2006

Key Legal Compliance Issues Facing Skilled Nursing Facilities, Healthcare Association of Michigan (HCAM), 2006

How to Keep your DME Relationships Problem-Free, United Communications Group, 2006

Medicare Appeals, Exclusive Contracts, Compliance, Legal Risks of Facility Ownership, Society for Pain Practice Management, 2005

State Laws and Regulations (Current Trends & Implications to AMCs) (Panel Member), NC NICA 3rd Academic Medical Center Conference, 2005

Operationalizing HIPAA Privacy and Security, Society for Pain Practice Management, 2005

Top Five Clauses to Watch Out for in Private Payer Contracts, Decision Health's Private Payer Contract Solutions Conference, 2005

Understanding the Basics of HIPAA, ICLE 11th Annual Health Law Institute, 2005

Practical Steps to HIPAA Compliance for Ambulatory Surgery Centers, Federated Ambulatory Surgery Association 2003 Annual Meeting, 2003

HIPAA Compliance, Medical Group Management Association (MGMA) Anesthesia Administration Assembly 2003 Conference in Montreal, Canada, 2003

HIPAA, United Communications Group, October 1, 2003 - October 3, 2003

HIPAA, United Communications Group, April 11, 2003

Anesthesia Billing Compliance, United Communications Group Anesthesia Conference, January 23, 2003 - January 24, 2003

HIPAA Compliance, United Communications Group, January 30, 2002 - February 1, 2002

Anesthesia Compliance, Medical Group Management Association (MGMA)

Anesthesia Administration Assembly 2002 Conference, 2002

How to Boost Compliance in your Pain Practice, United Communications Group, October 22, 2001 - October 23, 2001

Documentation and Monitoring of a Compliance Program, United Communications Group, July 23, 2001 - July 24, 2001

HIPAA Privacy Rule, United Communications Group, April 1, 2001

Compliance for Pain Management Physicians, United Communications Group, January 1, 2001 - April 1, 2001

Medicare & Medicaid: Enforcement, Compliance and the Transition to Managed Care in Michigan ("Developing and Implementing a Compliance Program"), Lorman Education Services, 1999 - 2000

How to Boost Compliance in your Pain Practice, United Communications Group, 1999 - 2000

Development and Implementation of Compliance Programs for Anesthesia Practices, United Communications Group, November 1, 1999

Honors and Awards

Michigan Lawyers Weekly, Women in the Law, 2011.

D'Business Magazine Top Lawyer in Healthcare Law 2011

American Jurisprudence Book Awards in Contracts and Criminal Law, 1996

Deloitte & Touche LLP Award for Tax Law, 1996

Past Employment Positions

Wachler & Associates, P.C., associate, partner, 1996-2009

Wachler & Associates, P.C., law clerk, 1994-1996