Publications

2021

Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., "What Are Medicare Appeals" (2nd Edition), Chicago: American Bar Association, 2021

2020

Jessica L. Gustafson, Esq. was quoted in "OPPS Final Rule: CMS Ends Inpatient-Only List, Puts Related Audits on Ice Indefinitely," by Nina Youngstrom, Report on Medicare Compliance, Vol. 29, No. 43, December 7, 2020.

"Hospitals Brace for Renewed Focus on Total Joint Procedures" by Jessica L. Gustafson, Esq., American College of Physician Advisors Newsletter, September 25, 2020.

Robert S. Iwrey, Esq. revised and edited Chapter 50, "State and National Reporting Laws and Requirements/National Practitioner Data Bank" of the Legal Manual for New York Physicians, 6th Edition, a joint publication of the New York State Bar Association and the Medical Society of the State of New York, July 2020.

Jessica L. Gustafson, Esq. was quoted in "Court Says Inpatients Changed to Observation Have Right to Appeal, Orders New Process" by Nina Youngstrom, Report on Medicare Compliance, Vol. 29, No. 12, March 30, 2020.

Jessica L. Gustafson, Esq. was quoted in "In Unusual Move, MACs Recoup Whole DRG Payment for PACT Errors; Rebuttals May Help" by Nina Youngstrom, Report on Medicare Compliance, Vol. 29, No. 4, February 3, 2020.

Clinton Mikel, Esq. wrote a chapter in "Opioid Prescribing - An AHLA 50 State Survey with Summaries and Links" called "California", January 2020.

Jessica L. Gustafson, Esq. was quoted in "Rappin' About RACs" by Susan Chapman, For The Record, Vol. 32, No. 1, P. 22, January/February 2020.

Jessica L. Gustafson, Esq. was quoted in "Outlook 2020: Integrity Rule, Inpatient Audits Will Stir Things Up; Privacy is 'Huge Focus'" by Nina Youngstrom, Report on Medicare Compliance, Vol. 29, No. 1, January 13, 2020.

2019

Clinton Mikel, Esq. contributed to ABA Health Law Section's "Comments regarding file code OIG-0936-AA10P, RIN 0936-AA10-P, Proposed Rule, Medicare and State Healthcare Programs: Fraud and Abuse; Revisions to Safe Harbors Under the Anti-Kickback Statute, and Civil Monetary Penalty Rules Regarding Beneficiary Inducements", December 30, 2019.

"CMS Greatly Expands Its Authority to Deny and Revoke Providers' and Suppliers' Medicare Enrollment" by Adrienne Dresevic, Esq. and Jessica L. Gustafson, Esq., ABA The Health Lawyer, Vol. 32, No. 2, pg. 6, December 19, 2019.

"CMS Revises Guidance Regarding the Use of Statistical Sampling for Overpayment Estimation" by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., BC Advantage November/December 2019.
Robert S. Iwrey, Esq. revised and edited Chapter 50, "State and National Reporting Laws and Requirements/National Practitioner Data Bank" of the Legal Manual for New York Physicians, 6th Edition, a joint publication of the New York State Bar Association and the Medical Society of the State of New York, November 2019.
"Licensing Health Care Providers in Michigan: Requirements and Ramifications" by Debra A. Geroux, JD, CHC, CHPC, Robert S. Iwrey, Esq., and Arturo Trafny, Esq., The State Bar of Michigan Health Care Law Section, November 2019.
Clinton Mikel, Esq. contributed to AHLA's resource on the opioid crisis, "State Response to Opioid Crisis and Opioid Requirements: a 50 State Survey", November 6, 2019.

Jessica L. Gustafson, Esq. was quoted in "In Settlement Process, CMS Offers IRFs 100% Payment on Some Claims" by Nina Youngstrom, Report on Medicare Compliance, Vol. 28, No. 23, June 24, 2019.

"OMHA Medicare Appeals Backlog to be Eliminated by 2022" by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., BC Advantage, March/April 2019.

"District Court Rules OMHA Appeals Backlog to be Eliminated by 2022" by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., ABA The Health Lawyer, Vol. 31, No. 3, February 2019.

"Courts Recognize Irreparable Injury Caused by Medicare Appeals Backlog" by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., BC Advantage, January/February 2019.

2018

Robert S. Iwrey, Esq. co-authored "What Is...Medical Staff Peer Review?", published nationally by the Health Care Law Section of the American Bar Association (ABA), November 2018.

Clinton Mikel, Esq. wrote a chapter in "Physician Law: Evolving Trends & Hot Topics 2018" called "Final HIPAA Omnibus Rule: What's Changed, and a Guide to Complying for Providers (Or, "Better Late Than Never")."

"The Department of Justice Softens its Stance on the Applicability of Federal Agency Guidance Documents" by Jessica L. Gustafson, Esq. and Adrienne Dresevic, Esq., BC Advantage, May/June 2018.

"CMS Removes Total Knee Arthroplasty from the Inpatient-Only List" by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., BC Advantage, March/April 2018.

"The Medicare Appeals Adjudication Backlog: New Initiatives May Offer Relief to Appellants" by Jessica L. Gustafson, Esq., BC Advantage, January/February 2018.

2017

Adrienne Dresevic, Esq. and Clinton Mikel, Esq. were quoted in "The Long Road to Compliance" by Julie Ritzer Ross at Radiologybusiness.com on November 20, 2017.

"Significant Changes to Anti-Kickback Statute Safe Harbors/Exceptions to the Civil Monetary Penalty Law" by Adrienne Dresevic, Esq., Clinton Mikel, Esq., and Robert J. Dindoffer, Esq. The Health Lawyer Vol. 29, No. 6, August 2017.

Clinton Mikel, Esq. wrote a chapter in, "Physician Law: Evolving Trends & Hot Topics 2017" titled "Final HIPAA Omnibus Rule: What's Changed, and a Guide to Complying for Providers".

"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, Vol. 29, No. 3, February 2017.