Experience

Brown & Fortunato

• United States
• Law Practice
• 1 - 100 Employee

• Senior Attorney

  • Jan 2022 - Present

• Attorney

  • Jan 2015 - Apr 2022

  Advised clients on Federal Anti-Kickback Statute, Stark Law, Civil Monetary Penalties statutes, HIPAA,Federal Telemarking regulations, and Affordable Care ActConducted healthcare regulatory due diligence for healthcare entity transactionsAssisted clients with state licensing requirements for DME, pharmacy, home health, and hospiceCounseled clients on DME Competitive Bidding Program information updates, changes of ownership,novation, and appealing Competitive Bid Implementation Contractor (CBIC) decisionsPrepared services, subcontracting, marketing, and various other agreements for health care entitiesRepresented pharmacy and DME clients in responses to federal and state agency informational requestsManaged caseload and guide clients through federal OIG and DEA investigationsAdvocated on behalf of pharmacies in PBM audits and DME companies in Medicare and Medicaidpayment audits; draft and manage appeals to PBMs, CMS, and state Medicaid programs Show less



Universal American

• Insurance
• 300 - 400 Employee

• ACO Compliance Specialist

  • Sep 2013 - Jan 2015

  Researched and drafted memoranda on applicability of Stark Law, HIPAA, CMP, and Anti-Kickback regulations on the various activities of ACO partners Reviewed, analyzed, and approved ACO marketing materials for compliance with current Medicare Shared Savings Program regulations Created ACO compliance training materials, HIPAA authorization forms, and other general consent forms for use in 34 affiliated ACOs and other lines of business Trained ACO physicians and staff on ACO Compliance Program, HIPAA/Privacy, and Fraud, Waste and Abuse as it relates to ACOs Drafted and updated compliance, operations, quality improvement, care coordination, and management policies and procedures for company and affiliated ACOs Organized and trained Privacy Committee to conduct monthly privacy desk audits Managed annual review of policies and procedures for company and affiliated ACOs Show less



Saint Louis University

• United States
• Higher Education
• 700 & Above Employee

• Graduate Assistant - Office of Research Integrity

  • Aug 2011 - Jun 2013

  Responsible for reinforcing compliance of Conflict of Interest (COI) requirements: sent reminders, notified manager of non-compliance, reviewed investigator proposals for COI compliance Maintained COI documentation on university electronic record-keeping system Answered faculty/staff questions regarding COI compliance requirements Responsible for reinforcing compliance of Conflict of Interest (COI) requirements: sent reminders, notified manager of non-compliance, reviewed investigator proposals for COI compliance Maintained COI documentation on university electronic record-keeping system Answered faculty/staff questions regarding COI compliance requirements



Texas Children's Hospital

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Risk Management Intern

  • Jun 2012 - Aug 2012

  Prepared memos on various topics: children’s advance directives, maternity health issues, and informed consent Participated in Root Cause Analysis: attended employee interviews on the event and transcribed notes Participated in hospital policy revision: assisted in revising hospital policy on advance directives Prepared memos on various topics: children’s advance directives, maternity health issues, and informed consent Participated in Root Cause Analysis: attended employee interviews on the event and transcribed notes Participated in hospital policy revision: assisted in revising hospital policy on advance directives



Covidien (Medtronic Minimally Invasive Therapies Group)

• United States
• Medical Equipment Manufacturing
• 700 & Above Employee

• Healthcare Economics Intern

  • May 2011 - Aug 2011

  Researched current healthcare trends: payment reform and Accountable Care Organizations Analyzed impacts of current trends on customers and company Presented final project summarizing findings before leadership team Researched current healthcare trends: payment reform and Accountable Care Organizations Analyzed impacts of current trends on customers and company Presented final project summarizing findings before leadership team



Health Capital Consultants

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Research Associate

  • Jun 2010 - Apr 2011

  Conducted citation checks for valuation reports and other publications Researched and wrote articles on healthcare topics: Accountable Care, health reform law, and Value-based Purchasing Updated sections of valuation reports for client projects Conducted citation checks for valuation reports and other publications Researched and wrote articles on healthcare topics: Accountable Care, health reform law, and Value-based Purchasing Updated sections of valuation reports for client projects



Baylor College of Medicine

• United States
• Higher Education
• 700 & Above Employee

• Research Coordinator II

  • Jul 2007 - Jul 2009

  Conducted citation checks Abstracted (reviewed) patient charts Maintained study data procedure manual Screened job candidates and trained new abstracters Conducted citation checks Abstracted (reviewed) patient charts Maintained study data procedure manual Screened job candidates and trained new abstracters