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Legal & Regulatory Forum’s Ask the Expert Panel
Diane L. Blaha
Diane L. Blaha, FHFMA, is a healthcare consultant with more than 30 years of healthcare experience in internal audit, corporate compliance, and reimbursement services. Diane is active with the New Hampshire/Vermont Chapter of HFMA where she has chaired the Certification Committee for the last seven years and holds the current treasurer position. She has also served as a board director and on the newsletter committee and education committee for that chapter.
Diane is an education leader for the reimbursement/payment track of HFMA’s Region One conference and a member of HFMA’s Board of Examiners with her specialty in patient financial services. Diane earned her fellowship (FHFMA) in 2007; has earned her Bronze, Silver, and Gold Merit Awards; and has earned five Yerger Awards since 2006.
Diane graduated from the University of Wisconsin with a BS in business management and has a graduate degree in accounting from Southern New Hampshire University.
She is interested in helping members of Legal and Regulatory Forum with questions related to the following topics:
- Compliance program guidance, implementation, and administration
- Compliance risk and internal audit
- Training materials and programs
- Business associates
- Security breaches
- Medicare and Medicaid reimbursement issues
- Payer audits and billing matters
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Rosemary Holliday is an industry expert in charge data management process improvement and chargemaster (CDM) compliance. Rosemary has presented in numerous local HFMA venues and teaches CDM coordinator education to hospitals nationwide. She is the founder of Holliday & Associates, Incline Village, Nev., which has dedicated 22 years to innovative, next-generation CDM management solutions including chargemaster management software, education, and consulting to the hospital industry.
She can assist Forum members with questions related to:
Rosemary’s healthcare background (since 1976) lends expertise to her operational knowledge of numerous technical, clinical, and support areas of today's hospital environment. Her experience includes project management and systems implementation analyst positions for a major HIS software vendor, consulting work in hospital productivity studies, interim risk manager, and a hospital administrative fellowship. Prior positions included radiology management, supervisory, and staff technologist at teaching hospitals in the south and mid-west.
She earned a Master’s degree in hospital administration from Washington University, St. Louis, and a Bachelor’s degree in business administration from Memphis University, Memphis.
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Tim Ezell and Lynda M. Johnson
Tim Ezell and Lynda M. Johnson are both attorneys with Friday, Eldredge, and Clark, Little Rock, Ark.
Tim Ezell practices primarily in the area of healthcare law, representing hospitals, physician groups, and other medical service providers with respect to various corporate and compliance matters. His experience covers matters relating to HIPAA, Stark, fraud and abuse, anti-kickback, EMTALA, Medicare/Medicaid reimbursement, compliance, joint ventures, provider sales and acquisitions, medical staff bylaws, and credentialing issues.
Lynda M. Johnson has practiced in the health law area since 1986, representing a wide variety of healthcare providers, including hospitals, physicians, physician groups, nursing homes, and home health agencies. Recently, her practice has focused on representation of hospitals and physicians with respect to HIPAA compliance efforts and other areas of regulatory compliance. Her practice also includes issues involving Stark and anti-kickback compliance, Medicare/Medicaid reimbursement, corporate compliance issues, physician and hospital organization issues, managed care, healthcare and hospital law, long-term care, and home health. Lynda has been selected for inclusion in The Best Lawyers in America for Health Law.
Tim and Lynda are particularly interested in the following legal and regulatory topics:
- Fraud and abuse (including anti-kickback and Stark matters)
- Joint venture arrangements
- RAC/MIC and related audits
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Robin A. Johnson
Robin has her own law firm that represents healthcare providers and other not-for-profit institutions. Her practice focuses on not-for-profit corporations, healthcare reimbursement, licensure, accreditation, and compliance on behalf of community mental health centers, hospitals, clinics, home health agencies, large physician practices, accreditation agencies, and professional associations of healthcare providers.
Robin’s specific areas of expertise include:
- Reimbursement, including Medicare and Medicaid
- Insurance law
- Licensure and accreditation
- Fraud and abuse
- Not-for-profit corporate organization and mergers
After graduation from Boston University School of Law, she practiced law for the Commonwealth of Massachusetts and for the private law firms of Hutchins & Wheeler (now, Nixon Peabody) in Boston, and Bowditch & Dewey in Worcester, Mass. Additionally, for nearly six years, Robin was the senior medical center counsel at the University of Massachusetts Medical Center.
Robin is a past chair of the Massachusetts Bar Association Health Law Section. She is currently a member of the Boston Bar Association Health Law Steering Committee and Chair of the Mentoring Program for new healthcare lawyers. She is also a co-chair of the Healthcare Payment Attorneys Network, a national network of healthcare reimbursement attorneys, which she co-founded in 2008.
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Martha (Marty) Ann Knutson, JD, CPC, focuses her law practice on helping organizations and individual healthcare providers get and stay in compliance with the many local, state, and federal requirements governing healthcare today. From more than two decades as a trial lawyer, an inhouse counsel, and a compliance officer for a number of providers, Marty knows not only the laws applicable to her clients, but also how to tailor solutions to their operational realities.
Marty presently has a private law practice in San Diego, California and is licensed in that state, Maryland, and the District of Columbia.
An honors graduate of both the Washington College of Law at American University and the Honors College of the University of Houston, Marty is ready to assist Forum members with a wide variety of health law questions, including those related to:
- Compliance program design and development
- Disability issues (ADA, Rehabilitation Act, Civil Rights Act of 1964)
- Fraud and abuse restrictions
- Licensure matters
- Reimbursement (including Medicare and Medicaid)
- Stark (physician self-referral)
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Lauren Mack is a healthcare law attorney with Proskauer Rose LLP, specializing in tax-exempt organizations and tax-exempt finance with a focus on federal tax matters. She advises not-for-profit healthcare and other tax-exempt organizations in connection with corporate and transactional matters, exemption applications, private letter ruling requests, audits and closing agreements, and tax compliance and governance matters.
In addition, Lauren has served as bond counsel in a broad of range of tax-exempt financings, counseling borrowers, underwriters, and banks with respect to tax matters relating to transaction structuring, post-closing tax compliance, Schedule K, audits, closing agreements under the IRS's Voluntary Compliance Program, and private letter rulings. Lauren is a regular speaker on tax-exempt organization and tax-exempt finance issues.
Lauren has more than 25 years experience advising not-for-profit healthcare providers on tax, governance, and tax-exempt financing matters. She is particularly interested in answering questions related to:
- Section 501(c)(3) organizations
- Joint ventures between not-for-profit and for-profit organizations
- Intermediate sanctions, private inurement, and private benefit
- Unrelated trade or business
- Policies and procedures to address tax matters
- Tax-exempt bonds
- Post-issuance compliance programs
- Schedule K
- Private use and remedial action
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Elizabeth M. Mills
Elizabeth M. Mills is senior counsel in the Chicago office of the law firm Proskauer Rose LLP and a member of the healthcare department. Her practice is focused both on healthcare organizations and tax exemption issues for not-for-profit organizations.
Elizabeth addresses regulatory and transactional issues for all types of healthcare providers. She speaks and writes frequently on tax exemption matters, particularly for health organizations. She earned her JD degree, cum laude, from Northwestern University School of Law. She is the current chair of the American Health Lawyers Association’s Tax and Finance Practice Group.
Elizabeth is particularly interested in answering questions related to:
- Requirements for hospital tax exemption, including Section 501(r) requirements
- Form 990 requirements
- Legal and tax issues in all aspects of hospital-physician integration
- Joint ventures
- Joint operating agreements
- System affiliations
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Chad Mulvany is a technical director for HFMA and is based out of the association’s Washington, D.C. office. Chad is responsible for creating content covering reimbursement issues and healthcare reform. He also is a regular contributor to hfm magazine, and speaks frequently to local chapters.
Chad has more than 10 years of revenue cycle and reimbursement experience, working as both an internal and external consultant to large healthcare systems. Prior to joining HFMA, he helped Fortune 500 companies reengineer their innovation and marketing processes as a consultant at the Corporate Executive Board.
Chad has an MBA from the University of Maryland. He is active with the Virginia Chapter of HFMA where he has served as a past board member.
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Richard C. Parker
Richard C. Parker is an executive director with CBIZ KA Consulting Services, a financial management consulting company, which provides financial, compliance, and operational consulting services to the healthcare industry. He has more than 25 years experience in the healthcare field, both in a provider and consulting setting.
Richard has led the CBIZ effort in full revenue cycle operational reviews and has developed benchmarks and standards for hospitals to maintain an efficient and effective process from patient access to collection. He is also the primary RAC liaison for several CBIZ clients.
Prior to CBIZ, Richard served as vice president of finance at Robert Wood Johnson University Hospital Rahway, New Jersey, and led the facility through major cost reductions and reconfiguration plans. He also managed the process that resulted in the eventual legal affiliation between Rahway Hospital and Robert Wood Johnson University Hospital.
Richard’s interests include:
- CMS/RAC risk assessment and recovery
- DRG coding guidance
- Medical necessity guidance
- Regulatory affairs/projects
- Compliance risk and auditing
- Training related to medical necessity and coding
- Business associates
- HIPAA privacy
- Internal controls
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George Rousis, CPA, has more than 25 years of experience in the healthcare industry that includes auditing, consulting, information technology, computer security, and corporate compliance. For the past 13 years, George has served as the compliance officer for Halifax Health, Daytona Beach, Fla., serving east Volusia County. Halifax Health’s compliance program covers more than 4,000 employees at three hospital sites and the Hospice of Volusia-Flagler.
George has a business degree from Florida Atlantic University and is a CPA. He is a two-time past president of the 100-plus member Florida Healthcare Corporate Compliance Association, a professional membership group associated with the Florida Hospital Association (FHA). He has presented on a variety of healthcare compliance topics for the FHA, the Florida Health Information Management Association, and the Health Care Compliance Association.
George is interested in the following legal and regulatory issues:
George Rousis, CPA, has more than 25 years of experience in the healthcare industry that includes auditing, consulting, information technology, computer security, and corporate compliance. For the past 13 years, George has served as the compliance officer for Halifax Health, Daytona Beach, Fla., serving east Volusia County. Halifax Health’s compliance program covers more than 4,000 employees at three hospital sites and the Hospice of Volusia-Flagler. George has a business degree from Florida Atlantic University and is a CPA. He is a two-time past president of the 100-plus member Florida Healthcare Corporate Compliance Association, a professional membership group associated with the Florida Hospital Association (FHA). He has presented on a variety of healthcare compliance topics for the FHA, the Florida Health Information Management Association, and the Health Care Compliance Association. George is interested in the following legal and regulatory issues:
- HIPAA; privacy and security rule compliance
- Compliance program implementation and administration
- Internal auditing
- Enterprise risk management
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