Experience
Management and legal — both sides of the table.
Steve Gravely has worked in the health care system as both management and legal. He understands the state and federal laws and regulations that apply to health care providers, suppliers, health plans and others.
That dual perspective matters. Regulatory advice that ignores operational reality creates risk of its own. Steve has the experience to help clients navigate complex health care laws and regulations — and to make decisions that hold up under scrutiny.
Compliance is not a document. It is a set of decisions made correctly, repeatedly, under pressure.
Regulatory Domains
Where the exposure lives.
Fraud & Abuse
Stark, Anti-Kickback, Physician Self-Referral and licensure laws — ongoing advice on the arrangements that trigger them.
Reimbursement
Complex Medicare, Medicaid and commercial reimbursement and payment issues, from coverage policy to appeals.
Investigations
Federal Medicare fraud investigations and internal inquiries into alleged fraud or misconduct.
Governance
Design and establishment of compliance committees, and ongoing support as they perform oversight.
Representative Work
01
Ongoing regulatory counsel
Provide on-going advice on state and federal legal and regulatory issues involving healthcare laws including Stark, Anti-Kickback, Physician Self-Referral and licensure laws and regulations.
02
Payment & reimbursement
Advise clients on complex Medicare, Medicaid and commercial reimbursement and payment issues.
03
Federal fraud defense
Represented major hospital providers in several multimillion dollar federal Medicare fraud investigations, negotiating successful settlements.
04
Internal investigations
Coordinate internal investigations of alleged fraud or misconduct within hospitals and other types of healthcare organizations, supporting management and governing bodies through successful resolution.
05
Compliance committees
Support the design and establishment of compliance committees for hospitals and other healthcare organizations, and support these committees as they perform their oversight.
