Arnold Menchel is the Chair of Halloran & Sage's Health Care practice providing advice to the full range of institutional and community based providers on reimbursement, regulatory compliance, HIPAA, and all administrative law matters.
Arnold advises hospitals, medical practices, long term care facilities and Medicare and Medicaid Contractors regarding compliance with HIPAA and various state and federal reimbursement and fraud and abuse statutes. In addition to providing advice, he also provides training on those topics. He represents hospitals and long term care facilities regarding reimbursement rate appeals and all types of providers regarding Medicaid and Medicare audits and fraud and abuse investigations. He also advises providers with respect to Department of Public Health licensing and investigations. He advises medical provider trade associations regarding state and federal laws and regulations.
Arnold joined Halloran & Sage following three decades as an Assistant Attorney General and the head of the Connecticut Attorney General's Health Care Fraud/Whistleblower/Health Care Advocacy Department. In that capacity, Arnold advised the State of Connecticut and its various agencies on a wide range of state and federal health care reimbursement issues. His experience at the Attorney General's office included successfully defending the State as lead counsel in a challenge by the Connecticut Hospital Association and its member hospitals to the Medicaid rate-setting methodology. He also successfully defended three separate cases involving long term care facilities challenging the Medicaid rate setting methodology. He also handled individual long term care rate setting matters; reimbursement and fraud enforcement matters involving institutional and community based providers including hospitals, long term care facilities, physicians, pharmacists, durable medical equipment providers and dentists, among many others. In the HIPAA context, Arnold supervised the first HIPAA enforcement case in the country brought by a State Attorney General. He also supervised the first case brought by the State under the Connecticut False Claims Act. In the Health Care Advocacy context, Arnold supervised the advocacy by the Attorney General's Office on behalf of constituents seeking appropriate coverage determinations under their health care plans and developed good working relationships with various state and federal agencies and commercial insurers.
Arnold is familiar with all aspects of administrative law ranging from drafting regulations and shepherding them through the administrative process to handling contested cases and their appeals involving many different departments, including the Department of Social Services, Public Health, Insurance and Consumer Protection and Mental Health and Addiction Services. In addition to handling administrative rate appeals, quality of care matters and licensing matters, he has appeared in state and federal trial and appellate courts.
Arnold has spoken at dozens of conferences and association meetings nationally as well as in Connecticut, for organizations including the American Conference Institute, the American Health Lawyers Association, the American Association of Health Plans, the Medicaid Management Institute, the Connecticut Bar Association, the Connecticut Health Lawyers Association, the Connecticut Society of Eye Physicians, the Visiting Nurse Associations of New England and the Connecticut Association of Long Term Care Financial Planners.
Arnold Menchel Featured Speaker at Connecticut Mental Health & The Law 2016