Stephanie is an associate in the Health Care Department where she concentrates her practice in health law. She assists clients in matters relating to medical reimbursement, fraud and abuse (Stark and anti-kickback), privacy and security under HITECH/HIPAA, credentialing and licensure, and antitrust issues.
Prior to joining Marshall Dennehey, Stephanie served as a senior consultant, post adjudication officer and privacy officer for MAXIMUS Federal Services. As such, Stephanie was responsible for representing the Centers for Medicare and Medicaid (CMS) before the Office of Medicare Hearing and Appeals (OMHA). She successfully defended Recovery Audit Contractors' (RAC) denials of reimbursement for observation services billed at an inpatient level of care and for Medicare's denial of hospice services. Stephanie also appeared before the ALJ in cases related to Medicare reimbursement of services such as SNF, hospice, home health, and outpatient physical and occupational therapy services. At MAXIMUS, Stephanie was also responsible for issuing decisions on issues including the Medicare Secondary Payer provisions; reviewing requests for information based on the Freedom of Information Act, Privacy Act and the Code of Federal Regulations; and researching and reporting on Protected Health Information and Personally Identifiable Information breaches.
Stephanie also served as a fair hearings officer for the Delaware Department of Health and Social Services. In this position, she presided over administrative hearings and issued decisions on agency actions including Medicaid managed care cases and Medicaid program services.
Stephanie received her juris doctor from Rutgers School of Law in 2005. She is licensed to practice in Pennsylvania and New Jersey, and is a member of the Philadelphia Brehon Law Society, a professional association that fosters the profession of law among individuals of Irish ancestry.
•An Historical Look at the ACO Concept and Future Liabilities: What Does Accountable Really Mean?, Health Law Handbook, 2014 ed., Thomson Reuters
•Meaningful Use of Electronic Health Records, Billing, The Journal of the Healthcare Billing and Management Association, January 2014
•Medicaid Provider Enrollment Update, The Rap Sheet, a publication of the American Health Lawyers Association Regulation, Accreditation, and Payment Practice Group, November 2013
•Are You In Line With Physical Therapy Functional Reporting Requirements?, Western Pennsylvania Healthcare News, October 2013
•The Interrelationship Between Compliance and Quality Care, The Legal Intelligencer, March 19, 2013
•Accountable Care Organizations: From Theory to Practice, The Legal Intelligencer, March 19, 2013
•Association for the Advancement of Medical Instrumentation (AAMI) Conference & Expo, panel discussion member, hosted by Siemens Medical Solutions, June 1, 2014
•Affordable Care Act Update for 2014: From a Reimbursement and Employment Perspective, 2014 Pennsylvania Medical Group Management Association State Conference, May 16, 2014
•Critical Issues in the Delivery of Health Care: Reform, Policy and Quality, 2013 Trends in Health Care and Health Law Seminar, Marshall Dennehey, November 7, 2013
Year Joined Organization: 2012