Remote Patient Monitoring: Contract Structures, Medicare Coverage, and Regulatory Compliance

Ms. Foley leads PYA’s Revenue and Compliance Advisory program. She combines eight years of industry experience in managing multiple hospital-owned practices with over two decades experience in advising physicians and hospitals in the areas of compliance, compensation, strategic planning, operational and financial improvement, and affiliation structures. Ms. Foley works closely with attorneys to assist clients with complex compliance matters including meeting obligations outlined in corporate integrity agreements, applying Medicare and Medicaid regulatory requirements to audit and potential overpayment situations, assisting with self-disclosure reporting including statistically valid sampling protocols and extrapolations, and providing pre-transaction compliance and operational due diligence. 

Mr. Hindman focuses his practice on healthcare regulatory, data privacy, cybersecurity, corporate, and transactional matters. He represents physicians and other healthcare providers and organizations in structuring group practices, joint ventures, ambulatory surgery centers, provider networks, and physician / hospital affiliations, as well as arrangements to provide professional and ancillary services, telehealth, chronic care management, remote patient monitoring, and physician in-office dispensing. Mr. Hindman also assists healthcare providers and businesses with potential compliance challenges, including compliance with the Stark physician self-referral law, federal and state anti-kickback laws, and corporate practice and fee-splitting restrictions.