Gregory A. Brodek

concentrates his practice exclusively in the area of healthcare law and represents hospital systems, hospitals, physicians, physician groups and integrated delivery systems on a wide variety of transactional, regulatory, compliance, and reimbursement issues nationwide. He draws on his years of experience and deep understanding of the healthcare industry to counsel his clients on the business impact of the legal issues at stake. His clients are throughout the United States.

His extensive healthcare experience includes representing providers in resolving disputes with public and private payors, negotiating settlements with federal and state agencies, structuring integrated delivery systems and physician networks, negotiating managed care arrangements, developing reimbursement strategies both on a state and federal level, and advising on self referral laws, tax-exempt concerns and day-to-day operational questions. Mr. Brodek also represents hospitals in joint venture transactions, including formation of integrated delivery systems, PHOs, HOs, and hospital-owned MCOs.

Mr. Brodek has lectured widely and has written on many healthcare matters, including Managed Care Contracting Issues for Providers, Health Law and Compliance Update, which was published by Aspen in 2009. He is a 1988 graduate of Drake University Law School and a graduate of Boston University.

Publications

Selected Publications

•Author, “Payment Issues Update,” Health Law and Compliance Update 2020
•Author, “Reimbursement Update: Payment Issues,” Health Law and Compliance Update 2019 Mid-Year

•Author, Departments Reaffirm Greatest of Three Rule and Clarify Outstanding Questions, Duane Morris Alert, May 2, 2018

•Contributing Author, “Navigating the Labyrinth of Payor Audits,” Health Care Law Enforcement and Compliance, 2013 ed.
•Co-author, State Medicaid Fraud Control Units' Data Mining Likely to Increase Through Federal Funding, Duane Morris Alert, June 11, 2013
• Increased Spotlight on Emergency Department Facility Coding by CMS, HHS and DOJ, Duane Morris Alert, May 16, 2013
•Co-author, Reform Means Hospitals Must Consider Primary Care Strategies, Modern Healthcare, July 2011
•Contributing Author, Managed Care Contracting Issues for Providers, Health Law and Compliance Update 2005 and 2009
• Medicaid Program Provider Self-Audits, Monitoring & Auditing Practices for Effective Compliance, published by Health Care Compliance Association, 2002
• Rural and Sole Hospital, Hospital Affiliated Integrated Delivery Systems Handbook, published by the American Academy of Hospital Attorneys, 1995

Speaking Engagements

Selected Speaking Engagements

•Speaker, 11th Annual Advanced Forum On Managed Care Disputes and Litigation, American Conference Institute, Chicago, May 6, 2020

•Presenter, 2018 UCAOA Urgent Care Convention & Expo, Paris Hotel, Las Vegas, Nevada, May 8, 2018

•Speaker, Texas Unencumbered #bizPT Conference, PTB Alliance, May 29-30, 2015
•Speaker, Managing Payer Audits: Recommendations for Children's Hospitals Based on National Experience, Children's Hospital Association 2013 Forum Series, Chicago, October, 23, 2013
•Co-Speaker, Payer Accountability Forum Teleconference, Teleconference, February 15, 2012
•Speaker, Contracting Strategies with Eye Toward Enforcement, Private Practice Section of the American Physical Therapy Association, Washington, D.C., November 4, 2010
•Speaker, Pathology Business and Billing Structure, Illinois Society of Pathology Spring Conference, Oak Brook, Illinois, May 9, 2009
•Speaker, Physician Entrepreneurs' Roundtable, Boston, February 26, 2009
•Speaker, Payer Disputes: A Legal Perspective, Massachusetts College of Emergency Physicians (MACEP) Annual Emergency Medicine Coding and Reimbursement Fall Conference, Waltham, Massachusetts, November 21, 2008
•Speaker, Ask the Experts: The Legal, Financial, and Risk Management Responsibilities for Boards, Maine Primary Care Association Health Center Board Development Workshop, Lucerne, Maine, May 30, 2007
•Co-Speaker, Reconsidering Long Held Behaviors - Why Now/What Now?, College of American Pathologists, Pathology-Economic Issues, Orlando, Florida, October 14, 2006
•Speaker, Monitoring of Reimbursement: What Effective Strategies Can Be Instituted to Avoid Being Short Changed, Maine Chapter of the American College of Surgeons, Northeast Harbor, Maine, May 30, 2003
•Speaker, Contracting with Commercial Payors, Maine Medical Association 12th Annual Physician Practice Seminar, Bangor, Maine, May 28, 2003
•Speaker, Beating the Devil You Know: Managing Managed Care Organizations, Medical Group Management Association (MGMA) Annual Conference, Las Vegas, Nevada, October 29, 2002
•Speaker, Monitoring and Enforcing Commercial Payor Agreements, American Society of Medical Association Counsel (ASMAC) CLE, Kennebunkport, Maine, September 29, 2002
•Speaker, Managed Care Contracts, Gastroenterology Practice and Endoscopic ASC's Creating Success 2002 Course, Knoxville, Tennessee, April 13, 2002