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Catherine Greaves is a counsel in King & Spalding’s Healthcare Practice in Austin. She has more than 25 years of experience advising clients involved in all aspects of the healthcare industry. With a focus on state and federal laws related to healthcare, Greaves regularly counsels clients regarding Medicare, Medicaid and other governmental programs, including coverage and reimbursement matters, governmental audits, internal investigations and other compliance issues. She also assists clients with corporate acquisitions, mergers, joint ventures and other complex provider relationships, licensure, and certification matters, as well as employment and recruitment issues. She has experience advising clients on matters related to HIPAA, HITECH, federal and state healthcare fraud and abuse issues, including anti-kickback laws, physician self-referral prohibitions (Stark Law), false claims, and other sanction issues.
Memberships
- Fellow – American Bar Foundation
- Member, American Bar Association – Health Law Section
- Chair – Health Facility Operations Interest Group
- Healthcare Fraud & Compliance Interest Group
- Payment & Reimbursement Interest Group
- Physician Issues Interest Group
- Member, American Health Lawyers Association
- Fraud & Abuse Practice Group
- Hospital & Health Systems Practice Group
- Regulations, Accreditation, and Payment Practice Group
- Health Information & Technology Practice Group
Publications
- “The Medicare 60-Day Overpayment Rule,” Texas Council Risk Management Fund QM/UM Consortium FY 2017, September 2016
- “Privacy Concerns with Subpoenas and Court Orders,” Texas Council Risk Management Fund Confidentiality, Consents & Disclosure, July 8, 2016.
- “Employee Rights During Audits and Other Investigations,” Texas Council Risk Management Fund Protecting your Center from Employment Lawsuits, January 2016.
- “A Tale of Two Committees – When Human Resources and the MEC Collide,” King & Spalding Roundtable, November 2015.
- DOJ Stresses Individual Accountability in New “Yates Memo,” ABA Health eSource., October 2015.
- “Update on CMS’s Centralized Clinical Trial Policy for IDE Studies,” Q1 Productions 10th Semi-Annual Medical Device Coverage & Reimbursement Conference, September 2015.
- “Overview of Fraud & Abuse Issues in the Healthcare Setting,” Texas Council Consortium Quality & Utilization Management Annual Meeting April 2015.
- “Extra, Extra, Read all About it: Managing a PR Crisis in the News,” 16th Annual Conference on Emerging Issues in Healthcare Law, March 2015.
- “The Road Ahead – A Preview of State and Federal Legislation Impacting Texas Healthcare Providers,” Healthcare Financial Management Association – Gulf Coast Chapter Winter Institute, February 2015.
- “Prepare, Don’t Panic. A Frontline Perspective for Providers Dealing with Ebola,” Ebola Roundtable, November 2014.
- Emerging Challenges in Privacy and Data Security,” 2014 AHIA Annual Meeting.
- Ebola Preparedness Plans: Interim Guidance on Clinical Considerations,” BNA Health law Reporter, November 2014.
- “Practical Considerations for Providers Dealing with Ebola,” BNA Health Law Reporter, October 2014.
- The Effects of Tort Reform in Texas,” by Catherine Greaves, Cataract & Refractive Surgery Today – Cover Story.
- Five Common Sense Strategies For Structuring Co-Management Agreements After Advisory Opinion 12-22; ABA Health eSource.
- “The Affordable Care Act: Perspectives from Across the Bar,” Texas State Bar Annual Meeting; June, 2014.
- "Parlez-Vous Kickback? The Application of the Foreign Corrupt Practices Act to the Healthcare Arena," the American Bar Association – Emerging Issues in Healthcare Law Conference; 2012.
- “Foreign Corrupt Practices Act in the Healthcare Setting,” Lecture, Loyola University Chicago School of Law.
- EMTALA Psychiatric Patients, Behavioral Health Directors Consortium Conferences.
Credentials
Texas
Matters
Assisted hospitals, physicians and other providers with reimbursement requirements for governmental and private health care programs, including Medicare and Medicaid.
Advised numerous physicians, hospitals, ambulatory surgery centers, and providers on compliance with federal and state anti-kickback laws, Stark requirements, corporate practice of medicine restrictions, and other health care laws and regulations.
Assisted clients with the development of health care entities including ASCs, imaging centers, and provider clinics and related licensure and certification matters; also drafted bylaws, policies, procedures, and multiple corporate documents and assisted with other issues.
See more
Close
Matters
Assisted hospitals, physicians and other providers with reimbursement requirements for governmental and private health care programs, including Medicare and Medicaid.
Advised numerous physicians, hospitals, ambulatory surgery centers, and providers on compliance with federal and state anti-kickback laws, Stark requirements, corporate practice of medicine restrictions, and other health care laws and regulations.
Assisted clients with the development of health care entities including ASCs, imaging centers, and provider clinics and related licensure and certification matters; also drafted bylaws, policies, procedures, and multiple corporate documents and assisted with other issues.
Represented providers in structuring joint ventures, acquisitions and complex provider relationships.
Counseled multiple providers regarding potential false claims issues, repayment of overpayments and structuring compliance programs.
Represented the physician owners of an imaging center in the sale of their facility to a major medical center.
Advised provider regarding disclosure of funds received inappropriately from the Medicaid program.
Counseled a physician group on structuring a new venture to comply with Medicare and third-party payor reimbursement rules.
Insights
Article · Source: Compliance Today
February 1, 2018
EMTALA and the challenges of treating behavioral health patients in crisis
Matters
Assisted hospitals, physicians and other providers with reimbursement requirements for governmental and private health care programs, including Medicare and Medicaid.
Advised numerous physicians, hospitals, ambulatory surgery centers, and providers on compliance with federal and state anti-kickback laws, Stark requirements, corporate practice of medicine restrictions, and other health care laws and regulations.
Assisted clients with the development of health care entities including ASCs, imaging centers, and provider clinics and related licensure and certification matters; also drafted bylaws, policies, procedures, and multiple corporate documents and assisted with other issues.
See more
Close
Matters
Assisted hospitals, physicians and other providers with reimbursement requirements for governmental and private health care programs, including Medicare and Medicaid.
Advised numerous physicians, hospitals, ambulatory surgery centers, and providers on compliance with federal and state anti-kickback laws, Stark requirements, corporate practice of medicine restrictions, and other health care laws and regulations.
Assisted clients with the development of health care entities including ASCs, imaging centers, and provider clinics and related licensure and certification matters; also drafted bylaws, policies, procedures, and multiple corporate documents and assisted with other issues.
Represented providers in structuring joint ventures, acquisitions and complex provider relationships.
Counseled multiple providers regarding potential false claims issues, repayment of overpayments and structuring compliance programs.
Represented the physician owners of an imaging center in the sale of their facility to a major medical center.
Advised provider regarding disclosure of funds received inappropriately from the Medicaid program.
Counseled a physician group on structuring a new venture to comply with Medicare and third-party payor reimbursement rules.
Insights
Article · Source: Compliance Today
February 1, 2018
EMTALA and the challenges of treating behavioral health patients in crisis
Credentials
Texas