Überblick
Emily Jane Cook advises healthcare providers on complex regulatory and reimbursement matters, enabling them to evaluate and mitigate the compliance risks of new business initiatives and existing service lines. As a widely-recognized national authority on the 340B drug pricing program, Emily counsels healthcare providers and other stakeholders on issues related to implementation, compliance and advocacy. With her extensive regulatory experience, she effectively and efficiently provides guidance to clients on a wide range of key concerns, such as fee-for-service Medicare and Medicaid reimbursement, billing and coding, licensure, survey/certification and accreditation, and compliance with Medicare and state fraud and abuse requirements. She also advises clients facing government audits, whistleblowers actions, and self-disclosures, working to preserve their government program participation and reduce or eliminate government program refunds and administrative penalties.
In addition, Emily works with providers, including hospitals, health systems and academic medical centers, to develop and implement innovative care models, including collaborative care models across facilities and between different types of clinical professionals. Her counsel enables her clients to maximize care quality and efficiency while maintaining regulatory compliance.
For more than five years, Emily counseled hospitals, skilled nursing facilities and clinics on Medicare reimbursement and regulatory issues in her role with the US Department of Health and Human Services, Health Resources and Services Administration (HRSA), Federal Office of Rural Health Policy. During her tenure with the HRSA, she worked closely with staff from the Centers for Medicare and Medicaid Services and other federal and state governmental agencies to address regulatory barriers to healthcare delivery. Emily was also advised senior HHS officials on Medicare and Medicaid regulation and reimbursement issues impacting rural communities and health care providers and served as the senior policy advisor to the National Advisory Committee on Rural Health and Human Services, advising the committee on key issues related to health care policy.
Ausgewählte Referenzmandate
- Obtained favorable outcomes for clients in whistleblower actions, government investigations, regulatory appeals and self-disclosures to federal and state regulatory agencies, preserving government program participation and reducing or eliminating government program refunds and administrative penalties.
- Counseled large national health systems and academic medical centers through the development and implementation of innovative care models, including collaborative care models across facilities and between different types of clinical professionals, intended to maximize care quality and efficiency while maintaining regulatory compliance.
- Successfully appealed adverse findings in government audits of 340B programs for multiple hospital clients and negotiated corrective action plans, enabling the hospitals to continue leveraging program participation to their patients and communities.
- Led successful advocacy efforts to obtain changes to established or proposed federal regulatory requirements, reducing regulatory burdens and enhancing reimbursement opportunities.
Auszeichnungen
- Acritas Stars, Independently Rated Lawyers, 2020
- The Best Lawyers in America, Health Care Law, 2019 to 2021
- Super Lawyers, Southern California Super Lawyer, Health Care, 2021
- Super Lawyers, Southern California Rising Star, Health Care, 2012 to 2020
- The Legal 500 US, 2017
Mitgliedschaften
- American Health Lawyers Association, Planning Committee for Institute on Medicare and Medicaid Payment Issues
- California Lawyers Association, Health Law Committee, chair, 2019-2020
- McDermott Gender Diversity Committee, member and mentor
- Representing Hospitals and Health Systems Handbook, American Health Lawyers Association, contributing editor
Qualifikation
Education
University of Chicago Law School, JD, with honors, 2009
University of North Carolina, MSPH, 2001
Duke University, BA, cum laude with distinction, 1998
Admissions
California
