Andrew Brenton

Healthcare Experience

• Counseled two provider clients through complicated Medicare repayment investigations that resulted in reductions in potential overpayment liability of approximately $18 million and $4.5 million, respectively.
• Navigated numerous provider clients through other complex internal healthcare fraud and 60-Day Repayment Rule investigations.
• Counseled provider client on submitting OIG self-disclosure to settle potential violation of Anti-Kickback Statute.
• Advised multiple hospice, palliative care, and home health providers on Medicare and Medicaid provider enrollment requirements, including successfully navigating clients through Medicare deactivation and other adverse enrollment determinations.
• Led clients receiving contractor claim denials through the labyrinthine Medicare administrative appeals process, including advocating for clients at the redetermination, reconsideration, and administrative law judge phases of appeal.
• Ushered numerous provider clients successfully through regulatory due diligence efforts for a variety of transactions (buy-side and sell-side) and corporate restructurings.
• Drafted and negotiated various complex healthcare agreements for or with hospices, palliative care providers, PACE organizations, hospitals, nursing homes, assisted living facilities, physicians, physician groups, and a wide variety of healthcare vendors.
• Counseled and led hospice client through contract negotiation process with large payor for the provision of hospice and palliative care services to Medicare Advantage beneficiaries.
• Counseled clients during the COVID-19 pandemic on Provider Relief Fund use and reporting requirements and new Medicare telehealth rules.
• Advised numerous providers clients on healthcare data privacy laws, including HIPAA breach notification requirements.

Association Counsel

• Led public policy development efforts related to telehealth, electronic health records, trauma care and emergency preparedness.
• Coordinated development and execution of plan for Wisconsin to adopt interstate licensure compact, ensuring ability of out-of-state nurses to continue practicing in-state.
• Led negotiation of complex cloud migration contract.
• Drafted and reviewed employee handbook policies and counseled human resources director on employment practices.
• Drafted corporate bylaws and resolutions, and advised senior management on governance and other legal issues.