Mark L. Mattioli utilizes his twenty plus years of experience in the health care industry to assist wide variety of health care entities including hospitals, physicians, Long Term Care Providers, Home Health, Dialysis, DME, Clinical Labs and insurers in navigating and solving complex issues. He provides regulatory, transactional and compliance guidance in areas such as antitrust, health care reform, managed care contracting, reimbursement, fraud and abuse (Stark and anti-kickback), health information privacy and security medical staff credentialing, licensing, change of ownership, and payer audits.
Mark routinely advises hospitals, health care systems and providers regarding government audits, government payment programs, medical staff issues and privacy and data security matters.
He also is an experienced health care litigator and has wide-ranging experience litigating numerous cases involving health care entities in antitrust, False Claims Act, breach of privacy, and commercial disputes with other providers where he has litigated cases throughout the nation, including Pennsylvania, New Jersey, Maryland, Delaware, Florida, Kansas, New Hampshire, Maine, North Carolina, Kentucky, Vermont and Missouri,
Mark also advises hospitals, health care providers and health plan clients regarding health and information privacy and security under HITECH and HIPAA, governmental investigations, development of joint ventures, provider contracting issues and medical staff bylaw and disciplinary issues. Mark proactively counsels clients as they confront inquiries, audits and investigations from governmental agencies, including the Department of Justice, Office of Inspector General and the Department of Health and Human Services.
He has written extensively on the topics of antitrust, fraud and abuse, and medical staff credentialing.
Privacy and data security
HIPAA/HITECH Consulting and Response
Articles in the National Law Review database by Mark L. Mattioli