Biography

For more than three decades, Gary has assisted his clients in maneuvering successfully around the traps and pitfalls of the highly regulated world of health care.

Gary represents clients on a wide variety of corporate and regulatory issues, including primarily Medicare, Medicaid, and private insurer payments issues and appeals; compliance and fraud and abuse issues and investigations; federal research grant questions; HIPAA privacy issues; and licensing/certification matters. He provides advice and services to a variety of provider entities including teaching, community, and non-acute hospitals; physicians and other practitioners such as acupuncturists, physical therapists and mental health providers; home health agencies; and diagnostic imaging and ambulance entities. He acts as general counsel to a number of physician practices.

Gary has an active reimbursement practice covering administrative appeals from both claims and cost report disputes and mediation. For example, he successfully represented two related teaching hospitals in multiple appeals of Medicare disallowances filed before the Provider Reimbursement Review Board covering multiple fiscal years. Gary worked diligently with the fiscal intermediary and the client to resolve the issues. As a result, a full and complete settlement was reached, and the clients recovered approximately $27 million. Gary has had success in numerous appeals to administrative law judges (ALJs) and Medicare Administrative Contractors (MACs).

In addition to reading and traveling in his spare time, Gary enjoys cycling, having ridden in the Pan-Mass Challenge five times.

Services/Industries

Education

  • Boston College Law School  (J.D., cum laude)
  • Stony Brook University  (B.A.)
    • National Economics Honor Society

Bar Admissions

  • Massachusetts

Memberships

  • Member, Boston Bar Association
  • Member, Healthcare Financial Management Association
  • Member, American Health Lawyers Association

Honors

  • Healthcare Financial Management Association Massachusetts-Rhode Island Chapter Medal of Honor Award Recipient (2016)
  • Muncie Gold Merit Award for Outstanding Service, Massachusetts Chapter of HFMA (2011)
  • AV Rated by Martindale-Hubbell
  • Listed in The Best Lawyers in America© under Health Care Law
  • Selected by peers for inclusion in New England Super Lawyers© under Health Care

To learn more about third-party ratings and rankings, and the selection processes used for inclusion, click here.

Court and Other Admissions

  • U.S. District Court for the District of Massachusetts
  • U.S. Court of Appeals for the First Circuit

Firm Highlights

Publication/Podcast

BORIM Issues Guidance on Recent Changes to Practice of Medicine Regulations

The Massachusetts Board of Registration in Medicine ("BORIM") recently finalized revisions to 243 CMR 2.00 (Licensure and the Practice of Medicine). These changes took effect on August 9, 2019. Because of the uncertainty resulting...

Publication/Podcast

U.S. Supreme Court Sides with Hospitals in Allina DSH Part C Days Decision

On June 3, 2019, the U.S. Supreme Court ("Court") issued a 7-1 decision in Azar v. Allina Health Services , favoring hospitals that had sued the U.S. Department of Health and Human Services ("HHS"...

Publication/Podcast

Avoid Rejection: Make Sure Your Medicare Cost Report is Properly Completed

As the calendar year draws to a close, hospitals with a 9/30 fiscal year end are working intensely on completing their FY 2019 Medicare cost reports. This seemed like a good time to remind...

Publication/Podcast

No More Waiting: 340B Drug Pricing Program Pharma Oversight and Enforcement Rule To Be Effective January 1, 2019

The U.S. Department of Health and Human Services ("HHS") recently published a final rule on the 340B Drug Pricing Program ("340B Program"), moving the effective date for changes to the program up to January...

Publication/Podcast

Keep Medicare Enrollment Information Correct and Current or Suffer Consequences

While most providers understand the need to bill Medicare correctly, many often fail to recognize the potentially disastrous results of not keeping Medicare informed of your correct and up-to-date practice information . A recent...

Publication/Podcast

Summer is Here, But Will Your Medicare Outpatient Claims Get Paid?

CMS' Exact Match Requirement for Addresses Your hospital may have some corrective work to do over the next few weeks if you want to avoid delays in receiving payment for your Medicare claims for...