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

Hospital Price Transparency Rule: Full Steam Ahead

Neither COVID-19 nor continued legal challenges appear likely to derail the Centers for Medicare & Medicaid Services ( CMS) Hospital Price Transparency Rule from going into effect on January 1, 2021. Hospitals therefore should...

News

65 Verrill Attorneys Recognized by Best Lawyers® 2022, Including Eight Named Lawyers of the Year

(August 31, 2021) – 65 Verrill attorneys were recognized as "Best Lawyers" by Best Lawyers® 2022 , including 8 attorneys named “Lawyer of the Year,” a distinguished recognition for only a single lawyer in...

Publication/Podcast

HHS Confirms Providers’ Right to 340B Discount Pricing for Contract Pharmacies

As a holiday gift to providers, the U.S. Department of Health and Human Services (HHS) General Counsel recently issued a strongly worded Advisory Opinion indicating that federal law requires drug manufacturers to deliver covered...

Publication/Podcast

Massachusetts Health Care Bill Makes Several Significant Changes

While you were celebrating the New Year, Governor Baker signed Chapter 260 of the Acts of 2020, an “Act promoting a resilient health care system that puts patients first,” the result of the Legislature’s...

Publication/Podcast

340B Providers Get Partial Relief from New Dispute Resolution Regulation

1. 340B ADR Process Established At long last, more than ten years after Congress directed it to do so, HHS has finalized an alternative dispute resolution (“ADR”) process for both providers and pharmaceutical manufacturers...

Contact Verrill at (855) 307 0700