Billy J. Mabry
Bill specializes in the health law field having over twenty years of experience representing hospitals, physicians, home health agencies, nursing homes, provider sponsored organizations, teaching facilities, diagnostic centers, ambulatory centers and others. He has represented health care providers across the nation and in England. He has a keen knowledge and understanding of the healthcare industry not just as a lawyer, but from an operations standpoint too.
Areas in which he assists clients are:
Medical staff issues, including adverse actions and fair hearings, and representation in federal and state courts.
Acquisition and sale of hospitals, physician practices, home health agencies, diagnostic centers, surgery centers, and other entities.
Physician contracting, including physician recruitment, employment, professional services agreements (including exclusive agreements for services), and medical office building leases.
Develop and implement compliance plans for hospitals--including all regulatory areas as well as coding, fraud, and abuse, HIPAA, EMTALA, and others.
Represent hospitals and other healthcare providers involved in federal and/or state investigations concerning patient care issues, assisting in developing corrective action plans, and asserting other necessary defenses for clients.
Handle arbitration and mediation matters for healthcare clients.
Represent clients in negotiations and settlement discussions with other parties.
Advise clients on antitrust issues in healthcare.
Advise on clinical research studies including IRB issues, consent issues, confidentiality issues and regulatory compliance.
Experience
- Handled hospital mergers and acquisitions;
- Developed compliance plans for hospital holding companies and individual hospitals;
- Issued opinion letters on Medicare/Medicaid Fraud & Abuse and Stark II matters;
- Handled arbitration matters involving physician collectibles;
- Represented hospital or medical staff issues involving adverse actions through final resolution;
- Conduct compliance investigation and audits of hospitals;
- Advise on EMTALA issues and violations including developing corrective action plans and filing appeals; CON and licensure issues.
Teaching Experience:
Community Health Systems, EMTALA, Fraud, Abuse & Stark II, HIPAA
Columbia/HCA Healthcare Leadership Conferences, Legal Updates, 1994-1999
Highlights & Recognitions
- Peer Review Rated, Martindale-Hubbell®
- Business First of Louisville, Partners in Healthcare, 2012
Memberships & Affiliations
- Kentucky Bar Association, 1984
- Tennessee Bar Association, 1990
- American Bar Association
- American Health Lawyers' Association, Member
- Kentucky Cabinet for Human Resources, former Assistant Director of State Health Planning and Development Agency
- Office of Secretary of State, former Staff Assistant to the Secretary of State
Publications
- CMS Proposed Rules Provide Framework for Organizing Accountable Care Organizations
- CMS Releases Documentation Guidance from RAC Demonstration
- CMS Redefines Meaningful Use for EHR Incentive Program
- HIPAA Security Rule - OCR Final Guidance on Risk Analysis
- Health Care Reform Law Reduces Market Basket Rates for Acute Care and Long-Term Care Hospitals
- Health Care Reform Law Amends In-Office Ancillary Service Exception to Stark
- Red Flags Rule Enforcement Delayed Until December 31, 2010
- New HIPAA Breach Notification Rules
- Preparing for RAC Appeals - How to Preserve Your Rights to Appeal
- CON Law Changes Course Again: Court Rules that Physician-Owned ASC Housed in Same Building as Clinic Does Not Qualify for Physicians' Office Exemption
- Kentucky Court Rules that State Agency Must Certify to CMS that Physician-Owned ASC Complies with Kentucky Law
- Enforcement Delayed Until November 1 for Red Flag Rules Identity Theft Prevention Program
- August 1 Deadline Approaching for Red Flag Rule Identity Theft Prevention Program
- Reminder - Per Click and Percentage Leases Face Restructuring Under Stark Law
- Kentucky Law Mandates New Credentialing Process For Health Care Providers
Press Releases
Civic & Charitable Organizations
- The Humane Society of the United States, Recipient of the HSUS Pro Bono award for animal litigation in 2006
- Beshear for Governor, Committee
- Davis for Secretary of State, Chairman
Published Articles & Seminars
"For Profit vs. Not for Profit Healthcare"
Connecticut Health Lawyers Association Annual Meeting, Hartford, Connecticut, 2001
"Confidentiality of Medical Records"
American Health Information Society, Louisville, Kentucky, 2001
"Death and Dying"
Kentucky Bar Association Annual Meeting, Lexington, Kentucky, 1992
"Board Duties and Compliance Issues"
Hospital Board of Trustees across the nation
Speaker: American Medical Association Winter Meeting, Naples, Florida, 1990
Physician Organizations
Nashville Medical Journal
FBT Client Advisories: "Deficit Reduction Act, 2007."
Kentucky Bar Journal
