Lisa English Hinkle knows that because healthcare is one of the most regulated areas in the country, one of the most difficult and important issues that healthcare providers face is compliance. Every healthcare provider needs to be aware of the need for compliance and for assistance in designing a program that is up-to-date with new regulatory initiatives and the Office of Inspector General’s annual Work Plan. With over 30 years of experience, Lisa advises healthcare providers of all types, including healthcare facilities and services, nursing facilities, hospice providers, hospitals, physicians, nurse practitioners, rural health clinics, laboratory providers and federally qualified healthcare centers in the areas of health law, regulatory and corporate compliance, fraud and abuse (Anti-kickback Law, Stark II, etc.), and state regulatory matters including certificate of need and licensing.  In addition, Lisa has represented clients in a class action against Kentucky Medicaid. She has also represented a number of providers in the various federal fraud initiatives as well as in Medicare/Medicaid reimbursement, licensure, and business law matters. Lisa's work includes day-to-day counseling regarding compliance, reimbursement matters, employment problems, recruitment, preparation and review of provider contracts, and professional rights defense. She has counseled clients extensively on new and emerging issues in healthcare regulation, including compliance programs and codes of conduct, electronic medical records, and the ever evolving health care reform. She works to keep her clients well positioned and knowledgeable about regulatory matters and opportunities that include funding through federal initiatives and grant opportunities.

Focus Areas of Practice

• Medicare Fraud and Abuse (Including Self-Referral)
• Healthcare Corporate Compliance, Audits and Self-Disclosure
• Physician Practice and Hospital Acquisitions
• Healthcare Management and Service Contracts
• Hospital Governance
• HIPAA
• Medicaid and Medicare Reimbursement Appeals
• Certificate of Need
• Clinical Trials
• Community and Critical Access Hospitals
• Healthcare Licensing and Certification Issues
• Healthcare Grant Writing and Administration
• Healthcare Professional Rights Defense
• Non-Profit Institutions and Tax Exemption Issues

Lisa is very active in civic affairs at the state and local level, including Bluegrass Care Navigators (formerly Hospice of the Bluegrass), Board Member; Junior Achievement of the Bluegrass; Bourbon County YMCA, Secretary Treasurer; Pioneering Health Communities Task Force, Chair; American Health Planning Association, Member; Fayette County Bar Association, Member; The Fellows of the American Bar Foundation, Resident.

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