University of Pittsburgh

Robert B. Ramsey, III

Adjunct Faculty

Robert B. Ramsey, III represents a variety of health care entities. Much of his practice focuses on regulatory issues including Medicare and Medicaid fraud and abuse prevention and investigation, the Stark law, EMTALA, HIPAA and issues related to federal and state laws regarding the privacy and confidentiality of medical records.

Bob represents clients in a variety of legal matters including managed care contracting, medical staff issues, tax matters and general corporate representation. His clients include health care systems, hospitals, long-term care and assisted living facilities, pharmaceutical companies, home health agencies, medical device manufacturers, and physician groups.

Bob has experience regarding Medicare reimbursement principles and has represented clients before the Provider Reimbursement Review Board. A significant portion of his practice involves representing clients in matters involving the Medicare and Medicaid Fraud and Abuse Law, the Stark Law and the False Claims Act. He has experience in other areas of federal and state health care regulation.

In recent years, Bob has been actively involved in many corporate compliance projects. He has designed a number of compliance programs for hospitals, long-term care facilities and other health care providers. Bob has also represented clients in many transactional matters including joint ventures, mergers and acquisitions, physician contracting, management agreements, and various sales and acquisition arrangements. Examples of his experience include:

  • Providing advice to a medical equipment company regarding options and strategies to address fundamental changes in Medicare reimbursement for power wheelchairs.

  • Representing a medical equipment manufacturer in its attempts to have the federal government revise its reimbursement code to include a product that provided not only traditional value, but also therapeutic value. Within two weeks of the engagement, the change in reimbursement coding was announced by the head of the administration at an annual industry conference.

  • Representing a health care provider in a $14 million Medicare administrative appeal before the Provider Reimbursement Review Board.

  • Designing, implementing and auditing a corporate compliance program for a chain of long-term care facilities designed to ensure compliance with Medicare/Medicaid regulations and to minimize financial risk for inadvertent lapses in compliance.

  • Representing a long-term care provider in responding to a subpoena from the Office of Inspector General. His knowledge of the Inspector General's historical investigations and processes allowed him to narrow the focus of the subpoena and ultimately negotiate a settlement satisfactory to the company, the Inspector General and ultimately the Department of Health and Human Services.

  • Representing a specialty pharmacy company in negotiations of a managed care contract valued at more than $100 million.

Bob is a member of the firm's Advisory Committee. He is also a frequent speaker and writer on health care topics and has spoken on issues such as the Stark Law, intermediate sanctions, and physician/hospital joint ventures.

After completing his undergraduate studies, Bob was in a graduate program in physiology, where he was actively involved in biomedical research.

Education

  • J.D., 1984 St. Louis University, Law Journal editor, Thomas J. White Fellowship Legal Writing Award
  • B.A., 1977 University of Delaware, biology
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