Abby Pendleton

Founding Partner

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Contact

MI Phone: (248) 996-8510

NY Phone: (212) 734-0128

apendleton@thehlp.com

Location

THE HEALTH LAW PARTNERS, P.C.

32000 Northwestern Hwy

Suite 240

Farmington Hills, MI 48334

The Greenberg, Dresevic, Iwrey, Kalmowitz, & Pendleton Law Group
A Division of
THE HEALTH LAW PARTNERS, P.C.
1370 Broadway, Suite 558
New York, NY 10018

Abby Pendleton is a founding partner of The Health Law Partners, P.C. She graduated Magna Cum Laude from Wayne State University Law School in 1996 and is a member of the Order of the Coif.Ms. Pendleton was a member of the Wayne State Law Review and served on its editorial board as a Senior Articles Editor. While at Wayne State, she was a recipient of the American Jurisprudence Book Awards in Contracts and Criminal Law as well as the Deloitte and Touche LLP Award for her achievement in tax law.

Ms. Pendleton has been practicing healthcare law since 1996.She regularly provides counsel to healthcare providers and organizations in a number of areas, including but not limited to: compliance, Recovery Audit Contractors (“RAC”), Medicare and other payor audits, fraud and abuse, reimbursement matters, and HIPAA Privacy and Security, and physician staff privilege and licensure matters. Ms. Pendleton also specializes in legal issues impacting billing and management companies, anesthesia and pain management providers, hospice providers and mental health agencies.

Ms. Pendleton is a member of the State Bar of Michigan (Member, Health Care Law Section) and State Bar of New York (Member, Health Law Section); the American Bar Association; the American Health Lawyer’s Association; the Health Care Compliance Association and the Medical Group Management Association.

Practice Areas view

  • Medicare, Recovery Auditors/RAC, Medicaid, and Private Payor Audit Defense and Appeals
  • Compliance and Regulatory Guidance
  • HIPAA, Privacy & Security
  • Health Care Investigations & Litigation
  • Corporate and Transactional Matters

Industries:

  • Anesthesia and Pain Management
  • Billing and Management Companies
  • Home Health
  • Hospice
  • Hospitals and Health Systems
  • Physicians and Other Healthcare Providers

Education view

  • J.D. , Wayne State University Law School, Detroit, Michigan, 1996
    Honors: Magna Cum Laude
    Honors: Order of the Coif
    Honors: Law Review: Wayne Law Review Senior Articles Editor
    Honors: Recipient of the American Jurisprudence Book Awards in Contracts and Criminal Law
    Honors: Recipient of the Deloitte and Touche LLP Award for Tax Law
  • B.S.B.A , Central Michigan University, Mount Pleasant, Michigan, 1993
    Honors: Cum Laude
    Major: Finance

Bar Admissions view

  • Michigan
  • New York
  • U.S. District Court Eastern District of Michigan

Professional Associations view

  • State Bar of Michigan – Health Care Law Section
  • American Health Lawyers Association
  • Health Care Compliance Association
  • American Bar Association
  • Medical Group Management Association
  • State Bar of Michigan Health Care Law Section Providers
  • Subcommittee of the Substantive Law Committee – Past Chair
  • State Bar of Michigan, Health Care Council – Member
  • New York State Bar Association – Health Law Section

Honors & Awards view

  • Michigan Lawyers Weekly, Women in the Law, 2011.
  • D’Business Magazine Top Lawyer in Healthcare Law 2011
  • American Jurisprudence Book Awards in Contracts and Criminal Law, 1996
  • Deloitte & Touche LLP Award for Tax Law, 1996

Published Works view

Media Hits view

Speaking Engagements view

  • “Advanced Practice Providers-The Role of Nurse Practioners”, by Abby Pendleton, Esq., ICLE’s 20th Annual Health Law Institute, March 6-7, 2014, 4:35pm, The Inn at St. John’s in Plymouth.
  • “Legal Issues Arising from Health Information Technology”, by Abby Pendleton, Esq. and Kathryn Hickner-Cruz, Esq., Transitioning to Accountable Care Organizations, St. Johns, Plymouth, September 18, 2013.
  • “Legal Issues Arising from Health Information Technology”, by Abby Pendleton, Esq. and Kathryn Hickner-Cruz, Esq., Transitioning to Accountable Care Organizations, St. Johns, Plymouth, September 18, 2013.
  • “CMS’s New Two-Midnight Rule for Inpatient Admissions: Strategies for Hospital Compliance”, by Abby Pendleton, Esq. andJessica Gustafson, Esq., AIS Webinar, September 26, 2013.
  • On August 16, 2013, Abby Pendleton presented on the 2014 IPPS Final Rule on Appeal Academy’s Finally Friday.
  • Abby Pendleton, Esq. will be co-speaking with Jack Bert, M.D. and Ranjan Sachdev, M.D. MBA, CHC on March 19, 2013 at the American Academy of Orthopaedic Surgeons Annual Meeting in Chicago. They will be presenting on the topic “Compliance 2013- What You Need to Know”.
  • Presentation on RAC Audits and Appeals to The Healthcare Financial Management Association of Western New York, by Abby Pendleton, Esq., Claudia Hinrichsen, Esq., and Lori La Salle Esq.- Friday, September 28, 2012 , 8:30 AM to 12:00 PM
  • “How to Comply with Proposed CMS Overpayment Rules,” by Abby Pendleton, Esq., and Claudia Hinrichsen, Esq., a HCCS Webinar, April 25, 2012.
  • “The Latest on Medicare RACs,” by Lori S. Baker, moderated by Abby Pendleton, Esq., an American Health Lawyers Association Webinar, February 13, 2012.
  • “The Medicaid RAC Final Rule: What Legal Counsel Representing Healthcare Providers Need to Know,” by Jessica L. Gustafson, Esq. and Susan Emanual, moderated by Abby Pendleton, Esq., an American Health Lawyers Association Webinar, January 25, 2012.
  • “Covenants Not to Compete in the Michigan Health Care Marketplace,” by Thomas W. H. Barlow, Esq. and moderated by Abby Pendleton, Esq., State Bar of Michigan Health Care Law Section Teleconference, June 1, 2011.
  • “The Michigan Audit Landscape: Medicare, Medicaid, and Private Payor Audits,” by Jessica L. Gustafson, Esq. and Connie Blachut, MPH, MBA, moderated by Abby Pendleton, Esq., State Bar of Michigan Health Care Law Section Teleconference, June 15, 2011.
  • “ZPICs, RACs, MICs and More: What Radiology Practices Need to Know about Federal Auditing Programs,” Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., AHRA Annual Meeting and Exposition, August 17, 2011, Grapevine, TX.
  • “The Current Audit Landscape, Is Your Organization Prepared?” Abby Pendleton, Esq., NYSARC, May 10, 2011, Albany, NY.
  • “The Compliance Landscape for Chronic Pain” by Abby Pendleton, Esq. and Neda Mirafzali, Esq., Advanced Techniques for Acute and Chronic Pain Management 2011, May 1, 2011, Detroit, MI
  • “The Fraud and Abuse Environment for Anesthesiologists,” Abby Pendleton, Esq., Anesthesia Business Consultants, LLC, Tulane University School of Medicine Department of Anesthesiology & The Center for Continuing Education Tulane University Health Sciences Center, April 26, 2011, Webinar.
  • “Compliance in the Age of Electronic Health Records,” Health Care Compliance Association’s 15th annual Compliance Institute, April 10-13, 2011 Orlando, FL.
  • Legal Issues Regarding Difficult Pain Patients: Noncompliance, Drug testing and terminating
  • physician/patient relationships, Abby Pendleton, Esq., MGMA AAA Conference, March 20, 2011 in Baltimore, MD.
  • “Navigating Claim Denials,” World Research Group Panel Discussion, March 2, 2011.
  • “OIG’s Roadmap for New Physicians,” Abby Pendleton, Esq., Glenn Martin, Esq., and Linda Baumann, Esq., ABA Health Law Section Webinar, December 10, 2010.
  • “What’s New In Compliance: Mandatory compliance plans, False Claims Act enforcement (refunds of overpayments, EHR compliance risks),” Abby Pendleton, Esq., Anesthesia Business Consultants’ Anesthesia and Pain Medicine Update for 2011 Webinar, December 10, 2010.
  • “Society for Pain Practice Management Billing and Coding Workshop,” September 23-26, 2010.”Recovery Audit Contractors and Medicare Audits,” The Association for Medical Imaging Management (AHRA) 38th Annual Meeting & Exposition, August 22-26, 2010.
  • “Recovery Audit Contractors: Is Your Organization Ready for the RAC Attack?” American Association of Nurse Anesthetists (AANA) Annual Meeting, August 11, 2010, Seattle, WA.
  • “RAC Attack,” The Medical Group Management Association 2010 Anesthesia Administration Assembly
  • Conference, May 24-26, 2010, San Antonio, TX.
  • “RAC and Medicare Appeals: What Physicians Need to Know,” The Michigan Osteopathic Association 10th Annual Michigan Osteopathic Association Practice Manager Program, May 13-14, 2010.
  • “The Audit Landscape for Michigan Providers and Suppliers,” Michigan Health Care Law Section Teleconference, March 18, 2010.
  • “Audits, Refunds, Denials, Appeals And All The Other Things That Can Sink Your Practice!” “Medicare and Third Party Payor Audits,” “Focus on Compliance 2010,” and “HIPAA, HITECH Act, Identity Theft, and Breach Notification – Practical Action Steps for the Pain Practice,” Society for Pain Practice Management23rd Annual Pain Management Symposium February 27-March 3, 2010.
  • “Recovery Audit Contractors and Medicare Audits: Strategies for Successful Appeals,” 2010 Georgia
  • Hospice and Palliative Care Organization Annual Leadership and Clinical Conference, February 25, 2010.
  • “Recovery Audit Contractors and Medicare Audits,” Decision Health Teleconference, February 18, 2010.
  • “Recovery Audit Contractors and Medicare Audits,” United Physicians-National City Partnership, January 20, 2010.
  • “Managing the RAC Appeals Process,” A World Research Group Healthcare Management Conference: Reducing RAC and MIC Audit Exposure, December 7 through 8, 2009.
  • “Recovery Audit Contractors and Medicare Audits: Lessons Learned and the Road Ahead,” 2009 American Health Lawyers Association Fraud and Compliance Forum, October 4 through 6, 2009 (with co-presenters Don Romano, attorney and Connie Leonard, Director, CMS Division of Recovery Audit Operations).
  • “The New Environment for Fraud and Abuse Enforcement for Anesthesia & Pain Management,” Anesthesia Business Consultants Webinar, August 20, 2009.
  • Recovery Audit Contractors ‘RAC’ Program and Successful Strategies for Appeal, The Association for Medical Imaging Management (AHRA) 2009 Annual Meeting and Exposition, August 9-13
  • Managing the RAC Appeals Process, World Research Group Healthcare Management Conference, August 3-4, 2009
  • Recovery Audit Contractors, Michigan Association of Physicians of Indian Origin (MAPI), March 15, 2009
  • Recovery Audit Contractors and Medicare Audits, National Hospice & Palliative Care Organization (NHPCO), October 24, 2008
  • The Medicare Appeals Process and Strategies for Successful Appeals, Michigan Home Health Association (MHHA), May 14, 2008
  • Billing Coding and Compliance, Society for Pain Practice Management (SPPM), July 20, 2007 – July 22, 2007
  • The Future of Healthcare, BOC Athletic Trainer Regulatory Conference, July 12, 2007 – July 13, 2007
  • Compliance Program Challenges & Opportunities (Panel Member), Health Care Compliance Association, June 15, 2007
  • Third Party Payor Audits, American Society of Addiction Medicine (ASAM), April 26, 2007 – April 29, 2007
  • Billing, Avoiding Malpractice, SPPM, March 10, 2007 – March 14, 2007
  • Multiple Topics, SPPM, January 20, 2007 – January 21, 2007
  • The New Medicare Appeals Process, Annual Meeting of the Medical Group Management Association (MGMA), October 25, 2006Fraud and Abuse Compliance Issues, United Communications Group Physicians National Summit, September 14, 2006 – September 16, 2006
  • Key Legal Compliance Issues Facing Skilled Nursing Facilities, Healthcare Association of Michigan (HCAM), 2006
  • How to Keep your DME Relationships Problem-Free, United Communications Group, 2006
  • Medicare Appeals, Exclusive Contracts, Compliance, Legal Risks of Facility Ownership, Society for Pain Practice Management, 2005
  • State Laws and Regulations (Current Trends & Implications to AMCs) (Panel Member), NC NICA 3rd Academic Medical Center Conference, 2005
  • Operationalizing HIPAA Privacy and Security, Society for Pain Practice Management, 2005
  • Top Five Clauses to Watch Out for in Private Payer Contracts, Decision Health’s Private Payer Contract Solutions Conference, 2005
  • Understanding the Basics of HIPAA, ICLE 11th Annual Health Law Institute, 2005
  • Practical Steps to HIPAA Compliance for Ambulatory Surgery Centers, Federated Ambulatory Surgery
  • Association 2003 Annual Meeting, 2003
  • HIPAA Compliance, Medical Group Management Association (MGMA) Anesthesia Administration Assembly
  • 2003 Conference in Montreal, Canada, 2003
  • HIPAA, United Communications Group, October 1, 2003 – October 3, 2003
  • HIPAA, United Communications Group, April 11, 2003
  • Anesthesia Billing Compliance, United Communications Group Anesthesia Conference, January 23, 2003 -January 24, 2003
  • HIPAA Compliance, United Communications Group, January 30, 2002 – February 1, 2002
  • Anesthesia Compliance, Medical Group Management Association (MGMA)
  • Anesthesia Administration Assembly 2002 Conference, 2002
  • How to Boost Compliance in your Pain Practice, United Communications Group, October 22, 2001 – October 23, 2001
  • Documentation and Monitoring of a Compliance Program, United Communications Group, July 23, 2001 – July 24, 2001
  • HIPAA Privacy Rule, United Communications Group, April 1, 2001
  • Compliance for Pain Management Physicians, United Communications Group, January 1, 2001 – April 1, 2001
  • Medicare & Medicaid: Enforcement, Compliance and the Transition to Managed Care in Michigan (“Developing and Implementing a Compliance Program”), Lorman Education Services, 1999 – 2000
  • How to Boost Compliance in your Pain Practice, United Communications Group, 1999 – 2000
  • Development and Implementation of Compliance Programs for Anesthesia Practices, United Communications Group, November 1, 1999

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