Jessica Gustafson

Founding Partner

JessicaGustafson

Contact

MI Phone: (248) 996-8510

NY Phone: (212) 734-0128

jgustafson@thehlp.com

Location

THE HEALTH LAW PARTNERS, P.C.

32000 Northwestern Hwy

Suite 240

Farmington Hills, MI 48334

Jessica L. Gustafson is a founding partner with The Health Law Partners, P.C. She graduated cum laude from Miami University in 2002. Ms. Gustafson graduated from Wayne State University Law School in 2005. While in law school, Ms. Gustafson served as a member of the Wayne Law Review Editorial Board as a Senior Articles Editor. She also served as a judicial intern to the Honorable Robert H. Cleland, United States District Court, Eastern District of Michigan. Ms. Gustafson practices in all areas of health care law and devotes a substantial portion of her practice to representing providers in the Recovery Audit Contractor (“RAC”) and Medicare audit appeals process.  She also regularly assists clients with compliance and reimbursement matters. Ms. Gustafson is a member of the American Health Lawyers Association, American Bar Association (Health Law Section) and Michigan Bar Association (Health Care Law Section). She currently serves as the Vice-Chair of the Physician Issues Interest Group for the ABA Health Law Section.  

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

Education view

  • J.D. , Wayne State University Law School, Detroit, Michigan, 2005
    Law Review: The Wayne Law Review, 2003 – 2005

 

  • B.A., Miami University, Oxford, Ohio, 2002
    Honors: Cum Laude
    Major: Speech Communication

Bar Admissions view

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

Professional Associations view

  • American Health Lawyers Association
  • American Bar Association, Health Law Section
    Vice-Chair, Physician Issues Interest Group
  • Michigan Bar Association, Health Care Law Section

Honors & Awards view

  • Jessica L. Gustafson, Esq. was elected into The Fellows of the American Bar Foundation.
  • Jessica L. Gustafson, Esq. was selected as a Rising Star by Super Lawyers from 2012-2014.
  • Jessica L. Gustafson, Esq. was selected as an Up and Coming Lawyer in 2010 by Michigan Lawyers Weekly.

Published Works view

Media Hits view

Speaking Engagements view

  • “Medicare Provider Enrollment: Strategies for Denials, Revocations and Appeals“, by Jessica Gustafson, Esq., Strafford Webinars, January 7, 2016.
  • Jessica L. Gustafson, Esq. co-presented, “The Business of Chiropractic. An Ounce of Prevention is Worth a Pound of Cure,” Michigan Association of Chiropractors (MAC), 2014 MAC Fall Express Conference, Mt. Pleasant, MI November 22, 2014.
  • Jessica L. Gustafson, Esq. and Abby Pendleton, Esq. will give a Legal and Regulatory Update at the 9th National RAC and MAC Summit, Washington D.C., November 13-14, 2014.
  • Jessica L. Gustafson, Esq. and Abby Pendleton, Esq. are presenting at the World Congress 2nd Annual West Physician Advisor & Case Management Summit, on the topic of “Strategies to Successfully Manage Denials and the Appeals Process,”  San Diego, CA, October 20-21, 2014.
  • Jessica L. Gustafson, Esq. presented at the 2014 AHRA Annual Meeting, on the topic of “What Radiology Practices Need to Know about Federal Medicare Auditing Programs,” Washington, D.C., August 12, 2014.
  • Jessica L. Gustafson, Esq. and Abby Pendleton, Esq. presented at The National RAC Summit 2nd Physician Advisor and UR Team Boot Camp Best Practices from Pre-Admission to Appeal, Chicago, IL, July 14-16, 2014.
  • Jessica L. Gustafson, Esq. moderated the ABA Health Law Section webinar, “Unified Hospital Medical Staffs Under the New Medicare Regulations:  What You Need to Know About the Changes in the Medicare Conditions of Participation,” on July 10, 2014.
  • Abby Pendleton, Esq. and Jessica L. Gustafson, Esq. presented, “Overview and Recap of the 2014 CMS IPPS Final Rule”, World Congress National Association of Physician Advisor (NAPA) Summit, Orlando, Florida, March 24, 2014.
  • Abby Pendleton, Esq., Jessica L. Gustafson, Esq., and Michael Salvatore, MD presented, “Successfully Deal with Denials”, World Congress National Association of Physician Advisor (NAPA) Pre-Summit Workshop, Orlando, Florida, March 24, 2014.
  • Jessica L. Gustafson, Esq. presented “Two-Midnight Rule:  Implications for Auditor Behavior and Appeal Strategies,” The National RAC Summit, Washington DC, December 6, 2013.
  • Jessica L. Gustafson, Esq. moderated, “Do-It-Yourself Valuation: When and How to Determine Fair Market Value Without an Outsider Appriaser”, ABA Health Law Section, Physician Issues Interest Group, November 21, 2013.
  • “CMS’s New Two-Midnight Rule for Inpatient Admissions: Strategies for Hospital Compliance”, by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., AIS Webinar, September 26, 2013.
  • Regulations Impacting Healthcare Marketing, by Adrienne Dresevic, Esq. and Jessica L. Gustafson, Esq., AHRA 41st Annual Meeting and Exposition, Minneapolis, MN, July 28-31, 2013.
  • Recent Developments and Key Legal Issues Impacting Radiology Practices, by Adrienne Dresevic, Esq. and Jessica L. Gustafson, Esq., AHRA 41st Annual Meeting and Exposition, Minneapolis, MN, July 28-31, 2013.
  • The Medicare Audit Landscape:  What Radiology Practices Need to Know, by Adrienne Dresevic, Esq. and Jessica L. Gustafson, Esq., AHRA 41st Annual Meeting and Exposition, Minneapolis, MN, July 28-31, 2013.
  • On August 23, 2013, Jessica Gustafson presented on the 2014 IPPS Final Rule on Appeal Academy’s Finally Friday.
  • Robert S. Iwrey, Esq. and Jessica L. Gustafson, Esq. presented on “Increased Scrutiny on Health Care Providers and How to Avoid Becoming A Target” to the Huron Valley Physician Association at St. Joseph Mercy Hospital in Ypsilanti, MI, May 7, 2013.
  • Adrienne Dresevic, Esq. and Jessica L. Gustafson, Esq. presented “ICD-10: Compliance Risks and Mitigation Strategies” at the 2012 AAMA Annual Conference in San Antonio, Texas, November 13th-16th, 2012.
  • “Recent Developments and Key Legal Issues Impacting Radiology Practices” by Adrienne Dresevic, Esq. and Jessica L. Gustafson, Esq., AHRA 40th Annual Meeting and Exposition, August 12, 2012, 1:00 PM – 4:00 PM, Orlando, FL.
  • “Recent Developments and Key Legal Issues Impacting Radiology Practices” by Adrienne Dresevic, Esq. and Jessica L. Gustafson, Esq., AHRA 40th Annual Meeting and Exposition, August 13, 2012, 2:00 PM – 5:00 PM, Orlando, FL.
  • “Regulations Impacting Healthcare Marketing” by Adrienne Dresevic, Esq. and Jessica L. Gustafson Esq., AHRA 40th Annual Meeting and Exposition, August 14, 2012, 10:00 AM – 11:00 AM, Orlando, FL.
  • “Medicare Audit Appeals: Representing Healthcare Providers”, National Business Institute Teleconference, June 6, 2012.
  • “The Medicare Audit Landscape, What Radiologists Need to Know,” by Jessica L. Gustafson, Esq. and Adrienne Dresevic, Esq., AHRA 2012 Spring Conference, April 4, 2012, Seattle, WA.
  • “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.
  • “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.
  • “Recent Developments and Key Legal Issues Impacting Radiology Practices,” Adrienne Dresevic, Esq. and Jessica L. Gustafson, Esq., AHRA Annual Meeting, August 16, 2011, Grapevine, TX.
  • “An Unprecedented Era of Claims Scrutiny:  Successfully Managing Targeted Medical Review, Recovery Audit Contractor and Medicaid Integrity Audits,” Jessica L. Gustafson, Nebraska Hospice and Palliative Care Association 2011 Annual Conference, Lincoln, NE.
  • “Compliance in the Age of Electronic Health Records,” Health Care Compliance Association’s 15th annual Compliance Institute, April 10-13, 2011 Orlando, FL.
  • “How RAC & MIC Audits Will Affect LTC Facilities,” 2011 Health Care Association of Michigan (HCAM) Spring Leadership Conference, March 31, 2011.
  • “Navigating Claim Denials,” World Research Group Panel Discussion, March 2, 2011.
  • “Recovery Audit Contractors and Medicare Audits,” The Association for Medical Imaging Management (AHRA) 38th Annual Meeting & Exposition, August 22-26, 2010.
  • “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.
  • “How RAC and MIC Audits Will Affect LTC Facilities,” Health Care Association of Michigan (HCAM) and the Michigan Center for Assisted Living (MCAL) 2010 HCAM/MCAL Leadership Conference, March 24, 2010.
  • “The Audit Landscape for Michigan Providers and Suppliers,” Michigan Health Care Law Section Teleconference, March 18, 2010.
  • “Recovery Audit Contractors and Medicare Audits,” at National City Bank, March 16, 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.
  • “Protecting, Improving, and Enhancing Your Bottom Line” The Oakland County Bar Association Oakland County Medical Society, December 1, 2009.
  • Recovery Audit Contractors, Michigan Association of Physicians of Indian Origin (MAPI), March 15, 2009.

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