Health Care Compliance Online Graduate Certificate Program Faculty
Professor Mary Crossley
Introduction to the Legal System for Health Care and Compliance
Mary Crossley is a Professor of Law at the University of Pittsburgh School of Law. Her scholarship has focused on issues of inequality in the financing and delivery of health care, encompassing topics ranging from an exploration of potential legal remedies for physician bias in medical treatment, to an examination of how recent trends in health insurance coverage function to discriminate against unhealthy people, to a consideration of how assisted reproductive technologies implicate equality concerns. She has published broadly, in journals including Columbia Law Review, Notre Dame Law Review, and Rutgers Law Journal. Crossley's scholarly interests are reflected in a seminar that she has developed on Health Care & Civil Rights, and she has also taught courses in Health Law, Bioethics & Law, and Family Law.
Crossley was appointed dean and Professor of Law at the University of Pittsburgh School of Law in 2005 and served as dean from 2005 to 2012, focusing her leadership on initiatives relating to curricular reform, innovation programming, and promoting diversity. In 2013 she was selected as a Robert Wood Johnson Foundation Public Health Law Scholar in Residence, and she is currently serving as a Faculty Mentor for the Robert Wood Johnson Foundation Future of Public Health Law Education Faculty Fellowship Program. Immediately prior to coming to Pitt Law in 2005, Crossley was the Florida Bar Health Law Section Professor of Law at Florida State University and before that she was on the faculty at the University of California, Hastings College of the Law, including two years of service as associate academic dean. Before beginning to teach, she practiced corporate and health care law in San Francisco, Calif., and New Haven, Conn., and clerked for Judge Harry Wellford on the Sixth Circuit Court of Appeals.
Professor Tina Batra Hershey
Legal Aspects of Health Care Compliance
Tina Batra Hershey currently serves as an assistant professor in the Department of Health Policy and Management at the University of Pittsburgh Graduate School of Public Health, where she teaches courses on health care compliance and health law and ethics. Specific course topics include health care reform, professional and institutional liability, medical staff credentialing, fraud and abuse, development and implementation of corporate compliance plans, risk management, and antitrust.
In addition, at the Center for Public Health Practice (CPHP), Hershey analyzes the legal, policy and ethical issues impacting public health preparedness and response capacities, including isolation and quarantine, access to primary care, and authority to close schools. She also directs a project funded by the Centers for Disease Control and Prevention Public Health Law Program that seeks to incorporate the judiciary into the public health system by educating judges across the nation regarding public health science and law. Hershey is also actively involved in efforts to assist Indian tribes with legal preparedness for public health emergencies, as well as other state and national programs involving legal preparedness. She is a frequent speaker on issues related to legal preparedness and the role of the judiciary in disasters and emergencies.
Before coming to CPHP, Hershey was a health care attorney in Washington, D.C., and Pittsburgh. Her practice involved counseling clients regarding compliance with federal and state laws related to the delivery of health care services, as well as federal and state fraud concerns, including anti-kickback, self-referral, false claims, and false billings issues; negotiating civil settlement and corporate integrity agreements; drafting and evaluating compliance plans; and conducting health regulatory due diligence, including preparation of transactional documents and employee interviews.
Professional Judgment and Ethics
David is a partner in Brouse McDowell's Health Care Practice Group. He represents and counsels clients regarding transactional legal guidance and strategic advice. Typical matters include regulatory compliance, corporate compliance program development, provider insurance contracting, RAC and ZPIC audits and appeals, Federal reimbursement overpayments, employment contracts, vendor agreements, and practice acquisitions and mergers. He provides strategic and operational guidance to compliance officers regarding ethical considerations in the design and implementation of compliance programs. He has knowledge in designing and implementing Stark-compliant physician compensation programs, anti-kickback reviews for DME, home health, long term care providers and medical device companies. David advises hospital providers on HCQIA Fair Hearing procedures, medical staff bylaws and assists these providers with HIP AA and security risk analyses, and breach notification protocols.
David has assisted facilities and providers to operate successfully in changing regulatory environments; achieving and maintaining regulatory compliance with the Joint Commission Standards, AOA, CMS, ODMH, and the Ohio Department of Health, as well as interpreting Medicare Physician Fee Schedule issues and outpatient-based provider matters.
David currently serves as outside General Counsel for a large non-profit provider of mental health and housing services, and he has extensive experience in the area of behavioral medicine. Prior to law school, he served as a Hospital CEO at hospitals in Milwaukee and northeast Ohio, and COO of a multi-hospital regional system. He has experience in the design, development and implementation of behavioral medicine services as well as new construction and renovation of inpatient and outpatient programs. David is an adjunct professor for Cleveland State University's Cleveland-Marshall College of Law, where he teaches courses in Fraud and Abuse, Health Care Law, Psychiatry and the Law, and HIPAA, and the University of Pittsburgh School of Law, teaching Professional Judgement and Ethics.
Barbara Vimont is an experienced compliance officer with valuable breadth and depth of compliance expertise. She currently serves as deputy chief compliance officer for Summa Health, an Integrated Healthcare Delivery System that includes hospitals, home health, hospice, physician practices and an Accountable Care Organization and is headquartered in Akron, Ohio. Prior to Joining Summa Healthcare, she was the regional compliance officer for University Hospitals in Cleveland, Ohio, where she is primarily responsible for compliance and HIPAA activities for approximately 1,200 academic and community-based physicians. Prior to joining University Hospitals in 2013, Vimont worked for more than 17 years at Akron General Health System, starting as a supervisor in Health Information Management before becoming the compliance manager in Patient Financial Services. She then served as compliance officer for the Health System for eight years, obtaining her law degree from the University of Akron School of Law during that time. Vimont spent four years as associate legal counsel, providing guidance on various health law matters, then added responsibilities of director of sponsored programs with Akron General’s Research Department before leaving the Health System. Vimont also teaches Health Law I at the University of Akron School of Law.
In addition to her Juris Doctor, Vimont has a Master of Public Health degree from the University of Massachusetts-Amherst, a Bachelor of Arts degree with a major in psychology from the University of Texas at Austin, and a Bachelor of Science degree in medical records administration from Texas State University.
Laura M. Odwazny is a senior attorney with the Office of the General Counsel, U.S. Department of Health and Human Services. Odwazny’s primary client is the Office for Human Research Protections, which interprets and enforces the HHS regulations that provide protections for human research subjects. Odwazny also currently advises the Presidential Commission for the Study of Bioethical Issues and the HHS Office of Global Affairs. Throughout her 15 years with the Office of the General Counsel, Odwazny has provided legal advice to various other agencies within HHS, including the Office of the Assistant Secretary for Health, the Program Support Center Division of FOIA Services, the Health Resources and Services Administration, and the Substance Abuse and Mental Health Administration. Prior to her employment with HHS, Odwazny served as a law clerk to the Superior Court of Pennsylvania and the Supreme Court of Pennsylvania. Odwazny is a graduate of the University of Chicago and the University of Pittsburgh School of Law, and received an MA in bioethics at the University of Pittsburgh.
Marye Isaacs Phillips is a former federal regulator with the Centers for Medicare & Medicaid Services, where she supported the regulation development and implementation of the Medicare Prescription Drug Benefit Program, including compliance and audit guides. Today she is health insurance compliance consultant supporting the federal government with oversight of the Marketplaces and implementation of the Affordable Care Act. She has developed audit materials and conducted compliance audits of insurers participating in Medicare Part C, Part D, and PACE programs. Previously she has provided audit preparation consultation and guidance to health insurers with regard to various markets and government programs.
Phillips’s areas of focus and expertise include health insurance oversight, auditing, and compliance, as well as legislative, regulatory, and policy analysis. Phillips earned a JD with a Health Law Certificate from the University of Pittsburgh School of Law, as well as a BS in Journalism from the Honors Tutorial College at Ohio University.
Rupa S. Lloyd
Selected Applications in Compliance – Quality
Rupa S. Lloyd, is a healthcare regulatory partner with Dell Graham, P.A. and a Board Certified Professional in Patient Safety. Prior to joining the firm, she was an Associate Director with the University of Florida representing the academic medical center Colleges of Medicine, Nursing, Pharmacy, Dentistry, Public Health and Health Professions, Veterinary Medicine, and related centers and institutes. She was responsible for ensuring negotiated arrangements were both financially and operationally equitable to UF Health, and appropriately addressed regulatory compliance, risk management, quality assurance and improvement, and patient satisfaction considerations. Her work supported UF Health's strategic goals of improving upon quality and safety of patient care. Ms. Lloyd is licensed to practice law in PA, and FL, and as a Health Care Risk Manager by the FL Agency for Health Care Administration. The health care risk management process is defined by The Joint Commission as those clinical and administrative activities undertaken to identify, evaluate, and reduce the risk of injury to patients, staff, and visitors and the risk of loss to the organization itself.
Ms. Lloyd has authored several articles with the American Health Lawyers Association, taught on health law topics as a guest lecturer at the UF Levin College of Law, and as a visiting professor at the University of Toledo College of Law. She started her legal career as a summer associate with Duane Morris, and then joined Houston Harbaugh as an attorney representing physician practices and other health care organizations with emphasis on privacy, fraud and abuse compliance, corporate and employment relationships between hospitals, health care practices and their physician employees.
Ms. Lloyd’s interest and passion in pursuing a career in the field of health care stemmed from experiences of loved ones as patients, fueling her desire to impact and improve upon the highly fragmented state of our health care system, find ways to improve upon the quality of care offered, and reduce the high rates of preventable medical error that exist in the United States. She graduated cum laude from the Pitt Law Health Law Certificate program, and received a B.S. in Industrial and Labor Relations from Cornell University. She has a Certificate in Risk Management from UF, and a certificate in Health Care Facilities Planning and Design from the Sloan Program of Health Administration at Cornell University.
William H. Maruca
Selected Applications in Compliance – Privacy and Advanced Privacy
Bill Maruca is a partner with Fox Rothschild LLP. He has extensive experience in health care law, particularly the areas of the Affordable Care Act, HIPAA, the HITECH Act, Medicare and Medicaid compliance, the Stark physician self-referral law, the False Claims Act, CLIA, EMTALA and other federal and state regulatory requirements. He represents physicians and other individual practitioners, hospitals and health systems, ambulatory surgical centers, imaging centers, durable medical equipment suppliers, physical therapy providers, ambulance providers, chiropractic clinics, and other health-related ventures with regard to their formation, contractual relationships and compliance with federal and state regulations, credentialing and medical staff matters, reimbursement, professional licensure, fraud and abuse and self-referral issues.
Maruca is the editor of a well-respected Health Care Privacy Law blog. Maruca is a member of the American Health Lawyers Association, and is past Chair of its Fraud and Abuse, Self-Referral and False Claims Practice Group and the moderator of its Stark Law listserve. He is past chair of the Allegheny County Bar Association Health Law Section. He is a member of the Pennsylvania Bar Institute’s Health Law Advisory Committee, Pennsylvania Bar Association Healthcare and Hospital Law Committee, American Bar Association Health Law Forum, and University of Pittsburgh Health Law Concentration Advisory Board.
Maruca is a frequent speaker on health care topics at national and regional conferences and has served as a guest lecturer at the University of Pittsburgh and Duquesne University and the University of Pittsburgh School of Law. He has frequently contributed to and been quoted by national and regional health care publications.
Selected Applications in Compliance – Hospitals and Providers,
Advanced Hospitals and Providers
Mark Faccenda is a partner at Norton Rose Fulbright in Washington, D.C. His practice focuses on health care regulatory matters including compliance with reimbursement, licensure, survey and certification, accreditation, Medicare Conditions of Participation, fraud and abuse, and data privacy requirements. He advises on hospital and provider-based facility requirements, including structuring of management services arrangements and facility design for compliance with Medicare regulations, and drafting hospital governance documents and medical staff bylaws for compliance with Medicare and Joint Commission requirements. He also provides advice on structuring mergers and acquisitions by and among health care entities, and on hospital, ASC, pharmacy and laboratory change of ownership arrangements. Representative clients include academic medical centers, health systems, physician groups, physician/hospital joint ventures, pharmaceutical manufacturers, long-term care facilities and durable medical equipment suppliers.
Prior to joining his firm, Faccenda worked for the Pennsylvania House of Representatives Legislative Office for Research Liaison where he conducted economic and health care regulatory research in support of prospective legislation. As part of his work for the Legislative Office for Research Liaison, he authored and contributed content to the University of Pittsburgh Institute of Politics' quarterly Institute of Politics Report and its annual policy briefing, the Institute of Politics Status Report. Faccenda also worked for payer and provider sides of an integrated health system where he drafted corporate policies and provided legal research focusing on HIPAA, ERISA, EMTALA, same-sex benefit coverage and the Peer Review Protection Act.
Faccenda is a frequent speaker on health care topics at national and regional conferences and has served as a guest lecturer at the University of Pittsburgh School of Law. He earned a JD from the University of Pittsburgh School of Law, a Master of Health Administration from University of Pittsburgh Graduate School of Public Health, and a Bachelor of Science in biology from the Pennsylvania State University.
Mary Nell Cummings
Selected Applications in Compliance – Life Sciences
Mary Nell Cummings brings significant experience to Pitt Law as the new Director for the Graduate Certificate Program in Health Care Compliance. As a former assistant general counsel for GlaxoSmithKline Consumer Healthcare, she guided the business on a variety of issues concerning social media, public relations strategies, privacy, claim support, clinical design, regulatory compliance, data use, and retail sales. She was also the managing attorney to the global marketing and R&D teams responsible for developing new products and claims for global consumer brands and worked on new product development for Europe, Latina, Asia, and the US. Prior to working for GSK, Mary Nell was a litigator at K&L Gates.
As an Adjunct Professor at Pitt Law, she teaches Health Care Compliance best practices and practical applications, covering select Fraud and Abuse, Stark, Privacy, and Life Science topics. As principal of the Cummings Law Practice, she advises clients on matters related to the development, approval, manufacture and marketing of drugs and medical devices.