Meghan M. Linvill McNab

Meghan M. Linvill McNab concentrates her practice in the area of Medicare and Medicaid program reimbursement and compliance matters. Ms. McNab represents a variety of health care providers in areas including Medicare and Medicaid program reimbursement, Medicaid reform initiatives, regulatory compliance, licensure and survey actions, and various other regulatory issues. Ms. McNab also has significant experience counseling hospitals and nursing facilities on Intergovernmental Transfers and Upper Payment Limit programs for Medicaid reimbursement, as well as experience with structuring transactions for compliance with these programs. Prior to counseling the firm's Health Care clients, Ms. McNab was a senior healthcare consultant working in Medicare and Medicaid reimbursement and cost reporting.

In addition to being an attorney, Ms. McNab is also a Certified Public Accountant.

Representative Experience

• Assisted providers regarding Medicare and Medicaid billing and reimbursement issues, including upper payment limit programs, mental health billing and reimbursement, cost reporting and appeals.
• Represented and advised clients regarding administrative appeals relating to rate changes, audit findings, and survey results.
• Worked with clients on various provider licensure, certification and enrollment matters.
• Advised and assisted providers regarding change of ownership mechanisms and reporting requirements.
• Represented and advised clients regarding audits, surveys, and investigations initiated by licensing and certification bodies.
• Counseled hospitals on regulatory and accreditation compliance matters, including reviewing and revising Medical Staff Bylaws, Rules and Regulations, and Policies.
• Assisted providers with developing plans of correction and responses to licensure and complaint surveys.
• Assisted providers with respect to their policies regarding the privacy and security of Protected Health Information (PHI) and compliance with HIPAA requirements.
• Counseled providers on compliance with the Stark Law, the Anti-Kickback Statute, and the False Claims Act.
• Advised providers on reimbursement mechanisms and programs available under the Affordable Care Act and its implementing regulations.
• Reviewed and negotiating contracts for hospitals, nursing facilities and independent providers of all types.

Professional Associations

• Manchester University Alumni Association, Vice President (2015), Board of Directors (2014-2016)
• Healthcare Financial Management Association, Member 
• Indiana Bar Association, Member
• Indianapolis Bar Association, Member
• American Health Lawyers Association, Member
• Indiana Certified Public Accountants Society, Member
• American Institute of Certified Public Accountants, Member
• Nashville Cable, Member
• Leadership Health Care, Member

Awards & Recognitions

• Indiana Super Lawyers Rising Stars, 2018-2021

Seminars & Presentations

• Co-Presenter, "New Options: Rural Emergency Hospitals and Critical Access Hospitals," Indiana Rural Health Association," September 8, 2022
• Medicare Changes to Emergency Transport, Eskenazi Health, 2019
• Medical Documentation for Government Audits, Eskenazi Health, 2019
• Medicaid and Medicare Overpayments, Eskenazi Health, 2019
• Supplemental Payments: Past, Present, Future, Indiana LeadingAge, 2016
• Supplemental Payments: Hot Topics, Indiana HFMA, 2016
• Current Issues with Medicaid Eligibility and Services to Inmates, Indiana HFMA, 2016
• Current Topics with Medicaid Managed Care Organizations, Indiana Council of Community Mental Health Centers, 2017.
• HIPAA/HITECH Update (Webinar), Indiana HFMA, 2014

Publications

• Co-Author, "SURPRISE! Federal Alternative Dispute Resolution Grinds to a Halt," August 16, 2023 
• Co-Author, "A Direct Proposal: New Proposed Medicaid Rules for State Directed Payments," June 13, 2023
• Co-Author, "Don’t Let the End of the Public Health Emergency Create a Compliance Problem," May 19, 2023
• Co-Author, "Long Term Reform Coming to Long Term Care: What Changed in the 2023 Indiana Legislative Session," May 8, 2023
• Co-Author, "CMS’s Proposed Government Overpayment Rule Sure to Make You Sleep Less," January 18, 2023
• Co-Author, "Should Co-Located Hospitals Hate Those Blurred Lines?" November 30, 2021
• Co-Author, "CMS Takes Another “Shot” at COVID Vaccination Transparency in Nursing Facilities," September 22, 2021
• Co-Author, "Rural Emergency Hospital Providers - What We Know and What's to Come," August 19, 2021
• Co-Author, "The Continuation of Long Term Care Provider Waivers," August 6, 2021
• Co-Author, "Dawn of a New Era: Indiana Medicaid's COVID-19 Policies End and New Telehealth Policies Begin," July 10, 2021
• Co-Author, "Between a Rock and a Hard Place - 340B Covered Entities Sidelined as Battle Over Drug Pricing Continues," April 20, 2021
• Co-Author, "Hurry Up and Wait: HHS Delays Reporting Requirements on Coronavirus Provider Relief Funds," February 10, 2021
• Co-Author, "MFAR Dies, But Not Without Leaving a Trace - New Supplemental Payment Reporting," January 14, 2021
• Co-Author, "Don't Lose Focus on Your Compliance with Important COVID-19 Requirements," November 16, 2020
• Co-Author, "CMS Takes into Consideration the "Totality of the Circumstances" in Withdrawing its Far Reaching Medicaid Fiscal Accountability Rule," September 15, 2020
• Co-Author, "Check Before You Repay: CMS Contractors' Overpayment Extrapolation Methods Questioned," September 2, 2020
• Co-Author, "Nursing Homes: Immediate Enforcement Action and New COVID-19 Testing and Reporting Requirements," September 2, 2020
• Co-Author, "Acknowledging State Challenges in Medicaid Administration," July 20, 2020
• Co-Author, "Nursing Homes Required to Test All Staff Members for COVID-19," June 18, 2020
• Co-Author, "When It Rains, It Pours - Nursing Facilities to Face Imminent Survey Activity, Enhanced Enforcement Actions, and Staff Testing Requirements as a Result of COVID-19," June 3, 2020
• Co-Author, "CMS Publishes New Medicare Changes to Address the COVID-19 Pandemic," May 3, 2020
• Co-Author, "Governor Holcomb Issues Additional Licensure Waivers to Increase Health Providers Available to Address COVID-19," April 9, 2020
• Co-Author, "Indiana Responds to COVID with Changes to Prior Authorization and Telemedicine," March 29, 2020
• Co-Author, "CMS Expands and Makes Advance Medicare Payments More Available to Address Cash Flow Affected by COVID-19," March 29, 2020
• Co-Author, "OCR Issues FAQs on Telemedicine Services During the COVID-19 Pandemic," March 22, 2020
• Co-Author, "Indiana Medicaid Covers Telemedicine Services in COVID-19 Response," March 19, 2020
• Co-Author, "1135 Waiver Response to COVID-19," March 15, 2020
• Co-Author, "State Medicaid Programs Respond to Coronavirus," March 12, 2020
• Co-Author, "CMS Moves Closer to Clarifying Hospital Co-Location Rules with Draft Guidance," June 9, 2019
• Co-Author, "Recent HOPD Address Issues," May 1, 2019
• Co-Author, "New Medicare Payment Model for Emergency Ambulance Services," April 9, 2019
• Co-Author, "Medical Record Documentation: Is it s a "No" or a "Not Completed?" April 9, 2019
• Co-Author, "Indiana Medicaid Rule Changes to Expect for 2019," January 7, 2019
• Co-Author, "CMS Rule Reducing Medicare Payments for Certain Clinic Visits by Off-Campus PBDs," December 12, 2018
• Co-Author, "NPDB Guidebook Changes," December 3, 2018
• Co-Author, "Managed Care Proposed Rule Summary," November 18, 2018
• Co-Author, "Medicare Attempts Streamlining," August 22, 2018
• Co-Author, "Clarification on Use of Documentation Assistants or Scribes," August 22, 2018
• Co-Author, “OCR Issues Guidance on Disposing of Electronic Devices and Media,” August 9, 2018
• Co-Author, “Recent OIG Opinion Permits Free Samples to Patients,” June 19, 2018
• Co-Author, “CMS Proposes Four Rules – SNF, IRF, Hospice, IPF,” April 30, 2018
• Co-Author, “CMS Reminder Regarding Services Rendered by Hospitals to Patients Staying in Other Facilities,” March 18, 2018
• Co-Author, “Continuing HIPAA Obligations After a Business Ceases,” March 4, 2018
• Co-Author, “Passing of Bi-Partisan Budget Act Affects Medicaid Payments,” February 25, 2018
• Co-Author, “Ability to Prescribe Buprenorphine Expanded to Mid-Level Practitioners,” February 25, 2018
• Author, “Recent DOJ Settlements with Physician Groups,” February 1, 2018
• Author, “Public Notice Regarding Medicare Provider Agreement Terminations,” September 19, 2017
• Co-Author, “The Cost of Abandonment – Patient Records,” May 17, 2017
• Author, “Delay in Implementation of Home Health COPs,” April 25, 2017
• Co-Author, “Payment Matters: To Collect or Not to Collect?” April 25, 2017
• Co-Author, “OIG Advisory Opinion on Free or Reduced-Cost Lodging and Meals,”  April 2, 2017
• Author, "Long Overdue Federal Rules for Home Health Agencies Published," January 23, 2017

Certifications

• Legal Lean Sigma® White Belt

Education

• J.D., Indiana University Robert H. McKinney School of Law, Indianapolis, Indiana, 2010
• B.S. in Accounting, Manchester College, North Manchester, Indiana, 2006

Bar & Court Admissions

• Indiana (2011)
• Tennessee (2018)

Practices

• Pharmacy and Pharmaceutical Law
• Hospitals and Health Systems
• Long-Term Care Providers
• Health Care Reimbursement
• Compliance and Regulatory Affairs
• In-House Counsel Services
• Stark Act Compliance
• Medicaid Strategy and Health Policy
• Professional Licensing

Industries

• Health Care