Ryan A. Bailey is a Vice President with Advis. Ryan’s work includes ensuring optimum compliance with a wide range of federal and state regulations, as well as third-party payor guidance. His expertise covers:

• 340B Drug Pricing Program
• Facility Development
• Telemedicine
• Medicare Rules and Regulations
• Strategy/Healthcare Integration
• Third Party Accreditation
• Mergers and Acquisitions
• Provider Enrollment
• Coding and Billing

Ryan leads comprehensive compliance audits for providers, including:

• Audits Addressing Compliance with the Medicare Conditions of Participation (CoPs)
• The Joint Commission (TJC) Accreditation Standards
• State Licensing Regulations
• Billing and Reimbursement Requirements
• Fraud and Abuse Regulations, including the Ethics in Patient Referrals Act (Stark Law) and the Anti-Kickback Statute (AKS)
• Provider Participation in Medicare/Medicaid Programs
• 340B Drug Pricing Program

Ryan also analyzes provider goals and achieves them through organizational restructuring. This work includes preparing in-depth feasibility and strategy recommendations via:

• Review and Application Federal Regulations
• State Facility Licensure
• Certificate of Need Laws

Additionally, Ryan frequently advises on strategy for increasing ambulatory service networks through utilization of:

• Hospital Provider-Based Status
• Freestanding Emergency Departments
• Urgent Care Centers

Ryan works with provider senior leadership and general counsel to prepare transactional documents to meet the goals and expectations of the parties while complying with applicable regulations. Mr. Bailey oversees preparation and filing of necessary applications, including but not limited to:

• Medicare/Medicaid Enrollment Applications
• Federal Provider-Based Attestations
• CLIA/COLA Laboratory Filings
• State Licensure and Certificate of Need (CON) and Exemption (COE) Applications

Ryan specializes in regulatory compliance for healthcare providers, including:

• Physician Groups
• Acute Care and Specialty Hospitals
• Multi-Hospital Complex Healthcare Systems
• Academic Medical Centers

PREVIOUS EXPERIENCE

Prior to joining Advis, Ryan served as:

• Associate with Esp Kreuzer Cores LLP
• Judicial Extern to Judge Robert E. Gordon of the Illinois Appellate Court
• Intern for the Medical Ethics Group of the American Medical Association
• Editor for the DePaul University of Law Journal of Health Care Law
• Board Member for the DePaul University of Law Institute of Health Law Expertise

To read further about Ryan’s extensive experience, click the following link; Ryan-Bailey-Bio.