Jump to:
Daniel Weeks joined the Ropes & Gray corporate department in 2018 and works primarily in the firm’s health care group. He has advised clients across the health care industry including hospitals, physician groups and other provider organizations, medical device manufacturers, and commercial payors on a broad range of complex regulatory, transactional, reimbursement and compliance issues. Before and during law school, Daniel worked in the financial planning department of a major health care provider. Daniel was also a notes and comments editor for the Brooklyn Journal of Corporate, Financial & Commercial Law, and a Health Law and Policy Fellow.
Experience
- Assisted clients prepare and file state HMO licensure and corresponding accreditation applications, as well as initial and ongoing support with state regulatory filings and approvals for domestic and foreign commercial payor changes in control
- Drafted and negotiated provider risk-sharing agreements for clients participating under governmental and commercial plans
- Advised provider groups on state risk-bearing organization licensure requirements and assisted in preparing required filings
- Provided health care due diligence for clients regarding potential acquisition’s compliance with federal and state regulatory requirements, including: health care fraud and abuse laws such as the Anti-Kickback Statute, state patient brokering prohibitions, and the Sunshine Act; potential liability under the False Claims Act; and data privacy, protection and security matters under HIPAA
- Researched and analyzed state regulatory requirements for required change of ownership approvals and notifications for health care entities, risk-bearing entity requirements, delegation of credentialing and care management, corporate practice of medicine determinations, and practitioner scope of practice issues
- Advised health care organizations regarding compliance with federal fraud and abuse laws, and requirements under applicable exceptions to these laws for an organization’s programs
- Provided guidance to health care organizations regarding the requirements to participate in the ACO REACH Model under the CMS Innovation Center; drafted organizational documents, operating agreements, and participation agreements for use in ACO REACH
- Researched Medicare billing guidelines and Federal Register commentary to determine clients’ ability to provide services to certain patient populations, as well as how to interpret Medicare requirements to bill for these services