Partner
Holland & Knight LLP
Denver, Colorado, United States
Susan Banks advises hospitals, health systems, medical professionals, and other healthcare providers and suppliers on the full range of Medicare and Medicaid compliance and payment issues. Susan has deep knowledge and experience with Medicare conditions of participation and conditions of payment, including coverage policies, billing rules, and reimbursement mechanisms for inpatient and outpatient services. She regularly counsels clients regarding practical operational issues impacting organizational workflows, service line delivery, care coordination, and regulatory compliance. She also assists client with internal investigations of potential federal healthcare program overpayments and, when needed, helps them make appropriate self-disclosures and voluntary refunds. Susan frequently advises clients in connection with suspected instances of fraud and abuse arising under the federal False Claims Act, Stark Law, Anti-Kickback Statute and their state law analogues, and represents healthcare clients in investigations and audits by federal and state regulatory and enforcement agencies. In the transactional arena, Susan helps clients develop the right deal structure and strategy to meet their business goals while assuring reimbursement compliance and managing potential regulatory risks.
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Sunday, August 10, 2025
1:45 PM - 2:45 PM CT