JESSICA L. GUSTAFSON is a founding shareholder with The Health Law Partners, P.C. Ms. Gustafson represents hospitals, health systems, hospices, home health agencies, physicians and other health care providers and suppliers in an array of health care legal matters. Ms. Gustafson devotes a substantial portion of her practice to representing providers in the Recovery Audit (“RAC”) and Medicare audit appeals process. She also regularly assists clients with compliance and reimbursement matters, overpayment refunds, Medicare enrollment matters, as well as other health care regulatory matters.
Ms. Gustafson is a member of the American Health Lawyers Association, American Bar Association (Health Law Section) and Michigan Bar Association (Health Care Law Section). She is actively involved in the ABA Health Law Section, serving as Co-Chair of the Membership Committee and as a Vice-Chair of the Editorial Board of the publication ABA Health eSource. She also serves as a member of the Advisory Board to the American College of Physician Advisors.
While in law school, Ms. Gustafson served as a member of the Wayne Law Review Editorial Board as a Senior Articles Editor. She also served as a judicial intern to the Honorable Robert H. Cleland, United States District Court, Eastern District of Michigan.
- Health Care Law
- Billing and Reimbursement
- Compliance and HIPAA
- Medicare, Medicaid and other payor appeals
- RAC audits and appeals
- Staff Privilege Matters
- Michigan
-
- New York
- New York State Office of Court Administration
-
- U.S. District Court Eastern District of Michigan
-
- English: Spoken, Written
- Founding Shareholder
- The Health Law Partners, P.C.
- - Current
- Associate Attorney
- Wachler & Associates, P.C.
- -
- Law Clerk
- Wachler & Associates, P.C.
- -
- Wayne State University Law School
- J.D. | Law
- -
- Activities: Law Review: The Wayne Law Review, 2003 - 2005
-
- Miami University of Ohio
- B.A. (2002) | Speech Communication
- -
- Honors: Cum Laude
-
- Rising Star
- Super Lawyers
- Rising Star
- Super Lawyers
- Rising Star
- Super Lawyers
- Rising Star
- Super Lawyers
- Rising Star
- Super Lawyers
- American College of Physician Advisors
- Advisory Board Member
- Current
-
- Michigan Bar Association, Health Care Law Section
- Member
- - Current
-
- American Health Lawyers Association
- Member
- - Current
-
- American Bar Association, Health Law Section
- Member
- - Current
-
- AseraCare: Falsity and the False Claims Act
- BC Advantage
- CMS Greatly Expands Its Authority to Deny and Revoke Providers' and Suppliers' Medicare Enrollment
- ABA The Health Lawyer
- CMS Revises Guidance Regarding the Use of Statistical Sampling for Overpayment Estimation
- BC Advantage
- The Supreme Court Limits Agency Deference: Implications of Kisor v. Wilkie
- ABA The Health Lawyer
- Legal Issues Affecting Hospital Case Managers, CMSA 2020 Annual Conference Virtual Edition
- Presented with Abby Pendleton, Esq.
- Agency Deference and the Impact of Kisor in Healthcare: Challenging CMS and Other Agency Actions, Strafford Nationwide Webinar
- Presented alongside Mimi Hu Brouillette, Esq. and Daniel Jarcho, Esq.
- Hot Legal Issues with MA Plans, The 7th National Physician Advisor and Utilization Review Boot Camp, Washington, D.C.
- Presented alongside Abby Pendleton, Esq.
- Courts Recognize Irreparable Harm to Providers Caused by Medicare Appeals Backlog, Special Edition Finally Friday
- Presented with Abby Pendleton, Esq.
- Regulatory Update – 60 Day Recoupment, CMS/OMHA Appeal-Reduction, Front-End Compliance and Appeals, The 6th National Physician Advisor and Utilization Review Team Boot Camp, Los Angeles, CA
- Presented with Abby Pendleton, Esq.
