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Abby L. Pendleton

Abby L. Pendleton

Practice areas:

Health Care

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About Me

Abby Pendleton is a founding partner of The Health Law Partners, P.C.  She graduated Magna Cum Laude from Wayne State University Law School in 1996 and is a member of the Order of the Coif.  Ms. Pendleton was a member of the Wayne State Law Review and served on its editorial board as a Senior Articles Editor.  While at Wayne State, she was a recipient of the American Jurisprudence Book Awards in Contracts and Criminal Law as well as the Deloitte and Touche LLP Award for her achievement in tax law.


 


Ms. Pendleton has been practicing healthcare law since 1996.  She regularly provides counsel to healthcare providers and organizations in a number of areas, including but not limited to: compliance, Recovery Audit Contractors (“RAC”), Medicare and other payor audits, fraud and abuse, reimbursement matters, and HIPAA Privacy and Security, and physician staff privilege and licensure matters.  Ms. Pendleton also specializes in legal issues impacting billing and management companies, anesthesia and pain management providers, hospice providers and mental health agencies.


 


Ms. Pendleton is a member of the State Bar of Michigan (Member, Health Care Law Section); the American Health Lawyer's Association; the Health Care Compliance Association; the Medical Group Management Association and the Michigan Medical Group Management Association.

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Practice Areas

Licensed since 1996

  1. Health Care: 100%
    19 years

Attorney Endorsements

1 total

  • Carey F. Kalmowitz

    Abby Pendleton is a highly experienced attorney in the field of healthcare law. She leads her law firm’s Medicare and Recovery Audit Contractor (RAC) practice group, and also practices in all other areas of health care law, with special emphasis on the areas of Medicare and Medicaid audits, compliance and contracting. She is driven to succeed on behalf of her clients and advocates for them effectively and decisively. Her years of experience in healthcare law are invaluable and contribute to her acclamation as a reliable, successful attorney.

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    Carey Kalmowitz Health Care Attorney
    Relationship: Co-worker

Contact Info

The Health Law Partners, P.C.

29566 Northwestern Highway, Suite 200
Southfield, MI, 48034

Resume

License
StateStatusAcquiredUpdated
NYCurrently registered 200903/13/2015
MIActive And In Good Standing199606/27/2015

Professional Misconduct

We have not found any instances of professional misconduct for this lawyer.
Avvo Contributions
Legal Answers
Awards
Award NameGrantorDate Granted
Top Lawer in Healthcare Lawd'Business Magazine2011
Women in the LawMichigan Lawyers Weekly2011
Award for Tax LawDeloitte & Touche LLP1996
Award in Contracts and Criminal LawAmerican Jurisprudence Book Awards1996

Work Experience
TitleCompany NameDuration
Founding PartnerThe Health Law Partners, PC2009 - Present
Partner, Associate, Law ClerkWachler & Associates, P.C.1994 - 2009

Associations
Association NamePosition NameDuration
State Bar of Michigan, Health Care Law SectionMemberN/A
American Health Lawyers AssociationMemberN/A
Health Care Compliance AssociationMemberN/A
Medical Group Management AssociationMemberN/A
Michigan Medical Group Management AssociationMemberN/A

Publications
Publication NameTitleDate
Michigan Medical Law ReportCompliance Can Be Tricky in the Age of Electronic Medical Records2011
G-2 Compliance ReportThe Recovery Audit Contractor ("RAC") Program: What Can Laboratories and Pathologists Expect?2011
Michigan Medical Law ReportRAC Program Proposed Rule Published2011
Michigan Medical Law ReportThe OIG's New Roadmap on Avoiding Fraud and Abuse2011
Communique FallCompliance Corner: Focus on Compliance2010
Michigan Medical Law ReportProposed HIPAA Regulations: What Physician Practices Need to Know2010
Michigan Medical Law ReportHealth care reform measures, increased audit scrutiny, and more reasons why compliance programs matter2010
CommuniqueThe Anesthesia Community Must Be Prepared for Increased Audit Activity by RACS and Others2010
AHLA/AAPC Coding ManualLegal/Regulatory/Fraud & Abuse/Compliance/Reimbursement Issues associated with Anesthesiology Coding2010
The CommuniqueBreach Notification Final Rule2010
Michigan Medical Law ReportHIPAA enforcement strengthened, penalties increased2010
Michigan Medical Law ReportMedicare eases rule on termination of provider medical records review2009
Health Lawyers Association, Hospitals and Health Systems Practice Group Member BriefingRecovery Audit Contractors And Medicare Audits: What Can Hospitals and Health Systems Expect as the RAC Program Expands Nationwide?2009
Michigan Medical Law ReportGet Ready -- Recovery Audit Contractors Are Coming to Michigan2009
Michigan Medical Law ReportOIG Work Plan 2008: What can providers expect in 2008?2009
Radiology ManagementThe RAC Program: What Can Radiology Providers Expect as RACs Begin Auditing2009
Michigan Medical Law ReportPhysicians Can Choose to Opt Out of Medicare Participation2009
CommuniqueHITECH in a High Tech Era2009
CommuniqueWhat Anesthesiologists And Pain Management Physicians Need to Know About The RAC Program2009
The Health Lawyer, The ABA Health Law SectionRAC to the Future: What Can Medicare Providers and Suppliers Expect from the Recovery Audit Contractor Program?2008
The RAP Sheet, American Health Lawyers AssociationThe RACs Are Coming - Are You Ready?2008
Caring, National Association of Home Care and HospiceRecovery Audit Contractors and Medicare Audits: Successful Strategies for Defending Audits2008
Anesthesia Business Consultants CommuniquePlanning for Compliance2008
Michigan Medical Law ReportCan Medicare take my money? What the One-Time Notification means2008
Anesthesia Business Consultants CommuniqueCompliance Corner: OIG Workplan 20082008
Michigan Medical Law ReportIs Medicare being billed the right way? Here's how to avoid the risks2008
HCCA Compliance TodayGet Ready: RACs may be nationwide sooner than expected!2007
Michigan Medical Law ReportGet ready for increased nationwide Medicare audit activity2007
Michigan Medical Law ReportLegal issues impacting physician recruitment relationships2007
Michigan Medical Law ReportWhat all physicians need to know about the proposed changes to the Medicare physician fee schedule2006
Michigan Medical Law ReportPrescribing controlled substances: What every physician should know2006
Health Law Handbook 2006The New Medicare Part A and Part B Appeals Process2006
Michigan Medical Law ReportThe Michigan Social Security Number Privacy Act, new whistleblower provisions of the Michigan Medicaid False Claims Act and more2006
Michigan Medical Law ReportBilling: Three key compliance tips that every physician should implement2005
Michigan Medical Law ReportCompliance Auditing: Three Key Issues That Every Physician Should Consider2005
The Health Lawyer, The ABA Health Law SectionThe New Medicare Appeals Process2005
Anesthesia Business Consultants CommuniqueThird-Party Payor Audits: The Impact on Anesthesia Groups2004
LachesThird-Party Payor Audits: Impact on Physician and Healthcare Provider Clients2004
The Health Lawyer, The ABA Health Law SectionMedicare Appeal and Recovery Reforms under the Medicare Prescription Drug, Improvement and Modernization Act of 20032003
MSA VentilatorHave you Engaged in Compliance Activities Lately?2003
The Health Lawyer, The ABA Health Law SectionFinal HIPAA Security Rule Allows Greater Flexibility2003
Update: Journal of the Federated Ambulatory Surgery AssociationNew HIPAA Privacy Guidance Reduces ASC Fears2003
Anesthesia Business Consultants CommuniqueCpt 2000: Pain Management Coding Compliance2000
The Health Lawyer, The ABA Health Law SectionOIG Softens its Overall Approach in Releasing the Final Compliance Guidance for Individual and Small Group Physician Practices2000
The Health Lawyer, The ABA Health Law SectionOIG Issues Draft Compliance Guidance for Individual and Small Group Physician Practices2000
Health Care Weekly ReviewHospice Providers are Well Advised to Address OIG Identified Hospice Risk Areas2000
Anesthesia Business Consultants CommuniqueOIG Issues Special Advisory Bulletin on Gainsharing Arrangements1999
Anesthesia NewsContinuing Education is Key to Compliance1999
The Health Lawyer, The ABA Health Law SectionOIG Issues Compliance Guidance for the Hospice Industry and Medicare + Choice Organizations1999
Anesthesiology NewsHCFA Issues Final Rule on Medical Direction1998
FASAHIPAA Security Workbook and ToolkitN/A
FASAHIPAA Privacy Workbook and ToolkitN/A
Anesthesia Business Consultants CommuniqueAnesthesia Time: Compliance TipsN/A
United Communications GroupHIPAA Security Workbook and ToolkitN/A
United Communications GroupHIPAA Privacy Workbook and ToolkitN/A

Education
School NameMajorDegreeGraduated
Wayne State University Law SchoolLawJD - Juris Doctor1996
Central Michigan UniversityFinanceB.S.B.A.1993

Speaking Engagements
Conference NameTitleDate
World Research Group Panel DiscussionNavigating Claim Denials2011
What Radiology Practices Need to Know about Federal Auditing ProgramsZPICs, RACs, MICs and More:2011
Fraud and Abuse Environment for AnesthesiologistsThe Fraud and Abuse Environment Anesthesiologists2011
Compliances ChallengesThe Current Audit Landscape, Is Your Organization Prepared?2011
Anesthesia Business Consultants' Anesthesia and Pain Medicine Update for 2011 WebinarWhat's New In Compliance: Mandatory compliance plans, False Claims Act Enforcement (refunds of overpayments, EHR, compliance risks)2011
Advanced Techniques for Acute and Chronic Pain ManagementThe Compliance Landscape for Chronic Pain2011
Advanced Techniques for Acute and Chronic Pain ManagementThe Compliance Landscape for Chronic Pain2011
AAA ConferenceLegal Issues Regarding Difficult Pain Patients: Noncompliance, Drug testing and terminating physician/patient relationships2011
15th Annual Compliance InstituteCompliance in the Age of Electronic Records2011
The Audit Landscape for Michigan Providers and SuppliersThe Audit Landscape for Michigan Providers and Suppliers2010
The Association of Imaging ManagementRecovery Audit Contractors and Medicare Audits2010
Society for Pain Practice Management Billing and Coding WorkshopSociety for Pain Practice Management Billing and Coding Workshop2010
Recovery Audit Contractors and Medicare AuditsRecovery Audit Contractors and Medicare Audits2010
Recovery Audit Contractors and Medicare AuditsRecovery Audit Contractors and Medicare Audits2010
Recovery Audit Contractors and Medicare AuditsRecovery Audit Contractors and Medicare Audits: Strategies for Successful Appeals2010
Recovery Audit ContractorsRecovery Audit Contractors: Is Your Organization Ready for the RAC Attack?2010
RAC and Medicare AppealsRAC and Medicare Appeals: What Physicians Need to Know2010
OIG's Roadmap for New PhysiciansOIG's Roadmap for New Physicians2010
Medicare and Third Party Payor AuditsAudits, Refunds, Denials, Appeals And All The Other Things The Can Sink Your Practice2010
Anesthesia AdministrationRAC Attack2010
World Research Group Healthcare Management ConferenceManaging the RAC Appeals Process2009
Michigan Association of Physicians of Indian Origin (MAPI)Recovery Audit Contractors2009
National Hospice & Palliative Care Organization (NHPCO)Recovery Audit Contractors and Medicare Audits2008
Michigan Home Health Association (MHHA)The Medicare Appeals Process and Strategies for Successful Appeals2008
Society for Pain Practice Management (SPPM)Multiple Topics2007
Society for Pain Practice Management (SPPM)Billing, Avoiding Malpractice2007
Society for Pain Practice Management (SPPM)Billing Coding and Compliance2007
Health Care Compliance AssociationCompliance Program Challenges & Opportunities2007
BOC Athletic Trainer Regulatory ConferenceThe Future of Healthcare2007
American Society of Addiction Medicine (ASAM)Third Party Payor Audits2007
United Communications Group Physicians National SummitFraud and Abuse Compliance Issues2006
United Communications GroupHow to Keep your DME Relationships Problem-Free2006
Healthcare Association of Michigan (HCAM)Key Legal Compliance Issues Facing Skilled Nursing Facilities2006
Annual Meeting of the Medical Group Management Association (MGMA)The New Medicare Appeals Process2006
Society for Pain Practice Management (SPPM)Operationalizing HIPAA Privacy and Security2005
Society for Pain Practice Management (SPPM)Medicare Appeals, Exclusive Contracts, Compliance, Legal Risks of Facility Ownership2005
NC NICA 3rd Academic Medical Center ConferenceState Laws and Regulations (Current Trends & Implications to AMCs)2005
ICLE 11th Annual Health Law InstituteUnderstanding the Basics of HIPAA2005
Decision Health's Private Payer Contract Solutions ConferenceTop Five Clauses to Watch Out for in Private Payer Contracts2005
United Communications Group Anesthesia ConferenceAnesthesia Billing Compliance2003
United Communications GroupHIPAA2003
Medical Group Management Association (MGMA) Anesthesia Administration Assembly 2003 Conference in Montreal, CanadaHIPAA Compliance2003
Federated Ambulatory Surgery Association 2003 Annual MeetingPractical Steps to HIPAA Compliance for Ambulatory Surgery Centers2003
United Communications GroupHIPAA Compliance2002
Medical Group Management Association (MGMA)Anesthesia Compliance2002
Anesthesia Administration Assembly 2002 ConferenceAnesthesia2002
United Communications GroupCompliance for Pain Management Physicians2001
United Communications GroupHIPAA Privacy Rule2001
United Communications GroupDocumentation and Monitoring of a Compliance Program2001
United Communications GroupHow to Boost Compliance in your Pain Practice2001
United Communications GroupHow to Boost Compliance in your Pain Practice2000
Lorman Education ServicesMedicare & Medicaid: Enforcement, Compliance and the Transition to Managed Care in Michigan2000
United Communications GroupDevelopment and Implementation of Compliance Programs for Anesthesia Practices1999
United Communications GroupHow to Boost Compliance in your Pain Practice1999
Lorman Education ServicesMedicare & Medicaid: Enforcement, Compliance and the Transition to Managed Care in Michigan1999