I am a health care attorney whose practice focuses on regulatory and compliance matters. I assist hospitals and health systems, medical staffs, physicians, medical groups, ambulatory surgery centers, DME suppliers, etc., deal with the myriad of federal and state compliance issues impacting the health care industry.
Early in my career I had the opportunity to handle many complex health care matters, including managing California and Medicare licensing, certification applications and surveys and drafting Medical Staff bylaws and rules for large hospitals. I also draft, review and revise physician agreements, including professional service, call coverage and medical director agreements.
I love being active, whether it is running to attending my kids’ soccer games and swim meets to cooking fresh, nutritious meals to helping with homework. Life keeps me on my toes. However, I can’t end the day without spending some quality time with a good book.
Represented client hospitals and ambulatory surgery centers during Medicare validation surveys and decertification actions.
Represented an acute care hospital in its affiliation with another hospital and obtained all state and federal licenses needed to operate the new facility.
Drafted updates to Medical Staff Bylaws and Rules to comply with current laws.
Prepared an industry guide on how to handle licensing and certification surveys. This guide was used to prepare member publications for AHLA, CHA and hospital clients.
Negotiated and drafted numerous physician recruitment, medical director, on-call and professional service agreements for many nonprofit medical foundations.
Represented a hospital client in an EMTALA complaint and successfully contested the charges to reduce the remedial action.
Advised hospitals and medical foundations on compliance with state and federal licensing requirements for establishing clinics.
Prepared a Program Flex proposal from California to do elective angioplasty/stent placement in a Cardiac Cath Lab.
Assisted in representing hospital medical staff in a peer review hearing involving a physician.
Tammy has practiced exclusively in the health care transactional and regulatory legal arena for nearly ten years. She has represented hospitals, hospital medical staffs, medical foundations, ambulatory surgery centers and physician groups.
Tammy has extensive experience in health facility licensing and certification matters. She has coordinated the preparation and submission of licensing and certification applications (CDPH, clinical laboratory, pharmacy, FDA, pharmacy, Medicare Part A, B and S certification, Medi-Cal, etc.). In preparing a number of these applications, she has established protocols and contacts to make these tedious projects more effective and efficient for the client. Tammy has also assisted hospitals and ASCs during unscheduled CDPH and CMS surveys by helping to develop corrective action plans to avoid immediate jeopardy situations, respond to statements of deficiencies, reduce remedial actions and achieve compliance before losing licensure and certification.
She is highly knowledgeable in medical staff issues, having counseled hospitals and medical staff clients on medical staff policies and procedures and medical staff bylaws. Tammy has assisted in editing many medical staff bylaws and rules. Additionally, she has edited the model medical staff bylaws and rules for hospital trade associations. She has also been involved in a number of medical staff hearings, representing the hospitals’ medical staff.
Tammy has been particularly active in physician contracting. She has represented medical foundations and hospitals in working on physician recruitment and a variety of physician contracts, ranging from medical director, call coverage, equipment leases and other similar agreements involving physician parties. Tammy has also helped in-house counsel develop contract policies and procedures to assist hospital managers and in-house counsel in achieving and maintaining effective and compliant contracts.
I enjoy getting into the trenches with hospital staff managers and nurses to help bridge the gap between their day-to-day policies and procedures and the implementation of numerous federal and state laws and regulations. During a certification survey, I want to remove the stress so they can focus on what they do best – taking care of patients.