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MichaelScott-Kristansen

He | Him | His

Special Counsel

"I believe that open dialogue and a mutual willingness to learn are at the heart of every successful attorney-client relationship."

Overview

Biography

Michael focuses his practice on representing health care and human services providers in a wide range of litigation and compliance matters. 

He regularly advises clients on matters involving audits and investigations, reimbursement and billing, conditions of participation, regulatory compliance and enforcement, HIPAA compliance and breach investigations, insurance and payor disputes, licensing and professional discipline, and debt collection.

Michael prosecutes and defends lawsuits on behalf of health care and human services providers and administrative hearings involving the Centers for Medicare & Medicaid Services, the Department of Health, the Office of the Medicaid Inspector General, the Office of Professional Medical Conduct, the Office of Professional Discipline, and other administrative bodies concerning reimbursement, overpayments, compliance, conditions of participation, and licensing matters.

Bar Associations

  • New York State Bar Association, Health Law Section, Long-Term Care Committee and Litigation Committee, Member
Experience

Representative Experience

  • Led the defense of multiple year-long investigations by the Office of the New York State Attorney General into various nursing homes' responses to the COVID-19 pandemic.
  • Successfully negotiated six-figure settlements with managed care plans on behalf of long-term care and adult care facilities for wrongfully denied claims and delayed payments. 
  • Obtained a 95 percent reduction in the recoupment and penalty for a medical billing service targeted by the Medicaid Fraud Control Unit for allegations of fraudulent billing.
  • Successfully prosecuted administrative appeals in cases of first impression concerning Medicaid documentation requirements for long-term care providers, which served as the basis for overturning over two dozen OMIG final audit reports.

Prior Experience

  • Pullano & Farrow PLLC, Associate
  • Hurwitz & Fine, PC, Associate

Selected Community Activities

  • Mary M. Gooley Hemophilia Center, Board of Directors, Chairperson

Selected Honors

  • Selected to Super Lawyers Upstate New York Rising Stars: Health Care, 2017–2024
  • Healthcare Business Academy, Fellow, 2017
  • New York Daily Record, Up & Coming Attorneys, 2017
Knowledge

Selected Speaking Engagements

Selected Media

Selected Alerts & Blog Posts

Featured Media

Alerts

Stay Away From the Debtor? An Overview of the Automatic Stay in Bankruptcy

Alerts

Second Department: Defendants Are Entitled to Collateral Source Hearing for "To-Be Obtained" Insurance Coverage Under the ACA

Alerts

What OMH Providers Need to Know About the Proposed Amendments to the Licensing Regulations in 14 NYCRR Part 551

Alerts

Website Accessibility Lawsuits: Several "Tester" Plaintiffs—Primitivo Robles, Hannibal Wheatley, Valeria Jacobs, Marlelis Hernandez, and Omar Rodriguez—Targeting Businesses in Recent Flurry of Lawsuits

Alerts

Hitting the Reset Button: Second Circuit Decision Highlights Significant Statute of Limitations Issues for New York Foreclosure Plaintiffs

Alerts

NYS Department of Health Publishes Adopted Cybersecurity Regulations for Hospitals

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