Ron Connelly represents acute care hospitals, rehabilitation facilities, academic medical centers, physicians, and other providers on a variety of healthcare matters, with a particular focus on litigation related to Medicare and Medicaid reimbursement.
From his early career as a financial analyst for academic medical centers, Ron developed an appreciation for the critical services that hospitals provide, and a unique understanding of the complexity of reimbursement-related issues.
Ron has extensive experience litigating large dollar specialty payments, such as Medicare graduate medical education, and is a leader of the firm’s practice representing providers in audits and appeals of Medicare coverage determinations, including denials resulting from audits by Recovery Audit Contractors, Zone Program Integrity Contractors, and Medicare Administrative Contractors. He has also challenged disproportionate share hospital payments and the Medicare wage index. Ron has represented clients in district courts and courts of appeal, before the Provider Reimbursement Review Board with respect to hospital cost report appeals, and before administrative law judges on matters related to individual claim appeals.
Ron is an annual presenter at the American Medical Rehabilitation Providers Association, and he has spoken on topics including Medicare audits and Provider Reimbursement Review Board procedures before the American Health Lawyers Association, He also has appeared before the American Academy of Physical Medicine and Rehabilitation and has been published by HFM Magazine, the publication of the Healthcare Financial Management Association.
Additionally, Ron has:
- Negotiated nationwide global settlement of Medicare inpatient rehabilitation claims (2019)
- Represented University of Chicago Medical Center, the Henry Ford Health System, and University of California San Diego Medical Center before the federal courts of appeal.
- Served as co-leader of the firm’s Audit and Appeals Group, which has assisted clients with thousands of Medicare appeals since 2008.
- Served as legal counsel to the FAIR (Fund for Access to Inpatient Rehabilitation) Fund, which raises awareness of, and builds support for, policies that will preserve and increase access to inpatient rehabilitation.
- Represented an individual Medicare beneficiary – a retiree on a fixed income – who required airlift services from a remote part of the country to an urban hospital with the expertise to treat his condition.
PRACTICE AREASDisability and Rehabilitation
Drug Pricing and 340B Program
Government Relations and Public Policy
Healthcare Policy and Advocacy
Litigation – Healthcare
Medicare Coverage Audits and Appeals
Provider and Practitioner Operations
J.D., cum laude, Georgetown University Law Center, 2003
B.F.A., University of Washington, 1998
B.A., cum laude, China Studies, University of Washington, 1991
B.A., cum laude, History, University of Washington, 1991
District of Columbia
HONORS & AWARDS
Managing Editor, Georgetown Law Journal’s Annual Review of Criminal Procedure
Executive Director and Director of Trial Advocacy, Barristers’ Council, an honor society at Georgetown University Law Center for interscholastic oral advocacy competitions
MEMBERSHIPS & ACTIVITIES
American Health Lawyers Association