Greg Smith has served as a trusted advisor to healthcare organizations for the past 25 years, focusing his practice on regulatory compliance and risk management. With deep experience guiding providers through the continually evolving landscape of healthcare regulation, Greg helps clients anticipate issues, solve problems, mitigate risk and maintain operational integrity.
Whether guiding organizations through high-stakes regulatory matters, designing compliance programs, or appealing government audit or survey findings, Greg provides clear guidance and practical solutions by drawing on his comprehensive understanding of the law and the complex realities of healthcare operations.
Regulatory Compliance
Greg brings a pragmatic approach to advising health care providers seeking to understand and comply with federal and state regulatory requirements. Clients – including health systems, hospitals, skilled nursing facilities, laboratories, pharmacies, behavioral health agencies and physician groups, among others - turn to Greg for comprehensive support with:
- Challenging Medicare, Medicaid, and commercial payer audits and appeals
- Managing voluntary self-disclosures to federal and state agencies
- Complying with Medicare and Medicaid documentation and billing requirements
- Structuring transactions and compensation arrangements in compliance with fraud and abuse laws, including the federal Stark law, Anti-Kickback Statute and Civil Monetary Penalties Law
- Adopting, implementing and maintaining effective compliance programs
- Complying with State law restrictions regarding the corporate practice of medicine
- Navigating federal and state exclusion actions and issues
- Complying with Corporate Integrity Agreements
Greg frequently collaborates with his partner Lourdes Martinez in the representation of skilled nursing facilities, which are subject to a complex web of federal and state regulatory requirements. Greg and Lourdes have decades of experience supporting facilities in their day-to-day operations, including appeals of CMS survey deficiencies through Informal Dispute Resolution and administrative hearings before the U.S. Department of Health and Human Services.
Healthcare clients also trust Greg to help them design, update, and implement effective compliance programs that not only meet federal and state requirements but also add value by establishing a culture of compliance and innovation. Greg collaborates closely with leadership and compliance officers to conduct training, investigate potential issues, and establish policies, procedures and protocols that help mitigate risk in a dynamic and rapidly evolving legal environment.
National Resources, Strategic Solutions
Greg is recognized for delivering strategic, actionable advice tailored to the business realities of healthcare. Leveraging Sheppard's national, multidisciplinary team - one of the largest healthcare practices in the country - as well as the firm's full-service capabilities and commitment to value, allows Greg to provide innovative solutions to his clients.