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Health Law, business transactions, Corporate, Contracts, Joint Ventures, fraud, abuse, Advertising or Marketing for Health Services, Illegal Remuneration, Referrals, health care entities (not hospitals), Ambulatory Surgical Center, Long Term Care, Home Health, hospitals, Administrative Operations, HCFA Conditions of Participation, Patient Transfer/Emergency Treatment, COBRA, EMTALA, legislation, Draft Legislation, Lobby/ Access Legislators, Resource on Political Activities, Monitor Legislation (Federal), managed care, organized care, Health Entity Change of Ownership, medical staff, Bylaws, medical/Medicaid reimbursement, appeals, George Washington
Thomas E. Dowdell - Fulbright & Jaworski LLP
Thomas E. Dowdell
Partner
D: +1 202 662 4503
Washington, D.C.
Market Square
801 Pennsylvania Avenue, N.W.
Washington, DC 20004-2623
T: +1 202 662 0200
F: +1 202 662 4643
AREAS OF CONCENTRATION
EXPERIENCE

Tom Dowdell is a partner in the firm's Washington, D.C. office and a member of the firm's health law group.  Tom began his professional career on Capitol Hill working for two Members of Congress primarily on federal health care policy matters.  He commenced his legal career in 1987 in the firm's Houston, Texas office health law litigation and regulatory group.   He has been in the firm's Washington, D.C. office health law group since 1991 and a partner since 1999.  Tom's practice focuses on health care regulatory, coverage and payment, transaction, compliance, and policy matters.  He handles matters for clients involving: Medicare and Medicaid program certification, coverage, billing, and payment; hospital, physician, and other provider transactions; fraud and abuse; compliance; internal and external audits; disclosures and repayments; graduate medical education accreditation and payment; physician and non-physician practitioner scope of practice, coverage, coding and billing; and federal health care legislation and rulemaking.  Tom monitors federal health care legislation and rulemaking, communicates to clients policy developments that are relevant to their operations, and works with clients to comply with such developments and implement strategies to improve operations.             

PROFESSIONAL ACTIVITIES and MEMBERSHIPS
  • American Bar Association
    • Health Law and Policy Coordinating Committee, Vice Chair
    • Long Distance Learning Committee, Former Member
    • Health Law Section Council, Former Member
    • Government Relations Committee, Former Chair
    • Government Submission Interest Group, Former Section Liaison
    • Payment & Reimbursement Interest Group, Former Chair
    • Washington Healthcare Summit, Former Co-Chair; Planning Committee, Former Member
  • American Health Lawyers Association
    • Regulation, Accreditation, and Payment Practice Group, Member
  • District of Columbia Bar
    • Health Law Section
  • State Bar of Texas
    • Health Law Section
  • AARP - Legal Counsel for the Elderly
    • Advisory Committee, Former Member
    • Board of Directors, Former Member
PROFESSIONAL HONORS
  • Best Lawyers in America 2013
  • LexisNexis Martindale-Hubbell 2012 Washington D.C. & Baltimore's Top Rated Lawyers
  • Martindale-Hubbell Law Directory Highest (AV®  Preeminent™)
  • Chambers & Partners USA Guide, Healthcare (2009, 2011 and 2012)
  • "Washington, D.C. Super Lawyers," Healthcare, Thomson Reuters (2008, 2009, 2011, 2012, and 2013)
PUBLICATIONS
  • Co-author, "Obama Administration Proposes ACA Regulations," Fulbright Alert, November 21, 2012
  • Co-author, "Provider-Based Toolkit Update," American Health Lawyers Association, January 2012
  • Co-author, "Telehealth Technology Opportunity for Certain Rural Providers," Fulbright Briefing, March 4, 2011
  • "Revisions to Supervision Requirements for Hospital Outpatient Therapeutic Incident to Services and Diagnostic Services," ABA Heath eSource, January 2010
  • Co-author, "CMS Proposes Payment and Policy Changes for Inpatient Rehabilitation Facilities for Fiscal Year 2008," Fulbright Briefing, June 11, 2007
  • Co-author, "CMS Promulgates Final Rule Changing Policy for LTCH and GME," Fulbright Briefing, June 6, 2007
  • Co-author, "Proposed Inpatient PPS Rule to Impact Specialty Hospitals - CMS Continues to Implement its 'Strategic and Implementing Plan for Specialty Hospitals'," Fulbright Briefing, May 10, 2007
  • "The Health Care Legal Leadership Seminar, Top Partners on Winning Legal Strategies & Best Practices for Success," ReedLogic, 2006
  • "Medicare Part B Payment for Nonphysician Services," Health Law Practice Guide of the American Health Lawyers Association
  • Co-author, "Pro Bono Special Report: New Jobs, New Lives," Legal Times, Week of August 2, 2004
  • "Long Term Care Hospitals - Development and Payment Issues," The Rap Sheet, American Health Lawyers Association, Volume 6, Issue 2, Spring 2003
SPEECHES
  • "Provider-Based Status, Under Arrangements, and Related Medicare Principles and Requirements," American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, March 20-22, 2013
  • Panelist, "Washington Health Care Update – ACA Implementation, the Fiscal Cliff and Anti-Fraud Enforcement Initiatives," Fulbright & Jaworski L.L.P. Ninth Annual Health Law Symposium, Austin, TX, January 31, 2013
  • "Provider-Based Status, Under Arrangements, Enrollment and Related Medicare Requirements," American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, March 28-30, 2012
  • Co-speaker, "D.C. Update," Fulbright & Jaworski L.L.P. Eighth Annual Health Law Symposium, Austin, Texas, February 2, 2012
  • 2012 National CLE Conference, Health Law, Co-speaker "Reimbursement of Providers in the Healthcare Reform Environment," Snowmass, Colorado, January 4-8, 2012
  • "Provider-Based Status and Under Arrangements," American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, March 30-April 1, 2011
  • "Finding Funding: Medicare and Medicaid Payment Reforms," Fulbright & Jaworski L.L.P. Health Law Teleconference, April 21, 2010
  • "Medicare Reimbursement Update," Corporate Research Group, Webinar, April 8, 2010
  • "Provider-Based Status and Under Arrangements," American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, March 24-26, 2010
  • "We Thought We Knew How To Get Paid, or What's Old Is New Again," American Bar Association Health Law Section 11th Annual Conference on Emerging Issues in Health Care Law, Phoenix, Arizona, February 17-19, 2010
  • "What's Old is New Again ... Medicare Reimbursement/Enforcement Initiatives that TH/AMCs Should Keep on the Radar," American Health Lawyers Association, Washington, DC, January 21-22, 2010
  • "Healthcare Reform Legislation 2009," American Bar Association Health Law Section Washington Healthcare Summit, Arlington, Virginia, October 26-27, 2009
  • "Health Care Reform, Regulatory Focus, and Enforcement Focus," Mercy Revenue Management Retreat, Kansas City, Missouri, May 15, 2009
  • "Provider-Based Status and Under Arrangements," American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, March 25-27, 2009
  • "Developments in Provider-Based Status," American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, April 9-11, 2008
  • "Provider-Based Requirements, Under Arrangements, Joint Venture - What To Do?" American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, March 21-23, 2007
  • "Medicare Inpatient Prospective Payment System Proposed Rule for 2007," Panel Member, Fulbright & Jaworski L.L.P. Health Law Teleconference, May 10, 2006
  • "Provider-Based vs. Freestanding Entity," American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, March 22-24, 2006
  • "2006 Federal Health Care Legislation," Panel Member, Fulbright & Jaworski L.L.P. Health Law Teleconference, March 1, 2006
  • "Provider-Based vs. Freestanding Entity," American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, March 16-18, 2005
  • "Senior Healthcare Reform: Actions at the National Level," Duke Endowment and South Carolina Hospital Association Geriatric Best Practices Initiative Conference, Charleston, South Carolina, April 21-23, 2004
  • "Provider-Based vs. Freestanding Entity," American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, March 31-April 2, 2004
  • "Significant Legislative, Regulatory and Judicial Developments in Medicare/Medicaid Payment and Related Matters," American Bar Association Health Law Section Conference, Emerging Issues in Health Care 2004, La Jolla, California, February 18-20, 2004
  • "Physician-Owned Specialty Hospitals: Niche Providers of Needed Healthcare Services or Physician Financial Bonanza," American Bar Association Health Law Section Washington Healthcare Summit, Washington, D.C., November 6-7, 2003
  • "Long Term Care Hospital – Development and Payment Issues," American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, Baltimore, Maryland, April 2-4, 2003
  • "Long Term Care Hospital Development: Certification, Payment and Other Regulatory Issues," Second Annual Conference of the Acute Long Term Hospital Association, Arlington, Virginia, September 12, 2002
  • "Reimbursement, Fraud and Abuse," Second Annual Conference of the Acute Long Term Hospital Association, Arlington, Virginia, September 12, 2002
  • "A Prescription for Medicare Drug Benefit: Perspectives from Providers, Consumers and Legislators," American Bar Association Annual Meeting 2002, Washington, D.C., August 8-13, 2002
  • "Health Care Reform, Action at the National Level," American Bar Association Health Law Section Conference: Emerging Issues in Health Care 2002, Scottsdale, Arizona, February 27-March 2, 2002
  • Co-Speaker, "APC Provider-Based Status Under the 2002 OPPS Rules: Winning Strategies for Coding, Billing, and Compliance," hcPro, February 21, 2002
  • "Current Medicare Certification and Payment Issues for Long Term Acute Care Hospitals," Acute Long Term Hospital Association First Annual ALTHA Convention, Dallas, Texas, November 7-9, 2001
  • "The Bush Administration, the 107th Congress and the Centers for Medicare and Medicaid Services: Significant Legislative and Regulatory Developments in Health Care," Hospital Council of Western Pennsylvania Meeting of Hospital Executives, Pittsburgh, Pennsylvania, October 26, 2001
  • "Pending Federal Health Care Legislation," Health Care Financial Management Association Washington, D.C. Metro Chapter Meeting, October 17, 2001
  • "Hospital, Physician and Supplier Payment Priorities in the Post Balanced Budget Act Era," American Bar Association 2001 Annual Meeting, Chicago, Illinois, August 2-8, 2001
  • "Medicare and Medicaid Programs – An Overview of Coverage and Reimbursement Concepts," American Bar Association 11th Annual National Institute on Health Care Fraud 2001, Miami Beach, Florida, May 3-5, 2001
  • "2001: A Payment and Reimbursement Odyssey," American Bar Association Health Law Section Conference: Emerging Issues in Health Care 2001, Orlando, Florida, February 7-10, 2001
EDUCATIONAL BACKGROUND

1987 - J.D., The George Washington University Law School
1982 - B.A., cum laude, Public Policy, University of Pennsylvania

Mr. Dowdell was a member of The George Washington Law Review

He was admitted to practice law in Texas in 1987 and in the District of Columbia in 1989.

BAR AND COURT ADMISSIONS
  • District of Columbia
  • Texas






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