John R. Hellow is a Partner with Hooper Lundy & Bookman PC in Los Angeles where he specializes in Medicare and Medicaid payment policy. Mr. Hellow has represented hospitals in a wide variety of Medicare and Medicaid payment disputes before federal and state administrative agencies, and has gained extensive experience in advising clients on reimbursement and other regulatory implications of their business transactions.
Mr. Hellow’s current practice has focused on defending providers in Medicare False Claims Act disputes involving cost reporting and anti-kickback related issues. From 1999 until 2003 he was lead regulatory defense counsel in the largest federal health care fraud investigation in U.S. history, where he helped negotiate criminal, civil and administrative settlements of all pending issues with the Centers for Medicare and Medicaid Services and the Department of Justice’s Criminal and Civil Divisions.
Mr. Hellow is lead regulatory payment counsel for some of the country’s leading hospital companies. He is payment counsel to the Federation of American Hospitals where he has primary responsibility for directing industry comments on federal program payment related reform under Medicare and Medicaid, hospital charging practices, including charity care and discounted services and upcoming pay for performance initiatives.
Mr. Hellow received his B.A., with honors, from Oakland University, a Masters in Health Care Administration from St. Louis University and his J.D., cum laude, from the Saint Louis University School of Law.
He is the co-author of the Bloomberg BNA Health Law & Business Portfolio Series No. 1300, Payments for Hospital Services Under Medicare Parts A and B.