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Cynthia Marcotte Stamer helps health care providers and payers, life sciences, DME, health technology, and other health industry clients to manage legal risks and improve operational effectiveness through her work as an attorney for health industry clients, her leadership in health industry organizations, and committed health care advocate.
For nearly 20 years, Cindy has advised health and managed care payers, providers, governmental agencies and leaders, and others about risk management, compliance, operations, employment, employee benefit, investigations and public policy concerns impacting the health care industry. Known for her high accessibility and ability to respond to triage crisis and other emergent legal and business concerns, Cindy acts as outside operations and special counsel to a broad range of health care providers, payers, and other health industry clients. She represents health care providers, managed care and insurance organizations, health plans, plan sponsors, plan fiduciaries and others before federal and state regulators and assists them to respond to regulatory and enforcement changes. Her clients include public and private health care providers, health and other insurance benefit plans and plan sponsors, health plan fiduciaries, and their technology, administrative services, and other vendors. She also regularly conducts training for health and insurance industry clients on a wide range of topics.
Cindy’s background includes a lengthy resume of advising clients about federal and state health care, tax, insurance, employment, privacy, and other regulations and policy. She also regularly works with health industry clients on credentialing; licensing; human resources and staffing concerns; outsourcing and referral; contracting; patient empowerment and consumer directed health care; claims administration and processing; delegation; utilization management and quality; health care and health program product, process and technology design and administration; patient, provider, payer and beneficiary relations; privacy and security; investigations; internal controls; and other legal, management and operational matters. As effective management of internal and external staff and other human resources are critical to the effective conduct of many of these activities by health industry clients, Cindy maintains an in-depth knowledge and pragmatic understanding of these legal complexities for which is Board Certified in Labor and Employment Law by the Texas Board of Legal Specialization.
As a continuous part of this work, Cindy works extensively on federal and state prompt pay, ERISA, Medicare, Medicaid, and other payment and reimbursement regulations. She works extensively with health industry providers to legally maximize reimbursement under public and private health benefit programs while minimizing false claim and other liabilities. She also advises payers and plan sponsors to design, document, administer, and defend health benefit programs, provider and other vendor agreements, claims investigation and administration procedures, and other related practices to promote operational objectives and comply with applicable federal and state laws.
Recognized in International Who's Who of Professionals and bearing a Martindale Hubble AV-rating, Cindy also is recognized for her leadership and scholarship in the health industry. Cindy’s experience includes leadership of health industry organizations. She serves on the Board of Directors, and as Compliance Committee Chair of the National Kidney Foundation of North Texas. She previously served as the Chairman of the Board and President of Richardson Development Center for Children, a early childhood intervention agency. Cindy also serves as the Chair of the American Bar Association (ABA) Health Law Section Managed Care & Insurance Interest Group, the Chair of the ABA RPPT Section Welfare Plan Committee, on the IRS TE/GE Council, and in number other health industry leadership roles. She also is an active member of the American Health Lawyers Association, the Health Care Finance Association, the Medical Group Management Association, the Health Care Compliance Association, the US-Mexico Chamber of Commerce Health Care Task Force, the US-Mexico Bar Association Health Care Committee and a host of other health industry, civic and professional organizations. Her insights on health care, health insurance, human resources and related matters have been quoted in The Wall Street Journal, Business Insurance, the Dallas Morning News, Managed Healthcare, Health Leaders, Aging Magazine, MDNews and a various other national and local publications.
A widely published author and highly sought-after speaker recognized for her ability to share complex ideas in practical, easy to understand and apply terms, Cindy is the author of hundreds of articles, training programs, and workshops. Cindy regularly conducts board, leadership, and compliance training for a broad range of health industry and other businesses, associations, and educational organizations. She is a standing columnist for MDNews Dallas. She also is a member of the editorial advisory boards of BNA's Employee Benefits Library on CD and various other highly regarded publications. She also regularly plans, presents training, and authors publications for the American Bar Association, Aspen Publishers, the American Health Lawyers Association, the Bureau of National Affairs, Spencer Publications, and a host of others. She has authored numerous useful and highly respected publications, training programs, and toolkits. For examples of some of these, see the Training & Presentations and Publications pages of this website.
Selected highlights of Cindy’s health industry experience include:
|Selected publications and presentations of Ms. Stamer are available at:|
|Health Care Documents...|