TIMOTHY P. BLANCHARD

His practice comprises health care regulatory issues, including Medicare and Medicaid coverage, billing and payment; fraud and abuse audits and investigations, and health care compliance programs; clinical trials billing and compliance; electronic health records and HIPAA privacy; certification, licensing, and enrollment; and medical necessity and utilization review.

Tim frequently speaks and writes on health care reimbursement, regulatory and false claims issues. Tim has long been active in the American Health Lawyers Association. He served two terms on the AHLA Board of Directors (2001-2007) and chaired or co-chaired AHLA’s Annual Institute on Medicare and Medicaid Payment Issues from 2006-2013.  Tim was elected a Fellow of AHLA in 2014, and is also a Fellow of the Healthcare Financial Management Association. He currently serves on the Legal Advisory Committee of the American Academy of Professional Coders, and is a member of the Health Care Compliance Association and the Washington State Society of Healthcare Attorneys.

In 2008, Tim was the Practitioner in Residence in the Center for Health Law Studies at Saint Louis University School of Law.  He has testified before the House Committee on Small Business regarding Medicare coverage and payment policy issues and has addressed Government Accountability Office staff regarding Medicare and Medicaid medical necessity policy issues.

He is a member of the original faculty group for the University of California, San Diego, School of Medicine’s PHYSICIAN ASSESSMENT & CLINICAL EDUCATION (PACE) PROGRAM, MEDICAL RECORDKEEPING COURSE, presenting “The Law and the Medical Record,” 1999-present.

Tim is the author of several leading articles on medical necessity policy, including: “Medicare Medical Necessity Determinations Revisited: Abuse of Discretion and Abuse of Process in the War Against Medicare Fraud and Abuse,” 43 ST. LOUIS U.L.J. 91 (1999) and “Medical Necessity Denials As A Medicare Part B Cost-Containment Strategy: Two Wrongs Don’t Make It Right Or Rational,” 34 ST. LOUIS U.L.J. 939 (1990). Tim was a Co-Editor of A Guide To Complying With Stark Physician Self-Referral Rules (AIS), served on the editorial advisory boards of CCH Healthcare Compliance and CCH Health Care, and contributed chapters for the Health Law Handbook (West).

Tim has consistently ranked as a leading lawyer in health law, including (while practicing in California) Chambers USA, Expert Guides to the Leading US Lawyers – Best of the Best USA, and Southern California Super Lawyers.  Since practicing in Washington State, Tim has been recognized as The Best Lawyer “Lawyer of the Year–Seattle–Health Law” (2010) and The Best Lawyers in America (Health Law 2009-2015) and Washington Superlawyers.