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Ameena Ashfaq

Ameena Ashfaq focuses her practice on providing legal services to the healthcare industry. Her practice is concentrated on Medicare and Medicaid coverage and reimbursement, claims appeals, and overpayment disputes. Ms. Ashfaq also focuses on issues of healthcare fraud, abuse, and enforcement matters. Additionally, she has significant experience with providing regulatory and compliance advice for a range of healthcare providers.

Ms. Ashfaq has substantial experience with Medicare and Medicaid coverage and reimbursement issues, including Recovery Audit Contractor (RAC) appeals, claims denial appeals, and provider enrollment appeals. She also advises clients on provider-insurer contract disputes and overpayment demands. On the policy side, Ms. Ashfaq has assisted clients in appealing Medicare local coverage determinations to revise narrow coverage policies.

In the realm of healthcare fraud, abuse, and enforcement matters, Ms. Ashfaq assists clients on matters involving government investigations and audits, including dealings with the Health and Human Services (HHS) Office of Inspector General (OIG), Department of Justice (DOJ), Office of Civil Rights (OCR), Texas Health and Human Services Commission (HHSC), Texas Medicaid & Healthcare Partnership (TMHP), the Medicaid Fraud Control Unit (MFCU), and state professional boards.

Ms. Ashfaq has assisted large hospital systems, academic medical centers, ambulatory surgical centers, and physician groups with their regulatory and compliance needs. Her experience includes reviewing and revising policies and procedures, performing internal investigations and audits, assisting with federal grant compliance issues, helping with implementation of compliance plans, and reviewing performance of obligations under Corporate Integrity Agreements. She regularly provides advice regarding state regulation of healthcare professionals—including physicians, dentists, physician assistants, nurses, licensed professional counselors, licensed clinical social workers, and audiologists. In addition, Ms. Ashfaq has experience in advising clients on issues arising under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and related breach notification requirements and response strategies.

During law school, Ms. Ashfaq served on the Executive Board of the Vanderbilt Journal of Transnational Law as Executive Student Notes Editor. She was a judicial intern for Judge Nancy Atlas of the United States District Court, Southern District of Texas. Ms. Ashfaq is a certificated mediator and gained extensive experience with alternative dispute resolution during her appointment as Ombudsman of The University of Texas at Austin.

Ms. Ashfaq is a member of the State Bar of Texas and the American Health Lawyers Association.