Charlotte A. Combre

Partner

Atlanta
T +1.404.256.8431
F +1.404.459.5734

Overview

Charlotte Combre practices exclusively in the area of healthcare law, focusing primarily on the regulatory compliance of healthcare organizations. She has a depth of experience advising and representing healthcare clients on Medicare and Medicaid provider enrollment, billing and claims reimbursement, as well as state licensure and survey and accreditation matters. Representative clients include hospitals and hospital systems, physician groups, surgery centers, rehabilitation agencies, home health agencies, behavioral health facilities, IDTFs, long-term care facilities, ID/DD agencies, pharmacies, clinical laboratories and DMEPOS suppliers.

Charlotte has advised clients in relation to stock and asset acquisitions, mergers, joint ventures and internal reorganizations on transferring and obtaining permits, licenses and registrations, Medicaid and Medicare certifications, and billing privileges. Her practice includes structuring for compliance with state and federal laws and regulations, assisting with setting up entities, applying for NPIs, filing CMS 855 enrollment and state Medicaid applications. Charlotte also works with providers on revalidations of their Medicare and Medicaid enrollment and maintaining accurate PECOS records. In addition, she assist clients with initial state licensure applications and surveys, licensure updates and preparation of plans of correction. She also assist clients with initial CLIA applications, as well as maintaining and renewing CLIA certificates of waiver, provider performed microscopy, registration, compliance and accreditation certificates.

Charlotte regularly speaks on healthcare regulations, including having spoken at various seminars on the fundamentals of Medicare and Medicaid, and the retention and confidentiality of medical records.

Select Experience

  • Advising a client in connection with multiple complex transactions involving acquisitions and arrangements with other healthcare providers and entities, including analysis of transactions, filing of licensure applications and notices, and preparing and filing more than 1,000 provider enrollment applications.
  • Advising a client regarding Medicaid and Medicare enrollment and claims reimbursement, Part D audits, pharmacy benefits manager participation and DME enrollment for its pharmacies.
  • Preparing and advising on Medicare Provider Enrollment forms for Part A and Part B providers and DMEPOS suppliers, as wells 855Is and 855R for individual practitioners.
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Experience

  • Advising a client in connection with multiple complex transactions involving acquisitions and arrangements with other healthcare providers and entities, including analysis of transactions, filing of licensure applications and notices, and preparing and filing more than 1,000 provider enrollment applications.
  • Advising a client regarding Medicaid and Medicare enrollment and claims reimbursement, Part D audits, pharmacy benefits manager participation and DME enrollment for its pharmacies.
  • Preparing and advising on Medicare Provider Enrollment forms for Part A and Part B providers and DMEPOS suppliers, as wells 855Is and 855R for individual practitioners.
  • Advising a client acquiring pediatric home health and DME in multiple states on state licensure and Medicaid enrollment matters.
  • Advising a client on its clinical permits, licenses, registrations, and Medicare and Medicaid enrollment and accreditation for the relocation of its hospital.
  • Advising tax-exempt clients on IRS Form 990, prohibited political activity and general tax-exemption compliance.
  • Acting as regulatory counsel for a multistate nurse registry providing infusion services.
  • Advising client on establishment of continuing care retirement community, including registration with Department of Insurance, and state licensure and permits.
  • Advising private equity clients on regulatory issues in structure and investment in dental practices, home health agencies and ambulance services.
  • Advising a client on the re-opening of a hospital, including applicable state licensure and CON requirements, Joint Commission and Medicare certification, and compliance with EMTALA, HIPAA and CLIA.

Recognitions and Memberships

Memberships

  • American Health Lawyers Association
  • American Bar Association: Health Law Section
  • GABWA Foundation: Board Member
  • Gate City Bar Association
  • Georgia Academy of Healthcare Attorneys
  • Georgia State University Graduate Health Law Network: Advisory Board
  • State Bar of Georgia, Health Law Section: Past Chair

Publications

Alerts

Community

  • Leadership DeKalb, Class of 2004
  • Junior League of DeKalb County
  • Alpha Kappa Alpha Sorority, Inc.
  • All About Developmental Disabilities, Inc.
    • Board Member
    • Past Vice Chair
  • Bobby Dodd Institute, Inc.: Board Member

Pro Bono

  • Through work with the Georgia Asylum Immigration Network (GAIN), represents victims of human trafficking or domestic violence in obtaining T-visas or U-visas from the United States Citizenship and Immigration Service (USCIS).
  • Assisting junior attorneys and summer associates with representing terminally ill clients with the drafting of powers of attorneys, health care directives and wills.

Prior Positions

  • McKenna Long & Aldridge: Partner

Education

  • J.D., Georgia State University College of Law, 1997
  • B.A., Louisiana State University, 1988