Dorothy H. Cornwell

Partner

Atlanta
T +1.404.256.8432
F +1.404.459.5734

Overview

Dorothy Cornwell has extensive experience handling complex litigation and regulatory compliance matters within the healthcare sector. She provides strategic counsel to hospital systems, physician practices, and other health-related entities, educating them on the legal obligations necessary to resolve their commercial and regulatory disputes. Notably, Dorothy has substantial experience handling health insurance disputes and possesses a thorough understanding of the legal nuances involved.

In addition to advising clients on regulatory compliance, Dorothy also has experience interacting with government agencies on behalf of her clients. She has assisted clients in navigating the OIG self-disclosure process and conducting internal investigations, and has worked with state agencies on various matters related to certificate of need (CON) litigation.

Select Experience

  • Defended hospitals against putative class actions brought by patients seeking reimbursement from at-fault third parties and auto insurance responsible for patient injuries, utilizing novel application of ERISA preemption and motions to dismiss to settle matter on terms favorable to clients.
  • Performed and supervised multi-state research projects involving various issues, including oral chemo parity laws, newborn coverage, construction of state prompt-pay statutes with the ACA, coverage for emergency services and transportation, and balance-billing by out-of-network providers.
  • Defended third-party administrator in litigation with employer for breach of contract and alleged misapplication of out-of-network reimbursement and savings provisions.
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Experience

  • Defended hospitals against putative class actions brought by patients seeking reimbursement from at-fault third parties and auto insurance responsible for patient injuries, utilizing novel application of ERISA preemption and motions to dismiss to settle matter on terms favorable to clients.
  • Performed and supervised multi-state research projects involving various issues, including oral chemo parity laws, newborn coverage, construction of state prompt-pay statutes with the ACA, coverage for emergency services and transportation, and balance-billing by out-of-network providers.
  • Defended third-party administrator in litigation with employer for breach of contract and alleged misapplication of out-of-network reimbursement and savings provisions.
  • Represented radiation oncology practice in OIG self-disclosure; conducted internal investigation of potential violations of Medicare billing rules; researched and analyzed Medicare regulations and policy manuals regarding supervision requirements; drafted OIG self-disclosure letter; and interfaced with OIG.
  • Defended health insurer in litigation by out-of-network provider for reimbursement of alleged emergency care.

Recognitions and Memberships

Memberships

  • State Bar of Georgia
    • Young Lawyers Division, Leadership Academy, Class of 2011
    • Administrative Law Section
    • Employee Benefits Law Section
    • Health Law Section
  • Defense Research Institute
    • Life, Health and Disability Section
  • American Health Lawyers Association

Community

  • Atlanta Volunteer Lawyers Foundation: Volunteer
  • Immaculate Heart of Mary Catholic Church and School
    • Music Ministry
    • School Advisory Council
  • Better Than Silence Band: Fiddle Player

Industries

Admissions

  • Supreme Court of Georgia
  • Georgia Court of Appeals
  • U.S. District Court, Northern District of Georgia
  • U.S. District Court, Middle District of Georgia
  • U.S. District Court, Southern District of Georgia
  • Georgia

Education

  • J.D., Emory University School of Law, 2009
  • B.A., Duke University, 2006