Ryan A. Bailey, JD, CHC, is a Senior Consultant with Murer Consultants, Inc. Mr. Bailey received his Juris Doctor degree from the DePaul University College of Law in Chicago, Illinois, where he served as an Editor for the Journal of Health Care Law and as a Board Member for the Institute of Health Law. Prior to attending law school, he received his undergraduate degree in English and Spanish from the University of Illinois, Urbana-Champaign. Mr. Bailey is also Certified in Healthcare Compliance (CHC) through the Compliance Certification Board (CCB).
Mr. Bailey specializes in regulatory compliance for healthcare providers, including physician groups, acute care and specialty hospitals, multi-hospital complex healthcare systems, and academic medical centers. This work includes ensuring optimum compliance with a wide range of federal and state regulations, as well as third-party payor guidance.
Mr. Bailey leads comprehensive compliance audits for providers, including audits addressing compliance with the Medicare Conditions of Participation (CoPs), The Joint Commission (TJC) accreditation standards, state licensing regulations, billing and reimbursement requirements, fraud and abuse regulations, including the Ethics in Patient Referrals Act (Stark Law) and the Anti-Kickback Statute (AKS), as well as specific requirements for provider participation in Medicare/Medicaid programs and the 340B Drug Pricing Program.
Mr. Bailey also analyzes and achieves provider goals through organizational restructuring. This work includes preparing in-depth feasibility and strategy recommendations, via review and application of both federal regulations as well as state facility licensure and certificate of need laws. Mr. Bailey frequently advises on strategy for increasing ambulatory service networks, via utilization of hospital provider-based status, freestanding emergency departments, urgent care centers, and other care facilities.
Mr. Bailey also works with provider senior leadership and general counsel to prepare transactional documents, meeting goals and expectations of the parties and complying with applicable regulations. Mr. Bailey oversees preparation and filing of necessary applications, including but not limited to Medicare/Medicaid enrollment applications, federal provider-based attestations, CLIA/COLA laboratory filings, and state licensure and certificate of need (CON) and exemption (COE) applications.
Prior to joining Murer Consultants, Inc., Mr. Bailey was an Associate with Esp Kreuzer Cores LLP in Wheaton, Illinois, and practiced general litigation. Prior to entering private practice, Mr. Bailey served as a Judicial Extern to Judge Robert E. Gordon of the Illinois Appellate Court, as well as an Intern for the Medical Ethics Group of the American Medical Association.