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Ruth E. Granfors

Partner
+1.717.231.5835
Fax +1.717.231.4501

Ms. Granfors is a practice group coordinator for the firm-wide health care practice group. She has more than 25 years experience exclusively in the field of health care law, including 10 years as counsel to the Pennsylvania Department of Health. She focuses her practice on regulatory matters, including:

  • Health care institutional licensing applications and waivers
  • Medicare and Medicaid certification, enrollment, and reimbursement advice
  • Medicare and Medicaid compliance advice, compliance programs, voluntary disclosure and payment audits
  • Managed care contracting and statutory and regulatory obligations of health plans
  • Development of downstream integrated delivery networks
  • Privacy of health information

Ms. Granfors represents clients in administrative appeals from adverse licensing and reimbursement decisions. She also advises clients on regulatory compliance in health care mergers, acquisitions and reorganizations, and provides due diligence review related to these transactions, including satisfaction of all licensure, Medicare, Medicaid and other government consents and approvals and review of public and private payor contracts, including advice on assignment or termination of such agreements.

Professional Background

Ms. Granfors served as chief counsel to the Pennsylvania Department of Health from October 1988 to June 1995. She speaks regularly on various health care issues before trade associations and professional legal organizations.

Ms. Granfors is listed in Best Lawyers 2013 and 2014 in the field of health care law.

Professional/Civic Activities

  • American Health Lawyers Association
  • American Bar Association, Health Law Section
  • Dauphin County Bar Association
  • Pennsylvania Bar Association
  • The Friends of the State Museum of Pennsylvania, former director and officer 2002-2012

Speaking Engagements

  • “Recent Legal and Regulatory Developments Affecting Long-Term Care Providers”, PHCA 2012 Annual Conference, November 2012
  • “Medicaid, Community Services and the Courts”, PARF 2012 Annual Conference, September 2012
  • “Medicaid Payment Challenges,” PCPA 2011 Annual Conference, October 2011
  • “Managed Care Contracting”, Hospital Council of Western Pennsylvania, April 2011
  • “Administrative Appeals Involving Medical Assistance Payment Determinations,” K&L Gates Webinar, October 2010
  • “Regulatory and Compliance Issues for Hospital -Sponsored Sites,” 2010 National Retail Clinic Summit, February 2010
  • “Development and Operation of Convenient Care Clinics: Legal and Policy Considerations,” ABA 10th Annual Conference on Emerging Issues in Healthcare Law, February 2009
  • “Mergers and Affiliations in the Restructured Mental Retardation System,” PAR Solutions Conference, October 2008
  • “Federal and State Developments in Qui Tam Legislation and False Claims,” PHCA/CALM Annual Convention and Exhibition, September 2008
  • “Disaster Planning: What Every Health Care Attorney Should Know About Public Health Law and Policy,” Panel Moderator; Pennsylvania Bar Institute Health, 11th Annual Health Law Institute, 2005
  • “State Privacy Laws: Confidentiality of Sensitive Data,” Lorman Education Services, Confidentiality of Medical Records, February 2005
  • “Managing Confidentiality of Medical Records on a Day-to-Day Basis” Panel Moderator, Lorman Education Services, Confidentiality of Medical Records, February 2005
    • Representation of multiple behavioral health providers in Medicaid audits and negotiated settlements relating to alleged fraud and abuse charges
    • Representation of multiple intellectual disability providers in individual Medicaid waiver reimbursement challenges
    • Representation of statewide provider associations in challenges to Medicaid rates
    • Representation of 10 community hospitals in angioplasty demonstration project in Pennsylvania
    • Representation of national long term care company on Pennsylvania licensure and compliance matters
    • Health care due diligence, including licensing and reimbursement advice and managed care contract review, for multinational company in acquisition of a remote cardiac monitoring services company operating throughout the United States
    • Health care due diligence, including regulatory and payor contract review, for multiple hospital and health system mergers, acquisitions or reorganizations
    • Health care advisor to large Pennsylvania-based behavioral health care provider in sale of stock to venture capital firm
    • Healthcare due diligence for buyer of assets of New York durable medical equipment provider in bankruptcy