Andrew B. Wachler

Attorney Profile

Top Rated Health Care Attorney in Royal Oak, MI

Wachler & Associates, P.C.
 | 210 East 3rd Street, Suite 204
Royal Oak, MI 48067
Phone: 248-397-5849
Selected to Super Lawyers: 2006 - 2012, 2014 - 2017
Licensed Since: 1978
Practice Areas:
  • Health Care
Attorney Profile

Attorney Andrew B. Wachler is the founder and principal at the Royal Oak law firm of Wachler & Associates, P.C. Since founding his firm, he has focused his practice on assisting clients with needs in the area of health care law. From hospitals to physicians to health care organizations, those in the medical field from Michigan to Florida know to turn to him for guidance and representation. In addition to Mr. Wachler's primary practice area, he offers clients assistance with matters in the areas of administrative and civil law.

Mr. Wachler began his legal career in 1978 after earning his law degree from Wayne State University Wayne Law and his admission to the State Bar of Michigan. For more than 25 years of his nearly 40-year legal career, he has dedicated his practice to health care law, making him one of the most highly respected attorneys in his practice area not only in the Midwest but also in the nation.

Today, thanks to Mr. Wachler's excellent reputation, he has earned a number of honors from the legal community. He has a "Superb" rating from Avvo, and he has received an AV Preeminent peer-review rating* from Martindale-Hubbell. In addition, he is a regularly requested guest speaker at both legal and medical events, and he is the author of numerous articles focused on health care law.

The legal community does not only respect attorney Wachler, but it also values his leadership abilities. He is a member of a number of organizations, including the American Bar Association, where he has served as vice chair of the Health Law Section Payment and Reimbursement Interest Group, and the American Health Lawyers Association.

*AV®, AV Preeminent®, Martindale-Hubbell Distinguished and Martindale-Hubbell Notable are certification marks used under license in accordance with the Martindale-Hubbell certification procedures, standards and policies. Martindale-Hubbell® is the facilitator of a peer review rating process. Ratings reflect the anonymous opinions of members of the bar and the judiciary. Martindale-Hubbell® Peer Review Rating™ fall into two categories – legal ability and general ethical standards.

 
Practice Areas
Lawyer Practice Area Pie Chart

Health Care (100%): Hospital Law, Nursing Home, Health & Health Care Law

Focus Areas

Health Care: Hospital Law, Nursing Home, Health & Health Care Law

Selections

Selected to Super Lawyers for 11 yearsbottom-image

Super Lawyers: 2006 - 2012, 2014 - 2017

Email Me

To: Andrew B. Wachler
Super Lawyers: Potential Client Inquiry

About Andrew Wachler

Admitted: 1978, Michigan

Professional Webpage: http://www.wachler.com/andrew-b-wachler.html

Honors and Awards:

  • Best Lawyers in America, U.S. News and World Report, 2015
  • Best Lawyers in America, U. S. News & World Report, 2014
  • dBusiness Top Lawyer, HOUR Media, LLC, 2014
  • dBusiness Top Lawyers, HOUR Media, LLC, 2013
  • Best Lawyers in America, U.S. News & World Report, 2013
  • DBusiness Top Lawyer, HOUR Media, LLC, 2012
  • Best Lawyers in America, US News & World Reports, 2012
  • Montclair Who's Who, 2010
  • dbusiness Top Lawyers, DBusiness, HOUR Media, LLC, 2010
  • 21st Century Innovator, Michigan Lawyers Weekly, 2009
  • DBusiness Magazine's Top Lawyers in Metro Detroit, 2009-2015
  • The Best Lawyers in America, 2009-2015
  • Michigan Super Lawyers, 2006-2012, 2014, 2015

Bar/Professional Activity:

  • Vice Chair, ABA Health Law Section Health Law and Policy Coordinating Committee
  • Vice Chair, ABA Health Law Section Healthcare Policy Task Force
  • Vice Chair, ABA Health Law Section Payment and Reimbursement Interest Group
  • Editorial Board, ABA Health Law Section publication The Health Lawyer, Fraud and Abuse Section
  • American Bar Association, Health Law Section
  • U.S. District Court Eastern District of Michigan
  • Michigan
  • Editorial Advisor, Healthcare Michigan publication
  • Medical Group Management Association
  • Oakland County Bar Association
  • Michigan Bar Association
  • American Health Lawyers Association

Scholarly Lectures and Writings:

  • "Space-Sharing and Leasing for IDTFs: A Clarification of the Rules and Standards," Christopher J. Laney, Esq., Wachler & Associates, P.C., The Michigan Medical Law Report, Spring 2011.
  • "Understanding Health Care Reform's New Delivery Models," Amy K. Fehn, Esq., Health Care Weekly Review, Michigan Edition, April 4, 2011.
  • "The 'Physician Payment Sunshine' Act: What Do the New Reporting Requirements Mean for Physicians?" Laura C. Range, Esq., Wachler & Associates, P.C., The Michigan Medical Law Report, Spring 2011.
  • " The New Consumer Appeals Process ," Andrew B. Wachler, Esq. and Jesse Adam Markos, Esq. The Health Lawyer, ABA Health Law Section, June 2011.
  • "The Importance of Health Information Technology for Accountable Care Organizations," Amy K. Fehn, Esq., The ABA Health eSource, June 2011.
  • "The Role of Technology in the Formation of Accountable Care Organizations," Amy K. Fehn, Esq., Michigan Medical Law Report, Summer 2011.
  • "One Man's Treasure - Another Man's Penalty?" Amy Fehn, Esq. and Rebecca Robichaud, Esq., Michigan Medical Law Report, Spring 2012.
  • "Options are Limited for Avoiding a Reportable Licensure Action" Jesse Adam Markos, Esq. and Christopher J. Laney, Esq., Michigan Medical Law Report, Winter 2012.
  • "AHLA Fraud and Abuse Member Briefing 2013 OIG Work Plan Summary," Amy K. Fehn as a contributing author, December 2012.
  • "Final Omnibus Rule Requires Updates to HIPAA Privacy Policies, Notices of Privacy Practices and Business Associate Agreements" , by Amy K. Fehn, Wachler & Associates Summer 2013 Newsletter
  • "The National Practitioner Data Bank (NPDB) Merger and Its Impact on Health Care Providers" , by Jesse A. Markos, Wachler & Associates Summer 2013 Newsletter
  • "OIG Guidance on Expectations for Screening for Excluded Individuals," Amy K. Fehn, Esq., Michigan Medical Law Report, Summer 2013.
  • "Court: HIPAA Doesn’t Bar Ex Parte Interviews of Treating Physicians," Terese Farhat, Esq., Michigan Medical Law Report, Vol. 9, No. 4, Winter 2013
  • "Rights of Physicians and Patients as Insurers Move to Narrow Networks" Andrew B. Wachler, Esq. and Dustin T. Wachler, Esq., Healthcare Michigan, July 2014.
  • "CMS Loosens Medical Staff Rules for Multi-Hospital Systems" Jesse Adam Markos, Esq., Healthcare Michigan, May 2014.
  • "The Health Lawyer", Ambassador Magazine, Q&A with Denise, July 2014.
  • "Don’t Wait To Properly Supervise and Delegate!" by Reesa N. Handelsman and Michael D. Bossenbroek, Healthcare Michigan, October 2014
  • "National Practitioner Data Bank Provides Important Guidance on Medical Malpractice Payment Reports" by Jesse Adam Markos, Healthcare Michigan, November 2014
  • "Medicare Appeals Backlog Gives Rise to Alternative Methods for Health Care Providers to Resolve Denied Claims" by Andrew B. Wachler, Jessica C. Forster, and Kevin R. Miserez, American Health Lawyers Association (AHLA) *The RAP Sheet*, November 2014
  • "Stark Settlement Demonstrates New Focus on Physician Compensation Plans" by Dustin T. Wachler, Healthcare Michigan, December 2014
  • "Medicare Advantage Organizations and Medicare Sequestration: Hospitals May Challenge Reimbursement Cuts" by Andrew B. Wachler and Jessica Forster, RAC Monitor, January 2015
  • "Providers Should Take Advantage of Early Opportunities to Contest Disciplinary Proceedings" by Jesse Adam Markos, Healthcare Michigan, January 2015
  • "Current Regulatory Challenges Facing Physician-Owned Distributorships" by Reesa N. Handelsman and Kevin R. Miserez, Healthcare Michigan, January 2015
  • "Sequestration and Medicare Advantage Organizations: Hospitals May Challenge Reimbursement Cuts" by Andrew B. Wachler and Jessica C. Forster, Healthcare Michigan, March 2015
  • "Proposed Legislative Reforms to the Medicare Appeals Process" by Andrew B. Wachler and Jessica C. Forster, RAC Monitor, March 2015
  • "CMS’ Issues Contradictory Guidance for Home Health Agencies on New Certification Requirements" by Andrew B. Wachler and Jessica C. Forster, RAC Monitor, March 2015
  • "CMS Releases Change Request to Update Sub-Regulatory Guidance regarding Physician Home Health Certification and Recertification Requirements" by Andrew B. Wachler and Jessica C. Forster, RAC Monitor, April 2015
  • New National Practitioner Data Bank Guidebook Released, by Jesse Adam Markos, American Bar Association Health Law Section, Health eSource, April 2015
  • "CMS Publishes Physician Voluntary Face-to-Face Encounter Progress Note Templates" by Andrew B. Wachler, Erin D. Roumayah, Jessica C. Forster, Healthcare Michigan, May 2015
  • "CMS’ Revocations Authority Extended to Capture Repeated Non-Compliance" by Andrew B. Wachler and Kevin R. Miserez, Healthcare Michigan, May 2015
  • "New National Practitioner Data Bank Guidebook Adopts Stricter Reporting Requirements" by Jesse Adam Markos, Healthcare Michigan, June 2015
  • "New National Practitioner Data Bank Guidebook Adopts Stricter Reporting Requirements" by Jesse Adam Markos, Healthcare Michigan, June 2015
  • "Understanding the Potential Risks of Physician Practice Management Arrangements" by Dustin T. Wachler, Healthcare Michigan, August 2015
  • "Court's Interpretation of 'Identified' Gives Teeth to Government Enforcement of the 60-Day Overpayment Rule" by Andrew B. Wachler, Jessica C. Forster & Kevin R. Miserez, American Bar Association Health Law Section, Health eSource, August 2015
  • Health System Challenges Humana Medicare Advantage for Sequestration Reimbursement Reductions, by Andrew B. Wachler and Jessica C. Forster, Healthcare Michigan, October 2015
  • Michigan Adopts Broader Disciplinary Action Reporting Requirements, by Jesse Adam Markos, Healthcare Michigan, November 2015
  • District Court's Opinion Upholds Brief Narrative Requirement, but Provides Important Strategic Argument for Home Health Agencies, by Andrew B. Wachler and Jessica C. Forster, American Bar Association Health Law Section, Health eSource
  • National Practitioner Data Bank Provides Guidance on Medical Malpractice Payment Reports, by Jesse Adam Markos, Healthcare Michigan, January 2016.
  • Settlement Conference Facilitation Expansion Provides Alternative Method for Resolving Medicare Claim Appeals, by Andrew B. Wachler and Jesse Adam Markos, American Bar Association Health Law Section, Health eSource, January 2016
  • Senate Bill to Impose Significant Reforms to the Medicare Audit and Appeals Processes, by Andrew B. Wachler and Jessica C. Forster, American Bar Association Health Law Section, Health eSource, February 2016.
  • Ready the Troops: HIPAA Audits Are Coming, by Mike Bossenbroek and Erin Diesel Roumayah, Healthcare Michigan, February 2016.
  • D.C. Circuit's Ruling Stresses Need for Prompt Medicare Audit and Appeals Reform, by Andrew B. Wachler and Dustin T. Wachler, American Bar Association Health Law Section, Health eSource, March 2016.
  • Medicare Part A Providers Should Not Wait to Facilitate, by Andrew Wachler and Erin Roumayah, Healthcare Michigan, April 2016
  • Office of Medicare Hearings and Appeals Facilitation Pilot Offers Meaningful Settlement Opportunity to Part A Providers, by Andrew B. Wachler and Erin Diesel Roumayah, American Bar Association Health Law Section, Health eSource, April 2016
  • Michigan Decides to Report Failures to Obtain the Required Continuing Education to the National Practitioner Data Bank, by Jesse Adam Markos, Healthcare Michigan, May 2016
  • Medicare’s 60-Day Overpayment Rule: Tough Medicine for Physicians, by Dustin T. Wachler, Washtenaw County Medical Society Bulletin, April/May/June 2016
  • "Stark Primer - Part II, Physician's Perspective," Michigan Bar Association, Health Care Law Section (January 31, 2008).
  • "What's a Doc to Do? Stark II Phaw III and Anti-markup Rules: The Impact on Physician Relationships and Ventures," American Bar Association Health Law Section (February 6, 2008).
  • "ASC Billing Compliance: Advanced Beneficiary Notices, Policies on Reducing Fees & Waiver of Copays & Deductibles," Ambulatory Surgery Centers Association (ASCA) (April 22, 2009 - April 24, 2009).
  • "Latest Developments in Stark and Anti-Markup for Billing Companies," Healthcare Billing and Management Association (May 8, 2009).
  • "HIPAA Changes Resulting from the Stimulus Bill," Webinar through the Center for Business Intelligence (May 22, 2009).
  • "A Comprehensive Approach: The Interplay of Stark Law and the Anti-Markup and IDTF Provisions on Diagnostic Imaging Facilities," co-speaker with Lisa Ohrin, Radiology Business Management Association (RBMA) (October 28, 2009).
  • "HIPAA: Case Notes and Documentation," Oakland County Private Practice Network & Support (December 14, 2009).
  • "Diagnostic Imaging - Stark and Fraud and Abuse Laws Affecting Diagnostic Imaging Facilities," with Lisa Ohrin, former Stark Regulator, at the Radiology Business Management Association's (RBMA) Radiology Summit (2010).
  • "Diagnostic Imaging - A Comprehensive Approach: Anti-Markup Payment Limitations, IDTF Rules and their Interplay with Stark and Fraud and Abuse Laws," with Lisa Ohrin, former Stark Regulator, at the Radiology Business Management Association's (RBMA) Radiology Summit (2010).
  • "How to Never Report Any Accidental Disclosures of Private Health Information (Legally) and Other Tales of HIPAA Compliance," at the Ambulatory Surgery Center Association's Annual Meeting (May 21, 2010).
  • "Full Steam Ahead: Latest Developments in Medicare and Medicaid," with James G. Sheehan, Office of the New York State Medicaid Inspector General at the American Bar Association's Emerging Issues Conference (February 23-25, 2011).
  • "HIPAA Requirements for ASCs," Ambulatory Surgery Center Association (ASC) Annual Meeting, Orlando, Florida (May 14, 2011)
  • "Accountable Care Organizations: A Physician Perspective," Amy K. Fehn with David W. Hilgers, American Bar Association's Live Webinar (March 8, 2012).
  • "Implementing Compliance Programs for Accountable Care Organizations," Amy K. Fehn, 2012 AHLA/HCCA Fraud & Compliance Forum, Baltimore, MD (October 2, 2012).
  • On March 8, 2013, Wachler attorney Reesa Handelsman was a speaker at the New Health Care Lawyer Round Table at the 19th Annual Health Law Institute, hosted by the Institute of Continuing Legal Education.
  • "Medicare Claims Appeals: The Adjudicator's Perspective," was presented to the 2013 Medicare & Medicaid Institute in Baltimore, MD (March 21, 2013).
  • "Healthcare Reform's Impact on Physicians," was presented to the National Arab American Medical Association (April 17, 2013).
  • "What Have We Learned? Synthesizing Experience in the Audit Appeals Process to Strategically Prepare for the Future," was presented by Andrew Wachler, together with Susan Emanuel and Dawn Crump, to the 2013 HCCA Compliance Institute in National Harbor, MD (April 22, 2013).
  • Obtaining Part B Payment When Part A is Denied: Understanding the Impact on Reimbursement, RAC University Live Webcast (April 25, 2013).
  • "Accountable Care Act's Impact on Physicians," will be presented together with Stephen Gaus, to the Saginaw County Medical Society in Saginaw, MI (May 21, 2013).
  • Amy Fehn moderated the “Medical Records Law in Michigan” seminar in Troy, Michigan. Ms. Fehn also presented a “HIPAA Overview” that addressed privacy and access, exceptions, the Michigan Medical Records Protection Act, and the HITECH Act (June 6, 2013).
  • "The New HIPAA Landscape and How to Navigate through a Privacy Breach - General Session" presented by Amy K. Fehn, with Victoria Fabbo of Voss Insurance Services, to LeadingAge Michigan's 2013 Leadership Institute in Traverse City, MI (August 21, 2013).
  • "Recent Developments Affecting Up Front Compliance and Legal Strategies for Physician-Owned Hospitals" presented by Andrew Wachler at the Physician Hospitals of America 13th Annual Conference in New Orleans, LA (September 18, 2013).
  • "RAC & Technology Security Audits" presented by Andrew Wachler at the HBMA Fall Conference in Las Vegas, NV (September 19, 2013).
  • "Affordable Care Act 101: Everything you Needed to Know Before October 1st" presented by Andrew Wachler on a panel with Congressman Sander Levin, Steven Grant, M.C., F.A.C.P., and Thomas L. Simmer, M.D. and hosted by The Maimonides Society and Professional Advisory Committee of the Jewish Federation of Metropolitan Detroit (September 23, 2013).
  • "Medicare Audits: Audit Risks, Successful Appeal Strategies and Compliance," presented by Andrew Wachler to the Medical Group Management Association (MGMA) Annual Conference in San Diego, CA (October 6-9, 2013).
  • "Billing Compliance Update and RAC Audits," presented by Andrew B. Wachler to the Medical Group Management Association (MGMA) Anesthesia Conference in San Francisco, CA (April 27, 2014).
  • "Future of Regulatory Changes - Ambulatory Surgical Centers (ASCs) & Hospitals," presented by Andrew B. Wachler to Nueterra Administrator Conference in Hilton Head, SC (May 7, 2014).
  • "Avoiding Run-ins with Commercial Insurance Payers," presented by Andrew Wachler to RAC Monitor (June 2, 2014).
  • "Proliferation of Narrow Networks, the Patient Right to Independent Review Act (PRIRA), and the Beaumont, Botsford, and Oakwood health systems Merger," presented by Andrew B. Wachler on Bloomfield Hills Community Television (September 4, 2014).
  • "You've Identified an Overpayment. Now What?" presented by Andrew B. Wachler to AudioEducator Knowledge for Healthcare (September 16, 2014).
  • "Special Fraud Alert: Problems Posed by Physician-Owned Distributorships (PODs)" presented by Reesa N. Handelsman to RAC Monitor (October 13, 2014).
  • "Medicare Audits & Compliance: Latest Developments & Emerging Issues Affecting Home Health Providers," presented by Jessica Forster to the National Association Home Care & Hospice (October 19-22, 2014).
  • "Physician and Patient Appeal Rights in the Face of Commercial & Medicaid Managed Care Adverse Actions," presented by Andrew B. Wachler and moderated by Reesa N. Handelsman to the State Bar of Michigan Health Care Law Section (January 21, 2015).
  • "Preparing for and Surviving a Medicare Audit," presented by Kevin Miserez to the Association of Dermatology Administrators & Managers Annual Meeting in San Francisco, CA (March 19, 2015)
  • "Provider Audit Contractors," presented by Andrew B. Wachler on a panel with Kimberly Brandt and Mark Korpela to the American Health Lawyers Association's (AHLA) Institute on Medicare and Medicaid Payment Issues (March 25-27, 2015).
  • "CMS Contractors' Renewed Audit Focus: Audit Risk Areas, Successful Appeal Strategies, and Compliance for Part B and Non-Hospital Part A Providers," presented by Andrew B. Wachler and Lester Perling to the Health Care Compliance Association's (HCCA) 19th Annual Compliance Institute in Lake Buena Vista, FL (April 19-22, 2015).
  • "Who Judges the ALJs?" presented by Andrew B. Wachler to RAC Monitor (April 27, 2015)
  • "Medicare Audits and Appeals: Fixing a System That is Still Broken," presented by Andrew B. Wachler to RAC Monitor (May 4, 2015)
  • "Chasing Ambulance Reimbursement: Understanding the False Claims Act," presented by Andrew B. Wachler to RAC Monitor (May 18, 2015)
  • "2016 Office of Inspector General (OIG) Proposed Rule for the Two-Midnight Rule: Back to the Future," presented by Andrew B. Wachler to RAC Monitor (July 13, 2015)
  • "Identifying Overpayments: The New Slippery Slope," presented to RAC Monitor (August 17, 2015)
  • "The 2016 Proposed Two-Midnight Rule: New Impacts on Admissions and Audits," presented to RAC University (August 19, 2015)
  • "Liability and Compliance in the EHR Era," presented by Andrew B. Wachler to St. Mary's Hospital in Livonia, MI (October 28, 2015)
  • "The Changing Medicare Audit Landscape: Legislative Updates and OMHA Initiatives Impacting the Medicare Appeals Process," presented by Andrew Wachler with Nancy Griswold, Chief Administrative Law Judge, Office of Medicare Hearings & Appeals (OMHA), and Kimberly Brandt, Chief Healthcare Investigative Counsel, Senate Finance Committee (December 8, 2015)
  • "Medicare Settlement Conference Facilitation (SCF) Phase III," presented to the Greater New York Hospital Association (GNYHA) (March 29, 2016)
  • "Provider Audit Contractors and Handling Audit Appeals," presented by Andrew B. Wachler and Kimberly Brandt, Chief Healthcare Investigative Counsel, Senate Finance Committee, to the American Health Lawyers Association (AHLA) Institute on Medicare and Medicaid Payment Issues in Baltimore, MD (April 13-15, 2016)
  • "Advanced Audit & Facilitation Workshop for Part A and Part B Providers and Suppliers," presented to the Health Care Compliance Association (HCCA) 2016 Compliance Institute in Las Vegas, NV (April 17, 2016)

Educational Background:

  • B.G.S, University of Michigan, Ann Arbor, Michigan, Cum Laude, William Branstrom Award

Industry Groups

  • Health Care
Office Location for Andrew B. Wachler

210 East 3rd Street
Suite 204
Royal Oak, MI 48067

Phone: 248-397-5849

 

Andrew B. Wachler:

Last Updated: 5/12/2017

Page Generated: 0.24214792251587 sec