Ranked in 1 Practice Areas
4

Band 4

Healthcare

Georgia

12 Years Ranked

About

Provided by Jonathan L. Rue

USA

Practice Areas

Healthcare

Administrative Litigation

Healthcare Litigation

Healthcare Regulatory, Reimbursement & Compliance

Career

Jon Rue is an experienced advocate for healthcare providers. Over the course of his 40+ year career, Jon has handled a wide range of litigation, primarily arising out of healthcare regulation. He brings a confident, comprehensive approach to every case, ensuring that his clients are in the best possible position for a successful resolution.

Focused on healthcare regulatory litigation, Jon spends most of his time representing hospitals and other healthcare providers in proceedings in state and federal court, before regulatory agencies, and in arbitration and mediation. These matters include Medicare, Medicaid, and managed care payment disputes (including appeals of audit determinations), certificate of need litigation (including rule challenge proceedings), and other healthcare-related commercial disputes. Jon has also represented hospitals in a variety of regulatory matters, including Medicare and Medicaid decertification actions and EMTALA matters, and he is frequently called on for regulatory compliance advice.

Jon is fiercely committed to representing his clients’ rights and interests, and to keeping them informed throughout the litigation process. His deep knowledge of the healthcare landscape, coupled with his advocacy skills, allows Jon to provide comprehensive, highly effective representation for any regulatory issue his clients might face.

Professional Memberships

Parker Hudson's Diversity Committee Member

Georgia Academy of Healthcare Attorneys: Member

Healthcare Financial Management Association: Member

American Health Law Association: Member

American Bar Association Health Law Section: Member

State Bar of Georgia Health Law Section: Chair (2001-2002)

The Florida Bar Health Law Section: Member

University of Kentucky Rosenberg College of Law Visiting Committee: Member (2018-present)

Western Kentucky University Alumni Association: Board of Directors Member (2019-present)

Kentucky Bar Association Young Lawyers Section: Board of Directors Member (1985-1986)

Atlanta Bar Association Atlanta Council of Younger Lawyers: Board of Directors Member (1988-1991)

Publications

Speaker, "Federal Healthcare Regulations (including the False Claims Act, the Anti-Kickback Statute, and the Emergency Medical Treatment and Active Labor Act) and Ethical Considerations," Fundamentals of Health Care Law seminar co-sponsored by the Health Law Section, State Bar of Georgia, and the Georgia Academy of Healthcare Attorneys (February 2024, January 2023, and February 2022)

Speaker, "Appeals, Arbitration, and Mediation of Healthcare Payment Disputes," Florida Bar Health Law Section (April 2021)

Speaker, "Health Care: Compliance & Hot Topics Update," Association of International Certified Professional Accountants (AICPA) Health Care Industry Series (December 2020)

Speaker, "Introduction to the World of Health Care Finance, Regulations and Strategy," AICPA & CIMA Health Care Industry Conference (November 2019)

Speaker, "Federal Health Care Regulations, including the False Claims Act, the Anti-Kickback Statute, and the Emergency Medical Treatment and Active Labor Act," Fundamentals of Health Care Law seminar sponsored by the Health Law Section of the State Bar of Georgia (2019, 2018, 2017, 2014, 2013, 2011, 2009)

Speaker, "Compliance Hot Topics," Association of International Certified Professional Accountants' Heath Care Industry Conference (November 2018)

Co-Author, "A Brief Overview of the Medicaid Program," Health Care Compliance Professional's Manual, Report No. 56 (March 2018)

Speaker, "Using Mediation and Arbitration in Health Care Cases," 24th Annual ADR Institute and 2017 Neutrals' Conference, co-sponsored by Georgia Office of Dispute Resolution and Dispute Resolution Section, State Bar of Georgia (December 2017)

Speaker, "Sales Tax Update," Georgia Alliance of Community Hospitals Annual Meeting (October 2008)

Author, "Medicare and Medicaid Reimbursement for Hospital Services," Georgia Hospital Law Manual, eds. Bergeson, Fleming, Shackelford (2005)

Author, "State Health Care Reform and Its Impact on the Subacute Care Industry," Handbook of Subacute Health Care, ed. Griffin (1995)

Co-Author, "Survival and Success Strategies for Rural Hospitals," Health Law Handbook (1993)

Author, "Comment," 69 Kentucky Law Journal 436 (1980-1981)

Experience

Served as lead counsel for hospital system in Provider Reimbursement Review Board appeal seeking substantial additional Medicare reimbursement for allowable Medicare bad debt.

Served as lead counsel for hospital system in Provider Reimbursement Review Board appeal seeking substantial additional Medicare reimbursement for allowable Medicare Disproportionate Share Hospital payments.

Represented Hospital in litigation challenging the Florida Agency for Healthcare Administration's published Medicaid outpatient payment rate.

Served as lead counsel for Hospital in appeal of Zone Program Integrity Contractor audit and overpayment determination.

Served as lead counsel for Hospital in connection with State Court litigation, American Arbitration Association Arbitration, mediation of Hospital/physician dispute, and sale of joint venture entity.

Served as lead counsel for health system in connection with American Arbitration Association arbitration dispute with managed care payor alleging wrongful denials of payment for home health services.

Served as lead counsel in American Arbitration Association arbitration dispute with Medicare Advantage managed care payor challenging reduced payment associated with Medicare sequestration reduction.

Served as lead counsel in representation of not-for-profit hospital system in challenge to Georgia Department of Community Health's assessment of hospital provider tax.

Served as lead counsel in representation of hospital seeking Georgia CON approval for multi-specialty ambulatory surgery center and cancer center offering radiation therapy services.

Obtained Certificate of Need for bone marrow transplant program over objection of existing provider. Proved the need for new program and substantial change of circumstances from previous application.

Participated in 67-hospital coalition challenging a reduction in hospital payments by the Medicaid Program. After state agency denied standing, successfully appealed to the First District Court of Appeal, which remanded the case for adjudication.

Successfully opposed Certificate of Need for hospital-based hospice program due to substantial adverse impact on existing provider of hospice services.

Defended approval of Certificate of Need for new nursing home.

Represented hospital system in response to EMTALA complaint and investigation. Representation included submission of acceptable Plan of Correction of cited deficiencies and response to CMS termination action and potential OIG action.

Education

University of Kentucky School of Law

J.D.

1982

Western Kentucky University

B.A.

1979

Awards

"Lawyer of the Year" in Georgia Health Care

Best Lawyers in America

2019

Chambers Review

Provided by Chambers

Chambers Guide to the USA

Healthcare - Georgia

4
Band 4
Individual Editorial
Jonathan Rue is held in high regard for his regulatory capabilities, with further expertise in litigation and compliance matters. He frequently advises on disputes involving managed care and reimbursement issues.

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