Photo of Maria B. Abrahamsen

Maria B. Abrahamsen Member

Areas of Practice

Industries

Bar Admissions

  • Michigan, 1979

Education

University of Michigan, J.D., magna cum laude

  • Order of the Coif

University of Michigan, B.A.

Maria B. Abrahamsen is the former Leader of Dykema's Health Care Practice Group. Ms. Abrahamsen's practice is devoted to representation of health care facilities and practitioners in corporate and regulatory matters, with emphasis on medical staff, reimbursement, and regulation of hospital-physician financial relationships. She is a member of Dykema’s Dental Service Organizations Group and a former member of the Firm's Executive Board.

Experience

  • Hospital-physician joint ventures. Structure joint ownership of facilities and contractual joint ventures, addressing anti-kickback, Stark, anti-markup, licensure, certification, and securities law issues.
  • Medical staff–hospital relations. Draft medical staff bylaws and policies. Experience in streamlining medical staff appeal procedures, disruptive and impaired practitioner policies, and compliance with Joint Commission, HFAP and DNV medical staff standards. Counsel medical executive committees regarding difficult credentialing cases and regarding practical steps to maximize peer review confidentiality and immunity.
  • Health system regulatory issues. Practical advice regarding streamlining multi-hospital system operations in compliance with Medicare, Conditions of Participation relating to hospital governance and medical staff, and to maximize peer review confidentiality.
  • Accreditation. Counsel clients on compliance with Joint Commission, HFAP and DNV accreditation standards. Represent clients in appeals of adverse accreditation decisions.
  • Stark and other physician self-referral laws. Structure professional practices and transactions to achieve client business objectives while complying with applicable legal restrictions on referral. Ms. Abrahamsen chaired the Michigan State Bar Stark Task Forces that drafted and submitted comments to CMS regarding the 2001 and 2004 Stark Regulations.
  • Hospital-physician contracts. Counsel regarding application of tax, Stark and anti-kickback laws to physician services and recruitment contracts. Draft hospital-based physician contracts, including addressing clinical service objectives, exclusivity, and payment issues.
  • Third Party Payment. Extensive counseling of clients regarding third party payment including:
    • Counsel regarding compliance issues, such as identification and application of reimbursement rules and responding to overpayments.
    • Frequent contacts with Medicare contractors, CMS Regional Office and CMS Central Office, Blue Cross Blue Shield, and Medicaid programs regarding payment policy issues.
    • Appeal Medicare, Medicaid and non-government reimbursement decisions and represent providers in payor audits and disputes.
    • Structure businesses and transactions to maximize allowable payment and comply with payor requirements.
  • Professional practices. Structure office-sharing arrangements among practitioners, practice management contracts, and traditional group practice structures such as PCs and PLLCs. Address employment issues, contracts and patient forms and policies.

Memberships & Involvement

  • American Health Lawyers Association, Member
  • Health Care Financial Management Association, Eastern Michigan, Director, 2007-2012; Secretary, 2008-2009; President, 2010-2011
  • State Bar of Michigan, Health Law Section Council, Member, 1994-2000; Chair, 1998-1999; Stark Regulation Task Forces, Chair, 2001 and 2004

Named Lawyer of the Year for Health Care Law by Best Lawyers in America®, 2011 and 2017

Recognized in The Best Lawyers in America® for Health Care, 1999-Present. Copyright 2015 by Woodward/White, Inc., Aiken, SC

Named a Top Lawyer by dbusiness Magazine for Health Care Law, 2010-2016

Recognized as one of the "Top 25 Women Business Lawyers in Michigan," Michigan Super Lawyers®, 2016

Recognized as one of the "Top 50 Women Lawyers in Michigan," Michigan Super Lawyers®, 2009-2010, 2016

Named one of the "Top 100 Super Lawyers in Michigan," Law & Politics, 2009-2010

Recognized in Michigan Super Lawyers® for Health Care, 2006-Present

Named a Michigan Leading Lawyer in the area of Health Law by the Leading Lawyers Network, 2014-2017. Law Bulletin Publishing Company

Recipient of an AV® Preeminent™ Rating by Martindale-Hubbell

Appointed as Fellow, State Bar of Michigan, Health Care Law Section, 2011