Oakland University, B.A., 1977, with honors
Saint Louis University, M.H.A., 1981
Saint Louis University School of Law, J.D., 1982, cum laude
- 1982, California
John R. Hellow has specialized in Medicare and Medicaid payment policy issues since 1982. He has represented hospitals in a wide variety of Medicare and Medicaid payment disputes before federal and state administrative agencies, and has gained extensive experience in advising clients on reimbursement and other regulatory implications of their business transactions. In 1983 Mr. Hellow began representing hospitals in Medicare group appeals and was primarily responsible for representing 700 hospitals in successful challenges to Medicare’s Malpractice Rules and labor/delivery room day policy. He has represented a group of 1400 hospitals in a challenge to Medicare outlier payments.
Mr. Hellow’s current practice has focused on defending providers in Medicare False Claims Act disputes involving cost reporting and anti-kickback related issues. From 1999 until 2003 he was lead regulatory defense counsel in the largest federal health care fraud investigation in U.S. history, where he helped negotiate criminal, civil and administrative settlements of all pending issues with the Centers for Medicare and Medicaid Services and the Department of Justice’s Criminal and Civil Divisions. He is also a member of the firm's Fraud & Abuse Practice Group.
Mr. Hellow is lead regulatory payment counsel for some of the country’s leading hospital companies. He is payment counsel to the Federation of American Hospitals where he has primary responsibility for directing industry comments on federal program payment related reform under Medicare and Medicaid, hospital charging practices, including charity care and discounted services and upcoming pay for performance initiatives.
Mr. Hellow has represented hospitals in the United States Courts of Appeals for the District of Columbia, Federal Circuit, Ninth Circuit, Sixth Circuit, Eleventh Circuit and Eighth Circuit, in the United States Court of Federal Claims, and in the United States District Courts for the District of Columbia, Eastern District of Michigan, Western District of Missouri, Central District of California, Northern District of California, Minnesota, Eastern District of Texas, Arizona, Utah and Southern District of Florida, and before the PRRB. Mr. Hellow is an advanced member of the Health Financial Management Association.
Mr. Hellow received his B.A. degree in History and Political Science, with honors from Oakland University in 1977. He received his Masters in Health Care Administration from St. Louis University in 1981 and his J.D., cum laude from Saint Louis University School of Law in January, 1982. Mr. Hellow was the Symposium Editor of the St. Louis University Health Law Review, and Note and Comment Editor of the St. Louis University Law Review during 1980 – 1981.
- American Health Lawyers Association
- California Society of Healthcare Attorneys
- Hospital Financial Management Association
Honors & Awards
- Recognized as a top attorney by Chambers & Partners in California, 2014.
- Southern California Super Lawyer multiple years 2004-2017.
- Recognizes by Best Lawyers In Health Care Law 2012-2015
Presentations & Speaking Engagements
- Sacramento, Glendale, Costa Mesa, CA, June 7, 20, 21, 2017
- San Francisco, CA, October 27-28, 2016
- April 23, 2015
- Webinar, April 23, 2015
- Robert Roth, HLB Washington, D.C. Managing Partner, Chairs AHLA Institute on Medicare and Medicaid Payment IssuesBaltimore, MD, March 25-27, 2015
- Del Mar, December 2, 2014
- San Francisco, California, October 23-24, 2014
- August 16, 2017
- July 26, 2017
- June 23, 2017
- Federal Court Permanently Enjoins CMS’ Policy Reducing the Hospital-Specific Medicaid Disproportionate Share Hospital LimitMarch 6, 2017
- January 20, 2017
- November 17, 2016
- CMS Issues Final Rule with Comment Period to Implement Site-Neutrality For New Off-Campus Provider-Based DepartmentsNovember 3, 2016
- HLB Attorneys Author In-Depth Analysis of the CMS Final Rule Implementing the 60-Day Report and Return Statute for Medicare Parts A and BMarch 17, 2016BNA's Health Law Reporter
- February 11, 2016
- February 5, 2016
- D.C. District Court Rules That U.S. House Of Representatives Has Standing To Pursue Claims Regarding Cost-Sharing ReductionsNovember 25, 2015
- November 3, 2015
- Congress Eliminates OPPS Payments for Many New Hospital Off-Campus Outpatient Departments And Promotes Site-Neutral Payment Policy – Section 603 of the Bipartisan Budget Act of 2015October 30, 2015
- June 25, 2015
- May 20, 2015
- March 5, 2015
- August 26, 2014
- Courts Issue Opposing Opinions Regarding Federal Tax Credits in States with Federal Health Benefits ExchangesJuly 23, 2014
- June 9, 2014
- May 23, 2014
- April 9, 2014
- March 1, 2010
- HLB Attorneys' In-Depth Analysis of the CMS’s Final Rule Implementing the 60-Day Report and Return Statute for Medicare Parts A and BMarch 16, 2016
- BNA Health Care Fraud Report: Tick, Tick, BOOM: CMS’s Proposed 60-Day Rule Would Create Intense Time Pressure for Providers to Identify, Report, Return Overpayments2011