Liz is co-chair of the firm’s National Healthcare Practice. She began her legal career in the Healthcare Practice group at McDonald Hopkins and later served as an attorney in the legal department at The Cleveland Clinic Foundation before returning to McDonald Hopkins as a member.
While at the Cleveland Clinic, Liz provided regulatory advice and transactional guidance to various service lines, including the clinical laboratory, professional pathology, imaging, transplant, and remote and distance health teams. Over the course of her career, Liz has assisted various types of healthcare providers, including clinical laboratories, hospitals, physician specialty groups, telehealth providers, transplant centers, and surgery centers.
Liz has experience providing regulatory, licensing, compliance, reimbursement, contractual, and corporate guidance to clients. She has advised clients on state professional licensure laws, CLIA standards, state laboratory laws, government and private payor reimbursement policies and billing rules, federal and state fraud and abuse rules and regulations, state telehealth laws, and HIPAA rules and regulations. She has provided assistance to entities during licensure and accreditation surveys, government investigations, and through payor audits and disputes.
In addition to providing regulatory guidance to clients, Liz is also knowledgeable in evaluating how a business opportunity or arrangement implicates a provider’s unique regulatory framework. Liz has counseled clients not only on the regulatory aspects of an arrangement as described above, but she is also experienced in reviewing and negotiating relevant contractual and legal documentation in connection with contemplated business arrangements.
Liz earned a J.D. and Certificate of Advanced Studies in Health Law from the University of Pittsburgh School of Law, an M.A. in Bioethics and a B.A., cum laude, in Political Science from Case Western Reserve University.
Admissions - State
- University of Pittsburgh School of Law
- Case Western Reserve University
Honors and Awards
- Selected for Crain's Cleveland Notable Women in Law (2018)
- Selected for Crain's Cleveland Notable Women in Healthcare (2018)
- Easterseals of Northern Ohio, Board Member
OIG focusing on laboratories involved in genetic testing scams
UPDATE: Texas District Court issues preliminary injunction preventing CMS from recouping overpayments until an ALJ has heard and rendered a decision
Texas District Court issues temporary injunction preventing CMS from recouping overpayments
Federal and commercial payor medical record requests are important – Don’t dismiss them!
Medicare claims for outpatient physical therapy services often fail to comply with requirements
CMS finalizes coverage for Next Generation Sequencing tests for patients with advanced cancer
2018 update on maximum charges for copies of medical records in Ohio
New OIG report recommends Medicare contractors recover more than $66M in improper payments
CMS’s Targeted Probe and Educate (“TPE”) Program – Get Counsel Involved Early!
UPDATE: Labs may rely on ordering physician’s determination that a test is medically necessary
New Ohio opioid prescription limits for acute pain take effect tomorrow
Labs have independent duty to certify tests billed to Medicare are medically necessary
FDA approves first digital pathology system for primary diagnosis
College of American Pathologists to develop Pathologist Quality Registry
What health care providers need to know about the American Health Care Act
2017 update on maximum charges for copies of medical records in Ohio
Liz Sullivan Named Notable Women in Healthcare 2018
MH Business Exchange Episode 12 helps healthcare providers prepare and avoid payor audits
Contini, Sullivan named co-chairs at McDonald Hopkins
"Marijuana In Patient Care – Nine Model Guidelines From The Federation of State Medical Boards"
"GOP Efforts to Repeal and Replace the Affordable Care Act - What Can Healthcare Providers Anticipate Moving Forward?"
Healthcare Attorney Elizabeth Sullivan Joins the Cleveland Office of McDonald Hopkins
- Coauthor, “The American Health Care Act (AHCA), GOP Efforts to Repeal and Replace the Affordable Care Act – What Can Healthcare Providers Anticipate Moving Forward?”, The Academy of Medicine of Cleveland & Northern Ohio, May/June 2017
- "Legal Considerations for Pathology and Laboratory Providers”, American Society for Clinical Pathology, Lab Medicine Podcast Series, March 1, 2017
- "Patient Privacy Breach Attracts National News Coverage," The Dark Report, December 19, 2016
- What Lab Leaders Need to Know to Prepare for 2020: Bracing for Aggressive Payor Audits, Rigid Enforcement of Fraud and Abuse Laws, and More | Wednesday, November 20, 2019
- Clinical Laboratories and Payer Scrutiny: Increased Audits, Recoupment Actions, Litigation | Tuesday, October 1, 2019
- Eliminating Kickbacks in Recovery Act Webinar | Tuesday, August 20, 2019
- Eliminating Kickbacks in Recovery Act (EKRA) and the impact on the healthcare industry | Thursday, April 11, 2019
- Is Your Hospital at Risk? | Tuesday, July 10, 2018
- American Pathology Foundation | Monday, April 16, 2018
- Clinical Laboratories and Payer Scrutiny | Wednesday, February 7, 2018
- Co-presenter, "Clinical Laboratories and Payer Scrutiny: Increased Audits, Recoupment Actions, Litigation," Strafford Webinar, October 1, 2019
- "Compliance and Regulatory Issues Associated with the PAMA Statute and the CMS Final Rule for Reporting Private Payer Lab Test Prices: Risks, Consequences, and Often-Overlooked Requirements”, The Executive War College, New Orleans, Louisiana, May 2, 2019
- Panel Moderator, “Anatomic Pathology Groups and Their Labs: Effective Strategies for Maintaining Clinical Excellence and Financial Stability during Disruptive Times”, The Executive War College, New Orleans, Louisiana, April 30, 2019
- "Your Practice and the Federal Stark, Anti-Kickback and Anti-Markup Rule: From TC/PC to Hospital Relationships”, American Pathology Foundation Coding & Practice Management, New Orleans, Louisiana, April 15, 2019
- Co-presenter, "Payor Audits: Preparing Your Lab”, Cardinal Health Lab Briefings Webinar, February 27, 2019
- Co-presenter, “HIPAA Update for the Pathology Practice”, American Pathology Foundation Webinars, November 1, 2018
- Co-presenter, “Defending Against Payor Audits – Record Requests Through the Appeals Process”, G2 Intelligence - Lab Compliance Essentials 2018, Chicago, Illinois, June 8, 2018
- “Another Year of Legislative and Regulatory Uncertainty?”, American Pathology Foundation Coding & Practice Management, New Orleans, Louisiana, April 16, 2018
- Copresenter, "Clinical Laboratories and Payer Scrutiny: Increased Audits, Recoupment Actions, Litigation," Strafford Webinar, February 7, 2018
- “The Lawyer's Perspective on the Molecular/Genetic Testing Landscape: Priority Issues Involving Managed Care Contracting, Payor Audits, Compliance, Sales Practices, and Fraudulent Marketing Schemes”, The Executive War College, New Orleans, Louisiana, May 4, 2017
- "The First 100 Days of the New Administration: What We Know and What We Don't", American Pathology Foundation Coding & Practice Management, Atlanta, Georgia, March 27, 2017
- Copresenter, "Pathology Compliance: Strategies for Success in 2017", American Pathology Foundation Coding & Practice Management, Atlanta, Georgia, March 27, 2017
- "Compliance Considerations for Clinical Laboratories”, Cardinal Health Lab Briefings Webinar Series, January 25, 2017
- Copresenter, “Preparing For 2017's Tougher Lab Regulations and New Legal Issues: What Every Lab and Pathology Group Needs to Know to Protect Revenue and Stay Compliant”, The Dark Report Webinar, October 12, 2016