Carol  Grelecki

Practice Areas

Bar & Court Admissions

  • New Jersey

Education

  • New York University School of Law, J.D., 1986
  • Rutgers College, B.A., with high honors, 1983
Carol  Grelecki QR Code

Carol Grelecki represents physicians and groups, specialty practice societies and other medical professionals, independent practice associations, hospitals, clinical laboratories, utilization managers, and billing companies in corporate and transactional matters. 

Carol also advises the firm's clients with regard to compliance issues, including Medicare billing issues, fraud and abuse issues, and Stark and Codey law compliance. She represents the firm's clients in regulatory matters, including health care facility licensing issues and preparation of required policies and procedures. She reviews and negotiates managed care participation agreements and handles provider complaints against managed care companies.

LECTURES

  • Recent Developments in Health Care Reform Legislation, NJOGS Semi-Annual Meeting Program (November 2015)
  • Navigating Through the Managed Care Contract Jungle, NJAASC 5th Annual Ambulatory Surgery Conference (October 2015)
  • Contract Negotiations, Table Talk Mentoring and Feedback, Women in Medicine, Committee of Interns and Residents (October 2014)
  • Accountable Care Organizations: Update and Beyond, A Clinically Oriented Approach to the Appropriate Utilization of Diagnostic Imaging Studies, sponsored by UPSTATE Medical University and Atlantic Medical Imaging (September 2014)
  • What is an Organized Delivery System from a Filing and Legal Perspective? HFMA New Jersey Chapter Education Series (July 2014)
  • The Private Practice of Medicine in an Obamacare World: Strategic Approaches (March 2014)
  • Accountable Care Organizations and the Medicare Shared Savings Program (July 2012)
  • How to Negotiate a Post-Residency Employment Contract, Committee of Interns and Residents (February 2012)
  • What You Don't Know About the Board of Medical Examiners Can Hurt You: Billing & Fraud, Duty to Report Changes in Status and Duty to Cooperate (April 2012)
  • Overview of Medical Practice Employment Agreements, Committee of Interns and Residents (December 2012)
  • Medical Practice Employment Agreements, Committee of Interns and Residents (April 2010)
  • What You Need to Know about HIPAA (January 2010)
  • Issues Presented When Treating Minors, Medical Society of New Jersey (August 2009)

PUBLICATIONS

ADDITIONAL NOTEWORTHY INFORMATION

Carol has been named a "Best Lawyer in America" for Health Law since 2015.

PROFESSIONAL ACTIVITIES

  • Healing the Children New Jersey, Inc., Board of Trustees
  • American Health Lawyers Association, Member
  • Radiology Business Management Association, Member

RECENT BLOG POSTS

Legislative UpdateHealth Law Blog | September 20, 2017

UnitedHealthcare Underpaying Out-of-Network Emergency Medical ProvidersHealth Law Blog | September 8, 2017

$1.3 Million EMTALA Settlement Should Have Hospitals Re-Evaluating Emergency Department Care Protocols for Behavioral Health PatientsHealth Law Blog | August 2017

CMS Proposes Updates to Medicare OPPS for CY 2018Health Law Blog | August 2017

Proposed Amendment to Hospital Licensing Standards Requiring Designation of After-Care Assistance CaregiverHealth Law Blog | July 2017

DOH Proposed Rule Seeking to Identify and Treat SepsisHealth Law Blog | July 2017

New Jersey Board of Nursing Adopts Rules Amendment for Dispensing MedicationHealth Law Blog | June 2017

CMS Issues a Proposed Rule to Allow for Pre-Dispute Arbitration Agreements at Long-Term Care FacilitiesHealth Law Blog | July 2017

NJ Legislative Bills Seek to Protect Insurance Coverage for People with Preexisting ConditionsHealth Law Blog | June 2017

CHRONIC Care Act Passes Through Senate Finance CommitteeHealth Law Blog | June 2017

OCR Issues Security Bulletin on HTTPS TransmissionsHealth Law Blog | May 2017

CMS Updates Self-Referral Disclosure Protocol FormHealth Law Blog | May 2017

New Law Placing Prescription Limits and Mandating Insurance Coverage for Substance Use DisordersHealth Law Blog | March 2017

House GOP Unveils ACA Repeal/Replace BillHealth Law Blog | March 2017

Governor Christie Signs Executive Order Declaring Opioid Addiction a Public Health CrisisHealth Law Blog | February 2017

Final Rule on 340B Program Sets Price Ceilings for Covered Drugs and Subjects Drug Companies to Fines for OverchargesHealth Law Blog | February 2017

President Orders “One-In, Two-Out” Regulatory SchemeHealth Law Blog | February 2017

OIG Issues Review of CMS’s Quality Payment ProgramHealth Law Blog | January 2017

Medicare Payments and the Two-Midnight RuleHealth Law Blog | January 2017

HHS Ordered to Clear Medicare Claims Appeal Backlog by 2021Health Law Blog | January 2017

OIG Releases 2017 Work PlanHealth Law Blog | December 2016

Nursing Facility Chain Agrees to $145M DOJ SettlementHealth Law Blog | November 2016

OIG OKs Transportation Assistance ProgramHealth Law Blog | November 2016

CMS Releases Final MACRA Physician Payment RuleHealth Law Blog | November 2016

Two-Midnight Rule Battle ContinuesHealth Law Blog | October 2016

CMS Delays Pre-Claim Review Process for HHAsHealth Law Blog | October 2016

NOTICE Act Requires Disclosure to Patients of Observation StatusHealth Law Blog | September 2016

Proposed 2017 Hospital Outpatient PPS Rules to Impact Hospital-Based OP FacilitiesHealth Law Blog | August 2016

CMS Proposes New Rule that Updating Requirements for Hospital ParticipationHealth Law Blog | July 2016

CMS Adopts Additional Incentives for ACO ParticipationHealth Law Blog | July 2016

CMS to Modernize Medicaid and CHIP Managed Care RulesHealth Law Blog | June 2016

HHS Issues Final Rule about Equality in Health CareHealth Law Blog | June 2016

New Data Sticks a Knife in CMS’s Proposed Pay CutHealth Law Blog | May 2016

Hospital Initiated Opioid Reform in Emergency Rooms Starts in New JerseyHealth Law Blog | April 2016

The FDA’s Plan to Avoid Future Pain: Black Box WarningsHealth Law Blog | April 2016

White House Launches Cybersecurity and Privacy InitiativesHealth Law Blog | March 2016

CMS Issues Final 60-Day RuleHealth Law Blog | March 2016

CMS Requires Prior Authorization for Certain DME, Prosthetics, Orthotics and SuppliesHealth Law Blog | February 2016

Hospitals Challenge Two-Midnight Rule OffsetHealth Law Blog | February 2016

OIG Modifies Advisory Opinion Regarding Independent Charity Patient Assistance ProgramsHealth Law Blog | January 2016

CMS Adopts Final 2016 Physician Fee ScheduleHealth Law Blog | December 2015

Governor Christie Signs Licensure of Dementia Care Homes Bill into LawHealth Law Blog | December 2015

CMS Releases Stage 3 Meaningful Use RulesHealth Law Blog | November 2015

CMS Proposes New Medicare Clinical Diagnostic Laboratory Tests Fee ScheduleHealth Law Blog | November 2015

CDC Asks Nursing Homes to Improve Antibiotic Practices and Calls on Providers to Properly Reprocess Medical DevicesHealth Law Blog | October 2015

EPA Proposes New Rules for Pharmaceutical Waste ManagementHealth Law Blog | October 2015

OIG Conducts Study of Physician-Owned DistributorsHealth Law Blog | September 2015

President Signs Act Requiring Notice of Observation StatusHealth Law Blog | September 2015

Health Care TelecommunicationsHealth Law Blog | September 2015

CMS Proposes Several Important Changes in the 2016 Medicare Physician Fee Schedule RuleHealth Law Blog | August 2015

CMS Proposes Changes to its Two-Midnight RuleHealth Law Blog | August 2015

U.S. Department of Health & Human Services Required to Better Justify “Per-Click” Medicare RuleHealth Law Blog | July 2015

Final Rule for Updating the Medicare Shared Savings ProgramHealth Law Blog | July 2015

PHYSICIANS BEWARE: OIG Fraud Alert Puts Doctors on Notice Regarding Pitfalls of Medical Directorship and Other Payment ArrangementsHealth Law Blog | June 10, 2015

OIG Releases Report Prompting CMS to Recover $33.4 Million for Incorrect Place-of-Service ClaimsHealth Law Blog | June 2015

OIG: More Consistency Is Needed in Background Checks for Home Health WorkersHealth Law Blog | June 2015

Proposed Rules for Health Insurance Exchange NavigatorsHealth Law Blog | May 3, 2013

CMS Issues Decision Memos Relating to PET ImagingHealth Law Blog | April 11, 2013

Medicare Payments Automatically ReducedHealth Law Blog | April 9, 2013

Legislation Requiring Reporting of Patients Likely to Engage in Harmful ConductHealth Law Blog | March 30, 2013

Fiscal Cliff Deal Temporarily Addresses Sustainable Growth RateHealth Law Blog | January 14, 2013

Rule Would Permit Corporations to Employ Physicians in Limited CircumstancesHealth Law Blog | January 28, 2013

Nursing Scope of Practice BillHealth Law Blog | January 23, 2013

New Jersey’s LLC Act RevisedHealth Law Blog | January 22, 2013

Non-Medical Providers Must Enroll as “Non-Billing ProvidersHealth Law Blog | December 21, 2012

Proposed Rules for Wellness ProgramsHealth Law Blog | December 5, 2012

Per Diem On-Call ArrangementHealth Law Blog | November 12, 2012

DOH Issues Warning Regarding Privacy and PhotographsHealth Law Blog | September 25, 2012

Arrangement for Discounted PT, OT and ST ServicesHealth Law Blog | September 3, 2012

OIG Approves IDTF ArragementHealth Law Blog | August 24, 2012

Supreme Court Upholds Constitutionality of Health Reform LawHealth Law Blog | July 2, 2012

HHS Proposes One-Year DelayHealth Law Blog | May 17, 2012

Monthly Exclusion Database Checks RequiredHealth Law Blog | April 20, 2012

OIG OKs Website Displaying Coupons and AdsHealth Law Blog | April 6, 2012

NJ Supreme Court Ruling Limits Administration of EMGs to Physicians, Not PAsHealth Law Blog | February 17, 2012

New Jersey Law Removes Tax on Cosmetic Medical ProceduresHealth Law Blog | January 26, 2012