Frank A. Mazzagatti, PhD

Frank represents institutional and individual health care providers, hospitals, group practices, skilled nursing facilities, and specialty pharmacies, among other industry practitioners. His practice focuses on corporate transactions, regulatory compliance, license defense, accreditation, and third-party commercial and governmental audits. He also represents clients in responding to investigations by the Office of the Attorney General, the US Attorney, and other governmental entities or licensing bodies.

Frank creates strategic plans and regulatory analyses regarding C-suite operations for shareholders, members, and boards of directors. He has extensive experience representing appellants at all levels of appeal for Medicare and Medicaid controversies. Frank has created a New York State precedent with promissory note planning. He has also helped providers save millions of dollars by defending them against health insurance overpayment audits. Frank has successfully challenged carriers’ erroneous use of statistical extrapolation and/or misuse of Current Procedural Terminology (CPT®) codes and local coverage determinations.