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Mr. Ramberg is entering his sixth year as an associate with Gjerset & Lorenz. Mr. Ramberg's practice focuses on hospital regulatory and legislative matters and reimbursement issues facing hospitals. Mr. Ramberg's practice is centered on hospital participation in supplemental payment programs. Mr. Ramberg develops legislative strategies to educate elected officials on the direct and indirect ramifications of proposed legislation on hospitals. Further, Mr. Ramberg participates in industry-wide Medicaid policy development and implementation. In addition, Mr. Ramberg advises numerous hospitals on Medicaid DSH program qualification and funding in Texas and assists hospitals with the self-reporting and compliance components of the submission of hospital utilization data to state and federal agencies. To this end, Mr. Ramberg frequently engages agency staff to ensure compliance with Medicaid program participation and to assess and resolve agency errors.
Representative Experience
Advised numerous hospitals annually on Medicaid Disproportionate Share Hospital Funding (DSH) qualification and compliance issues relating to participation for certification to state and federal agencies
Advised health care providers on the impact of proposed state legislation, policy initiatives and industry changes on Medicaid reimbursement initiatives
Developed and implemented legislative strategy for diverse hospital group to educate Legislative leaders of unintended consequences of proposed legislation relating to hospital operations
Monitored both state legislative and rulemaking initiatives, impacting health care provider clients and prepared individual analysis on the implications
Engage state agency representatives relating to Medicaid reimbursement matters
Participate in industry and stakeholder forums to monitor policy changes affecting hospitals
Assisted health care providers in complying with Stark, Federal Anti-Kickback Statute, and State Illegal Remuneration laws
Education and Professional Qualifications
St. Mary's University School of Law, J.D., 2002
Staff writer for the St. Mary's Law Journal
Southwest Texas State University, Bachelor of Science in Health Professions, 1996
Licensed to practice in Texas
Austin Health Lawyers (Health Law Section of Austin Bar Association)
Chair-Elect, 2007-08
Council Member, 2003-07
Presentations and Speeches
Medicaid DSH, UPL and Other Reimbursement Mysteries Revealed, Texas Association for Healthcare Financial Administration, Horseshoe Bay, TX September 2007
The Changing Medicaid Landscape, Healthcare Financial Management Association, Salado, TX, March 2007
The Changing Medicaid Landscape, Healthcare Financial Management Association, Houston, TX October 2006
Medicaid Managed Care in Texas: Panel Discussion, University Health System Symposium, October 2005
Professional Background
Before joining Gjerset & Lorenz LLP, Mr. Ramberg worked for the Texas Medical Association (TMA), assisting physician members with the integration of managed care into their practice. At TMA he coordinated the sales and marketing efforts of a physician practice management organization developed to address issues related to the expansion of managed care in Texas.
Mr. Ramberg's professional experience further includes working for a health maintenance organization facilitating the development of physician and hospital networks for the HMO's commercial, CHAMPUS and Medicaid lines of business.
Mr. Ramberg served as a judicial intern for the Honorable Edward C. Prado, prior to his appointment to the 5th Circuit, at the United States District Court, Western District of Texas.
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