Janet L. Lerman, J.D.
Law Offices of Janet L. Lerman – Provides legal and consulting services for a wide range of clients in health care industry, including both payors and providers.
EXPERIENCE:
The Chicago Medical School, Adjunct Assistant Professor, Managed Care Course Director
- Created one of the countries first managed care courses for medical students. Course teaches business principles practicing physicians should be aware of in the practice of medicine. This course examined the business, legal, ethical, and public policy issues.
- Conducted a training program at three major hospitals. The program was tailored to primary care internal residents and included topics of ethics, risk management, quality improvement, and quality assessment.
- Public speaking engagements for Grand Rounds program providing continuing medical education credits for attending physicians.
Planning and Development, Senior Attorney and Legal counsel for HMO America, Inc. (parent company of Chicago HMO Ltd.)
- Systematized contracting process to develop provider network and employer groups.
- Negotiated and drafted broad range of contracts such as provider contracts (including primary care physicians, specialists, hospitals, pharmaceutical companies, and others) as well as contracts with employer groups.
- While working closely with local, state and federal regulatory agencies, recommended changes to all HMO agreements with providers and employer groups to stay in compliance with regulations to maintain operating license.
- Reviewed and advised HMO regarding pending legislation, and recommended changes in product offerings to comply with new laws.
EDUCATION:
- Juris Doctor, Southwestern School of Law, Los Angeles, CA;
- Bachelor of Arts, Psychology, The University of Texas at Austin, Austin, Texas
PUBLICATIONS:
“Legal Considerations in Pay for Performance,” Hospitals & Health Network.
“Getting an Extension to Comply with Transaction Standards Under Health Insurance Portability and Accountability Act (HIPAA),” The Bulletin of Lake County Medical Society.
“An Overview of Health Insurance Portability and Accountability Act (HIPAA),” the Bulletin of Lake County Medical Society.
“E-Mailing Patients – Tips for Physicians”, Newsletter of the Illinois Society of Oral and Maxillofacial Surgery (ISOMS), and Lake County Medical Society Office Manager News.
“MCOs Delaying or Denying Payment for Services”, Bulletin for the Lake County Medical Society and Lake County Medical Society Office Manager News.
PRESENTATIONS:
Lake County Medical Society: “Making Money or Losing Money Under Managed Care Contracts: Winning Strategies in Renegotiating Your Contracts”.
Grand Rounds at Finch University Health Sciences/ The Chicago Medical School: “Fraud and Abuse: What Does it Mean to the Physician?”.
Mt. Sinai Hospital, Chicago, IL:
- “Ethics, Cost-Effectiveness of Medicine, and Law”. [Teleconference]
- “Impact of Utilization Management on Primary Care Physicians and Specialists”.
- “Managed Care”. [Teleconference]
Northern Illinois Health Executives Counsel (Affiliate of American College of Healthcare Executives – ACHE): Presentation on Antitrust in the Health Care area and Self-Referral Laws.
Association of American Medical College, Central Group on Educational Affairs: Poster presentation and abstract publication on “Managed Care Course” for medical students.
MEMBERSHIPS:
- American Bar Association,
- Illinois State Bar Association,
- American Health Lawyers Association.
Admitted to Illinois and Texas State Bars.
MedicalPracticeCME.com 