Partner
Raleigh, NC
For more than 21 years, Knicole has maintained a health care litigation practice, concentrating on Medicare and Medicaid litigation, health care regulatory compliance, administrative and regulatory law. She defends health care providers against post payment reviews, prepayment reviews, suspension of reimbursements, allegations of fraud, False Claims Act, Anti Kickback, and other regulatory issues. Knicole has successfully litigated against RACs, MACs, UPICs, CERTs, TPE audits until, in many cases, the provider prevailed, owing nothing. She understands the intricate Medicare and Medicaid payment system, the unique business of health care providers, the overlay of federal and state Medicare and Medicaid rules and regulations, and actions of State agencies that affect the way health care entities operate. Knicole has tried over 2,000 administrative cases in over 35 States and has appeared before multiple States’ medical boards. Knicole has successfully obtained federal injunctions in numerous States, which allowed health care providers to remain in business despite the allegations of health care fraud or abhorrent billings based on data mining. Across the country, Knicole frequently lectures on health care law, the impact of the Affordable Care Act and regulatory compliance for providers, including physicians, home health and hospice, dentists, chiropractors, hospitals and durable medical equipment providers. She is a weekly panelist on RACMonitor, as a national expert on Medicare and Medicaid audits.
Knicole lives on a horse farm with her family, spending her time trail riding on her Tennessee Walkers. Her family also drives side-by-sides and four-wheelers.
It is legal because I wish it.
Atlas Shrugged
by Ayn Rand
Anything Country
Gone with the Wind
My husband, Scott
If I weren’t a lawyer, I would be a performing as Eponine on Broadway, if I could sing.
Knicole learned a great deal during her time as the Assistant Attorney General in the Health and Public Assistance Section. There she gained a thorough understanding of the Medicaid system that continues to inform her practice today, and quickly realized that she prefers to defend the health care providers who accept Medicare and Medicaid from regulatory issues. Her favorite part of her career is helping health care providers deliver medically necessary services for our most needy populations.
Knicole was also the Co-Managing Partner of the Raleigh office of Gordon & Rees. Her clients span the country from Alaska to New York.
Health Care Litigation, Medicare and Medicaid Regulatory Litigation, Administrative Law, False Claims Act Litigation, White Collar Health Care Fraud
Litigated over 3000 health care cases.
Represented a New Mexico behavioral health care entity accused of an alleged overpayment of $12k and successfully litigated the amount owed to $865.35.
Represented an Indiana geneticist whose Medicaid reimbursements were suspended based on credible allegations of fraud and won a federal preliminary injunction lifting the suspension.
Obtained preliminary injunctions for multiple behavioral health care facilities, oral surgeons, pediatric care physicians, and durable medical equipment companies across the country.
medicaidlawnc.wordpress.com
Health care blog dedicated to informing health care providers of their rights when they are accused of an overpayment or have their reimbursements suspended based on her experience as a seasoned, health care litigator.
https://www.racmonitor.com/author/13253-knicolecemanuelesq
Weekly podcast panelist for RACMonitor as a nationwide expert on Medicare and Medicaid law
At Practus, we handle complex and challenging legal matters. I look forward to talking to you about how we can best meet your goals.
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