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For a time, I was certain I wanted to be a doctor, however an afternoon in high school spent shadowing a physician in the operating room helped me realize that I was not destined for that profession. Still, the experience strengthened my desire to work in the healthcare field in some capacity, and led to a career in which I help healthcare providers navigate the complex legal landscape so they can focus on caring for their patients and the community.

Mr. Kaveney focuses his practice in the area of healthcare law, representing a range of clients that includes for-profit and non-profit hospitals and health systems, academic medical centers, individual physicians and physician groups, ambulatory surgery centers, ancillary service providers, medical billing companies, skilled nursing and rehabilitation facilities, behavioral health centers and pharmacies.

His practice in the healthcare field encompasses advising healthcare clients on corporate compliance matters, including the implementation of new, and the assessment of existing, corporate compliance programs. He also assists healthcare clients with compliance audits and investigations, as well as guiding clients through the self-disclosure and repayment processes. Finally, he provides general legal advice concerning compliance and regulatory matters under state and federal healthcare laws.

In the area of information privacy and data security, Mr. Kaveney advises healthcare clients on issues arising under the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH). This includes the implementation and assessment of privacy and security policies and procedures to ensure the proper protection and utilization of protected health information both by healthcare providers and the business associates with which they contract. In addition, he represents healthcare clients in investigating, reporting, and remediating information breaches and the liability such breaches create under various information privacy and security laws.

Additionally, Mr. Kaveney provides counsel on Medicaid and Medicare reimbursement matters before the Division of Medical Assistance and Health Services and the Provider Reimbursement Review Board, as well as assisting clients in civil litigation and with professional licensing and medical staffing concerns.

Mr. Kaveney serves as Editor-In-Chief of “Healthcare Perspectives," the firm's blog covering issues of interest to the healthcare industry.

Results may vary depending on your particular facts and legal circumstances.

Honors & Awards

  • Listed in The Best Lawyers in America© (a trademark of Woodward/White, Inc.) in the Health Care Law practice area (2024 - present)
  • Listed in Chambers USA (a publication of Chambers and Partners) in the Healthcare practice area (2021 - 2023)
  • Listed in Super Lawyers - New Jersey Rising Stars (a Thomson Reuters business) in the Health Care and Professional Liability: Defense practice areas (2013 - 2018)
  • Selected for inclusion by the New Jersey Law Journal on the 2016 list of "New Leaders of the Bar," the publication's annual listing of outstanding attorneys under the age of 40 and practicing in New Jersey

Please visit our Award Methodology page for a description of the standard or methodology on which these accolades are based. Attorney Advertising: No aspect of this advertisement has been approved by the Supreme Court of New Jersey.

Representative Matters

Results may vary depending on your particular facts and legal circumstances.

  • Represented various provider types in compliance audits, investigations and remediation efforts
  • Represented various provider types in assessing and preparing overpayment submissions and self-disclosures to the Medicaid Fraud Division, Office of the Inspector General and Fiscal Intermediaries
  • Represented hospitals in Provider Reimbursement Review Board (PRRB) appeals of Medicare reimbursement issues
  • Represented hospitals in the pursuit of Medicaid calculation error appeals and Medicaid rate appeals
  • Represented hospitals and physician groups in commercial payor reimbursement appeals
  • Represented behavioral health facilities and rehabilitation facilities in Medicaid Fraud Division investigations and Corrective Action Plans
  • Represented various provider types in HIPAA breach investigations and notifications
  • Represented various provider types in other regulatory matters including Stark, Anti-Kickback, state self-referral laws, fraud and abuse, licensure and certification issues, and analysis of the corporate practice of medicine laws
  • Represented post-acute care facilities in challenges to State survey deficiency determinations
  • Represented various provider types and attorneys in civil litigation matters before the Superior Court of New Jersey Law Division, Superior Court of New Jersey Appellate Division and the New Jersey Supreme Court

Uniquely NJ

  • Healthcare Financial Management Association New Jersey Chapter: CARE (Compliance, Audit, Risk & Ethics) Forum
  • New Jersey State Bar Association 
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More Activities & Experience

  • American Health Law Association
  • Health Care Compliance Asssociation
  • Former judicial intern to The Hon. Thomas P. Olivieri, P.J.Ch. and The Hon. Harriet Farber Klein, J.S.C.

Presentations & Speaking Engagements

Publications & Alerts

View Abbreviated Bio

Departments

Education

Seton Hall University School of Law, J.D., 2008

University of Notre Dame, B.B.A., 2005

Bar Admissions

  • New Jersey, 2008
  • New York, 2009
  • U.S. District Court, District of New Jersey, 2008

John W. Kaveney Listed in Best Lawyers

Please visit our Award Methodology page for a description of the standard or methodology on which these accolades are based. Attorney Advertising: No aspect of this advertisement has been approved by the Supreme Court of New Jersey.