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Robb A. Leandro

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Robb Leandro assists his clients with a broad range of legal issues relating to health care, administrative law and public policy. His legal practice focuses on helping health care providers navigate the minefield of regulations that they face in their practices. Robb routinely assists his clients with issues that include Medicaid and Medicare regulations; Medicaid and Medicare audits; Certificate of Need Applications and litigation; licensure, surveys, and certification issues; and HIPAA and privacy laws. Robb also provides counsel to health care providers with complex government contract procurement issues.  

Robb approaches each legal issue with an understanding of the business and clinical issues his clients face. Robb’s clients range from large national health care providers to small single-location providers. He has significant experience representing a variety of health care providers that include home health, home care and hospice agencies, hospitals, community mental health providers, adult care homes, nursing homes, psychiatric hospitals, physician practices, and dentists. He also has significant experience providing advice to health care industry groups and trade associations.

By focusing on regulatory compliance issues before there is a problem, Robb strives to have his clients avoid missteps and government investigations. When litigation is required, Robb draws on years of relevant health care and administrative law experience to advocate for his clients. He has successfully represented health care providers before the North Carolina Office of Administrative Hearings (OAH) in cases including Medicaid audits, licensure terminations, Managed Care Organization (MCOs) actions and Certificate of Need (CON) decisions. He has also represented his clients in state and federal court in cases involving judicial review of administrative decisions, CON appeals, and challenges to federal and state laws and regulations.

Robb is active in the Health Care Bar and serves as a member of the board of directors for the North Carolina Society of Health Care Attorneys. He was also selected to participate as a member of the Greater Raleigh Chamber of Commerce Leadership Raleigh class of 2014-2015. When he isn’t focused on law, Robb enjoys spending time with his wife and daughters, reading history, painting, and fiction writing. He also especially enjoys following the football team at Duke, where he played for four years during his undergraduate education.  

Representative Experience

  • Represents clients in Medicaid and Medicare regulatory analysis and audits, including pre-litigation negotiations and audit hearings and appeals
  • Represents clients in Certificate of Need planning, application and appeals
  • Provides advice and strategic guidance relating to legislative and regulatory developments affecting the health care industry
  • Represents clients in professional licensing and facility licensure matters and litigation
  • Provides advice regarding a broad array of regulatory requirements, including HIPAA compliance, privacy issues, fraud and abuse issues, self-referral restrictions, health care contracts, licensure and certification issues, and risk management
  • Assists clients with rule-making proceedings and procurement contracts with government entities

  • Represented a large home care provider in a two-week administrative law hearing, which resulted in a decision reversing a $4.5 million recoupment
  • Obtained a decision from the North Carolina Office of Administrative Hearings reversing a decision to revoke a mental health facility license
  • Assisted in several successful Certificate of Need administrative hearings
  • Prevailed in an administrative hearing relating to a significant Medicaid recoupment and successfully defended an appeal of the decision by the North Carolina Division of Medical Assistance
  • Assisted in litigation that successfully challenged home care regulatory changes. The court’s decision allowed thousands of disabled and elderly North Carolinians to continue to receive home care services.
  • Prevailed in a federal court challenge of federal hospice regulation
  • Successfully appealed Medicare decisions to recoup funds from hospice providers
  • Argued in Superior Court a case involving a successful constitutional challenge to legislation that limited municipal annexation authority
  • Obtained numerous favorable settlements involving Medicaid audits and licensure violations, including several recoupments of more than $1 million that were settled for less than 1 percent of the government’s original recoupment request.

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Honors & Awards

  • North Carolina Super Lawyers Rising Star in Health Care, 2016
  • Benjamin N. Duke Scholar
  • Atlantic Coast Conference Honor Roll

Memberships

  • North Carolina Society of Health Care Attorneys, Board of Directors, 2012-2014; Outreach and Membership Committee, 2011-2012; Education Committee 2012-2014
  • Triangle Area Leukemia and Lymphoma Society Light the Night Walk, Executive Committee