First Admitted: 1984, California

Professional Webpage: https://www.sacfirm.com/attorney/richard-lovich/

Bar/Professional Activity:

Presentation of legislative developments and demonstratio0n of a mock arbitration of hospital claims in San Diego, Los Angeles, and Pleasanton, California, 2025
Speech before the Healthcare Financial Management Assocation- San Diego chapter on class action developments in reimbursement, multiple payer access to Hosptial services contracts, and reasonable and customary pricing. , 2025
AAHAM- Chairman Law and Ethics Committee – Western Regional Chapter
Appointed by FCC Chairman Ajit V. Pai to the Hospital Robocall Protection Group ( HRPG).This is an advisory committee that will be developing best practices on how voice service providers can better combat unlawful robocalls made to hospitals; how hospitals can better protect themselves from such calls, including through the use of unlawful robocall mitigation techniques; and how the Federal Government and State governments can help combat such calls. , 2020
Appointed to the national Patient Advocacy Task Force of the American Association of Healthcare Administrative Management ( AAHAM). The Taskforce is developing and implementing industry guidelines and best practices for patient financial advocates., 2020
California Society for Healthcare Lawyers
Admitted to United States District Court for the Eastern District, 2006
National Association of Trial Advocates (Certified Trainer)
Los Angeles County Bar Association (LACBA)
American Bar Association
Admitted to the United States Supreme Court, 2013
Admitted to the United States Court of Appeals for the Ninth Circuit, 2009
Admitted to United States District Court for the Southern District of California, 2009
Admitted to United States District Court for the Northern District of California, 2006
Admitted to United States District Court Central District of California, 1984
Presentation before Illinois Chapter AAHAM- "Reimbursement Issues and Strategies". Annual State Institute-Peoria, Illinois, 2019
Admitted to California Bar, 1984
Educational Lecture-Dignity Health System-Managed Care Contracting, Effective Appeal Writing, and Best Practices in documenting claim handling-2018, 2018
Testimony before United States Senate Commerce Committee on updating The Telephone Consumer Protection Act (TCPA) to protect hospitals from unwarranted litigation and penalties. May 2016. https://www.c-span.org/video/?409771-1/hearing-focuses-robocalls-do-call-list, 2016
Santa Barbara Cottage Hospital – Educational Presentation and lecture “Managed Care Contracting” and “Increasing Clinical Denial Success Rates” – Fall 2016, 2016
American Case Management Association (ACMA) Physician Advisory Conference, Lecture- “Increasing Your Success Rate on Clinical Denials” – October 2016 – San Diego, CA, 2016
American Association of Healthcare Administrative Management- Annual National Institute-Bonita Springs, Fla Educational Presentation and lecture: “Managed Care Contracts” and “Clinical Denials-Effective Strategies” October-2017, 2017
Educational Presentation and lecture- Healthcare Financial Management Association (HFMA) Educational Road Show- “Managed Care Contracting Issues” and “Clinical Denials-The Legal Aspect” – June 2016 – Kingman, AZ, 2016
Healthcare Financial Management Association (HFMA) Educational Road Show- “Managed Care Contracting Issues” and “Clinical Denials-The Legal Aspect” – April 2016 – Prescott, AZ, 2016
Educational Presentation and lecture-Healthcare Financial Management Association (HFMA) Educational Road Show- “Managed Care Contracting Issues” and “Clinical Denials-The Legal Aspect” – March 2016 – Tuscon, AZ, 2016
University of California, San Francisco –Lecture Presentation- “Current Issues on Healthcare Reimbursement” – Spring 2017, 2017
Presentation before Stanford University Healthcare Stanford University Health Care – “Litigating Reimbursement Denials” – Spring 2017, 2016
Speech before Healthcare Financial Management Association- Idaho Chapter HFMA Idaho-Winter Educational Meeting – “Managed Care Contracts” and “Clinical Denials-Effective Strategies” – February 2017, 2017
AAHAM Western Region Chapter-Legislative Update April 2019- Los Angeles, 2019
Speech before the American Association of Healthcare Administrative Management AAHAM Texas Blue Bonnet Chapter: “Managed Care Contracts” and “Clinical Denials-Effective Strategies” Galveston, TX, 2019, 2019
AAHAM Connecticut Chapter: “National AAHAM Update and Managed Care Contracts” and “Clinical Denials-Effective Strategies” Connecticut, 2019, 2019
Speech before the American Association of Healthcare Administrative Management AAHAM Florida Sunshine Chapter: “Managed Care Contracts” and “Clinical Denials-Effective Strategies” Florida, 2019, 2019
Speech before the general membership meeting of the California Association of Healthcare Admissions Management on the expansion of Medicaid benefits to undocumented persons., 2019
Speech before the general membership at the 50th Anniversary of the California Association of Healthcare Admissions Management. St. Francis Hotel, San Francisco, Ca. Topic- Working with Hospital Services Contracts., 2018
Named National Legal Counsel to the American Association of Healthcare Administrative Management (AAHAM), 2014
Member-Healthcare Financial Management Association (HFMA), 2013

Verdicts/Settlements (Case Results):

$6 million settlement of reimbursement litigation on behalf of large Illinois Healthcare system against major Healthcare Insurance Plan, 2019
Multi-million-dollar settlement of hospital reimbursement claims for a large state medical center., 2023
$3,500,000 recovery on behalf of a large California Healthcare facility in resolution of non-contracted pricing litigation against major California healthcare services payer, 2019

Videos:

Mr. Lovich was asked to testify as National Legal Counsel to the American Association of Healthcare Administrative Management (AAHAM) before the United States Senate Commerce Committee on the issue fo updating the Telephone Consumer Protection Act (TCPA). Mr. Lovich had participated in filing a petition with the Federal Communications Commission to provide clarity to key elements of the law as the lack of clarity was subjecting healthcare providers to costly fines and lawsuits, Testimony before US Senate Commerce Committee on updates to Telephone Consumer Protection Act, Patient Healthcare Information, Debt Collection, Healthcare, 2016

Representative Clients:

Providence-St. Joseph Health
MultiCare Health, 2023
John Muir Medical Center, 2010
Rush University Medical Center, 2023
Northwestern University Health , 2023
Alta-Prospect Health System
Stanford University Healthcare
Dignity Health System
The University of California at Irvine Medical Center, on behalf of the Regents of the University of California
The University of California at San Francisco, on behalf of the Regents of the University of California
The University of California at Los Angeles Medical Center, on behalf of the Regents of the University of California

Transactions:

City of Hope , 2024

Special Licenses/Certifications:

Admitted as an Attorney and Counselor of the Supreme Court of the United States of America, 2013
National Institute for Trial Advocacy-Certification in Teaching Trial Advocacy Skills upon successful completion of intensive professional training program held at the Harvard Law School, Cambridge, Massachusetts, 1998

Honors/Awards:

Top Rated Lawyer-Healthcare, October issues of Corporate Counsel and The American Lawyer magazines, 2012
" In recognition of exceptional contributions made at the national level towards furthering the profession of Healthcare Administrative Management", AAHAM National President's Award, American Association of Healthcare Administrative Management, 2024
Nation’s Top One Percent of Attorneys, National Association of Distinguished Counsel
Named to Southern California Super Lawyers 2012,2013,2014,2015, 2016, 2017, Southern California Super Lawyers, Southern California Super Lawyers, 2012
"In recognition of Having Excelled in the Promotion of Your Chapter and the Profession of Healthcare Administrative Management", AAHAM National Bill Spare National Recognition Award, American Association of Healthcare Administrative Management, 2017
A-V Rated, the highest rating possible for professional competence and ethical practices, for 19 years., A-V Rated, Martindale-Hubbell, 1995

Educational Background:

B.A., California State University, Northridge, 1980
Juris Doctor degree Loyola Marymount University School of Law, 1980-1983
National Institute for Trial Advocacy-Certification in Teaching Trial Advocacy Skills upon successful completion of intensive professional training program held at the Harvard Law School, Cambridge, Massachusetts, 1998

Scholarly Lectures/Writings:

University of California, San Francisco – “Current Issues on Healthcare Reimbursement” – Spring 2017
Santa Barbara Cottage Hospital – “Managed Care Contracting” and “Increasing Clinical Denial Success Rates” – Fall 2016
Stanford Health Care – “Litigating Reimbursement Denials” – Spring 2017
HFMA Idaho-Winter Educational Meeting – “Managed Care Contracts” and “Clinical Denials-Effective Strategies” – February 2017
Civil Procedure for the Claims Professional, Address Before The Hartford Insurance Group (June 1990)
American Case Management Association (ACMA) Physician Advisory Conference, – “Increasing Your Success Rate on Clinical Denials” – October 2016 – San Diego, CA
HFMA Educational Road Show- “Managed Care Contracting Issues” and “Clinical Denials-The Legal Aspect” – March 2016 – Tuscon, AZ, April 2016 – Prescott, AZ and June 2016 – Kingman, AZ
“The Dangers of Agreeing to an Independent Review Organization Requirement in a Hospital Services Agreement” American Association of Healthcare Administrative Management (AAHAM)- The Journal of Healthcare Administrative Management (Summer 2014)
Compliance With Workplace Regulations Concerning The Physically Challenged, Address Before the American International Group National Trial Skills Seminar, IBM Conference Center, Palisades, New York (October 23, 1997)
Litigation and Trial of Employment Related Issues, Address Before the American International Group National Trial Skills Seminar, IBM Conference Center, Palisades, New York (October 21, 1997)
The Examination and Cross Examination of Expert Witnesses, Address Before the American International Group National Trial Skills Seminar, IBM Conference Center, Palisades, New York (August 16, 1998)
The Development of the Case Theme, Address Before the American International Group National Trial Skills Seminar, IBM Conference Center, Palisades, New York (August 15, 1999)
Escaping Co-Pays and Deductibles by Abusing the Fair Debt Collection Practices Act, Southern California HFMA Newsbrief newsletter (July, 2012)
“The Good, the Bad and the Ugly of Managed Care Contracting”, SAC Walnut Creek Seminar (October 2012)
“A Rose is a rose is a rose…The value of authorization of treatment and verification of benefits in reimbursement cases”, American Association of Healthcare Administrative Management (AAHAM)- The Journal of Healthcare Administrative Management (Spring 2013)

Other Outstanding Achievements:

Member of the Federal Communications Commission workgroup to establish best practices for protecting hospitals from robocalls under the Telephone Consumer Protection Act., 2023

Industry Groups:

Healthcare
Healthcare Admissions and Patient Access
Hospital and Facility Revenue Cycle
Hospital Contracting

Richard A. Lovich