Profile
Representative Matters
Presentations
Publications
Personal

Frank Mazzagatti, Ph.D., represents healthcare providers, hospitals, group practices, skilled nursing facilities, and specialty pharmacies, among other industry practitioners. His practice focuses on corporate transactions, compliance and regulatory laws, license defense, accreditation, and third-party commercial and governmental audits. He also represents clients in responding to as well as investigations by the Office of the Attorney General, the United States Attorney, and other governmental entities or licensing bodies.

Frank creates strategic plans and regulatory analysis regarding C-Suite operations for shareholders, members, and boards of directors. He has extensive experience representing appellants at all levels of appeal for Medicare and Medicaid controversies. Frank has created a New York State precedent with promissory note planning. He has also helped providers save millions of dollars by defending them against health insurance overpayment audits. Frank has successfully challenged carriers’ erroneous use of statistical extrapolation and/or misuse of Current Procedural Terminology (CPT®) codes and local coverage determinations.

Frank has a successful track record in obtaining Medicare and Medicaid reinstatements for clients who were excluded for various reasons. He defends licensees before the Office of Professional Medical Conduct as well as the Office of Professional Discipline. His clients have often commented that Frank’s combined experiences as an attorney, healthcare provider, and executive hospital administrator have enabled him to deliver results that far exceeded their expectations.

Frank teaches Health Law as a special professor of law at his alma mater, Hofstra University's Maurice A. Deane School of Law.

Professional Affiliations

  • American Bar Association
  • New York State Bar Association
  • Nassau County Bar Association

Honors & Awards

  • Maurice A. Deane School of Law at Hofstra University
    • Health Law Committee
    • Health Law Concentration

Representative Matters

  • Led the representation of a client as lead counsel in the sale of his business through a multi-state asset purchase transaction structured with an F-Reorganization for tax efficiency.
  • Represented buyer of an acute care hospital in New Jersey and served as facility chief legal officer during the transition of ownership.
  • Represented the seller of a New York urgent care center to a national urgent care provider network.
  • Represented a New York multi-license provider against misconduct and fraud allegations from the Boards of Physical Therapy, Acupuncture, and Massage Therapy. The matter was resolved with one recordkeeping violation rather than license revocation as initially sought.
  • Represented a provider with multiple Medicare overpayments totaling over $3.0 million. Extrapolation and coding attacks resulted in recalculation of overpayment and the matter settled for $125,000.
  • Represented a California physician who was excluded by the Office of the Inspector General for Medicare services. The matter resulted in the successful reinstatement of the provider.

Presentations

  • "Significant Changes to SNF Medicare Revalidation and Disclosure Requirements: What You Need to Know," LeadingAge Illinois, Webinar, January 16, 2025
  • "’Lies’ by The Rolling Stones: Health Care False Claims Act Liability," Hinshaw University, CLE Webinar, November 21, 2024
  • "The Anatomy of a Medicare Audit," Illinois Association of Healthcare Attorneys 42nd Annual Health Law Symposium, Chicago, Illinois, and Virtually, November 7, 2024
  • "Legal Issues Surrounding Employment Arrangements and Regulatory Matters Associated with Establishing Private Practices," Nassau University Medical Center, East Meadow, New York, October 15, 2024
  • "The Grand Healthcare System," Annual New York State (NYS) Medicaid Corporate Compliance Training, 2020 – 2022
  • "Implementing an Effective Compliance Program Under Amended Section 363-d of New York State Social Services Law," 100+ multi-site skilled nursing facilities in New York State, 2020

Publications

Frank is a frequent writer on the topic of Medicaid overpayments and federally funded healthcare programs.

Personal

Frank lives and works in New York. He is an avid club tennis player and holds a second-degree kickboxing black belt. When not working, Frank enjoys entertaining with his wife and their toddler daughter. They routinely patronize local restaurants and shops and head to Long Island's east end on weekends to pick fresh fruits and vegetables from local farms.

J.D., Maurice A. Deane School of Law at Hofstra University, 2010

Ph.D., Columbia Southern University, 1999

B.S., Health Care, State University of New York at Empire State College, 1991