Areas of Practice

Bar Admissions

  • Maryland

Education

  • J.D., cum laude, University of Maryland School of Law, 2008
  • B.A., Economics and Politics, Washington and Lee University, 2005

Memberships

  • American Health Lawyers Association

    Health Care Compliance Association

    American Bar Association, Health Law Section

    Maryland State Bar Association, Health Law Section

T +1 410.244.7781
F +1 410.244.7742
 

Celia E. Van Lenten

Counsel

Celia Van Lenten is counsel in Venable's healthcare group. She represents health care providers and suppliers, medical device and pharmaceutical companies, health insurers, health plans, digital health companies, and service providers in the health care industry in a broad variety of regulatory and transactional matters. Celia's regulatory practice includes such areas as HIPAA, HITECH and state privacy and data security laws; Medicare and Medicaid compliance; healthcare fraud and abuse; healthcare licensure, certification and accreditation; employer wellness programs and on-site medical clinics; medical staff and credentialing matters; and patient care matters.

Her transactional practice includes provider contracting, managed care contracting, commercial contracting, and mergers and acquisitions.

Since joining Venable, Celia served as the Interim Hospital Counsel for two hospitals within a large, diversified health system in the mid-Atlantic region. In this capacity, she acted as lead counsel to each hospital; advised the hospital presidents, senior management and the Boards of Directors; served on hospital leadership teams; and managed the day-to-day legal needs of the hospitals.

Celia previously served as legal counsel to a large, national pharmacy benefit management company where she provided legal advice on a broad array of regulatory and compliance issues, including Medicare Part D; ERISA; state PBM, utilization review, insurance and pharmacy laws; HIPAA and state privacy laws; and licensure and accreditation. She also drafted and negotiated a variety of complex contracts and other legal instruments on behalf of the company, and assisted in the preparation of proposals for new business.

During law school, Celia was a legal intern with the Johns Hopkins Hospital Legal Department and the Centers for Medicare and Medicaid Services Office of the General Counsel. She graduated with a concentration in Health Law from the Law and Health Care Program at the University of Maryland School of Law.

Representative Matters

HIPAA, HITECH and State Privacy and Data Security Laws
  • Drafting and negotiating agreements that address health information privacy and data security issues, including services agreements, confidentiality agreements and HIPAA business associate and data use agreements.
  • Advising clients on preparing for, and responding to, potential data breaches, including designing incident response plans, assessing the applicability of federal and state breach notification laws to potential data breaches, preparing breach notifications and implementing corrective action.
  • Assisting clients with investigating and responding to HIPAA complaints filed with the U.S. Department of Health and Human Services Office for Civil Rights (OCR).
  • Representing covered entities and business associates in connection with OCR Phase 2 audits.
  • Counseling clients in connection with OCR HIPAA compliance reviews, negotiation of resolution agreements, and implementation of corrective action plans.
  • Preparing and updating required HIPAA documents, such as Notices of Privacy Practices, policies and procedures, workforce training programs, template business associate agreements, and authorization forms.
  • Advising clients on HIPAA issues in the context of litigation.
  • Assisting nontraditional health care clients with determining the extent to which HIPAA applies to their operations.

Other Federal and State Regulatory
  • Counseling clients regarding the implications of federal and state healthcare fraud and abuse laws, such as the Stark Law, the Anti-Kickback Statute, the Civil Monetary Penalties Law and their state law counterparts, in various transactions.
  • Advising clients regarding their compliance obligations as first tier and downstream entities (FDRs) to Medicare Advantage and Medicare Prescription Drug Plans.
  • Counseling a large managed care organization preparing for possible termination of its Medicare Advantage/Prescription Drug Contract due to low star ratings.
  • Assisting a regional DME supplier with obtaining CMS approval of the novation of a competitive bidding agreement.
  • Assisting multiple hospitals with Medicare claims appeals, including those by MACs, RACs and ZPICs.
  • Representing a Maryland hospital in responding to the proposed termination of its Medicare provider agreement by CMS and the state licensing agency, including preparation of a successful plan of correction.
  • Advising clients regarding the corporate practice of medicine and professional fee-splitting laws in multiple states.
  • Counseling a national wellness company regarding state laws pertaining to the provision of health care cost estimates.

Corporate Transactions
  • Preparing and negotiating numerous services agreements and related ancillary agreements on behalf of health care providers, insurers, medical device companies, and their service providers.
  • Preparing and negotiating numerous physician professional services agreements on behalf of health care providers.
  • Preparing and negotiating numerous managed care contracts on behalf of health care providers and insurers.
  • Conducting due diligence on health care regulatory matters in connection with mergers and acquisitions, and negotiating terms for transaction documents on such matters.

Patient Care Matters
  • Serving as an attorney-on-call for urgent patient care matters for hospital clients.
  • Advising hospital clients regarding the provision of care to patients where such care was deemed to be futile.
  • Advising hospital clients regarding surrogate decision-making issues.

Hospital Medical Staff Matters
  • Representing a Maryland hospital's medical staff in a peer review matter involving a cardiologist following reports of the cardiologist's provision of unnecessary medical procedures.
  • Representing a Maryland hospital’s medical staff in a peer review matter involving an anesthesiologist with substance abuse issues.
  • Representing a Maryland hospital in a peer review matter involving a primary care physician with multiple practice issues.
  • Advising a Maryland hospital regarding the Maryland peer review privilege and best practices for structuring a peer review committee.
  • Advising numerous hospitals and physician practices regarding issues involving state professional licensing boards.
  • Assisting in the preparation and revision of medical staff bylaws, manuals, rules, regulations, policies and procedures for numerous clients.

Activities

Celia is a member of the Hiring Committee for Venable's Baltimore office and is a former Coordinator for its Summer Associate Program. Celia is a member of the Board of Directors for Special Olympics Maryland, Inc.