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Maureen Demarest Murray

Maureen Demarest Murray


T (336) 378-5258
F (336) 433-7468

Maureen Demarest Murray advises and litigates concerning certificate of need, facility licensure and certification surveys and penalty appeals, and other health care regulatory matters at all levels. She regularly represents health care providers in business transactions, medical staff and peer review matters, reimbursement appeals, fraud and abuse investigations and business disputes. She counsels hospitals, long term care facilities, home health agencies, and physician groups on matters such as corporate compliance, EMTALA, credentialing, HIPAA, patient care, risk management and acquisition of facilities.

Maureen has spoken to the American Health Care Association on nursing home survey and enforcement and liability issues. She has presented for the American Health Lawyers Association on long term care liability and risk management issues. She has been a speaker for the North Carolina Association of CPAs and North Carolina Health Information Management Association on HIPAA and confidentiality of medical information. She has also spoken for the North Carolina Health Care Facilities Association, the North Carolina Hospital Association, and Virginia Health Care Financial Management Association on HIPAA, corporate compliance, EMTALA, liability, medical staff and certificate of need issues.

Listed in North Carolina Super Lawyers
Listed in North Carolina Super Lawyers
  • Fellow, American College of Trial Lawyers
  • Recognized by Chambers and Partners, USA, as one of North Carolina Leaders, Healthcare (2014-2018)
  • Benchmark Litigation, North Carolina Litigation Star (2016-2018)
  • North Carolina Super Lawyers, Listed Health Care (2006-2018), and as one of the "Top 50 Women" attorneys in North Carolina (2006-2013, 2015-2018), and as one of the "Top 100" attorneys in North Carolina (2018)
  • The Best Lawyers in America® (Woodward/White, Inc.), Health Care Law, listed more than 25 years
  • Selected by her peers as Greensboro Best Lawyers Lawyer of the Year (Woodward/White, Inc.), Health Care (2011, 2015)
  • Selected for inclusion in Nightingale's Healthcare News 2008 list of Outstanding Hospital Lawyers
  • Martindale-Hubbell's top ("AV") Peer Review Rating *

* AV is a registered certification mark of Reed Elsevier Properties Inc., used in accordance with the Martindale-Hubbell certification procedure's standards and policies.


Representative Work


  • Co-lead defense counsel in DOJ Medicare one day stay hospital investigation
  • Lead defense counsel for a hospital in DOJ national Medicare ICD investigation
  • Handled voluntary Medicare and Medicaid self-disclosures related to employment of excluded individuals, antikickback violations and overpayments
  • Lead counsel on defense of multiple EMTALA and nursing home fast track decertification notices
  • Represented third parties in response to government investigation subpoenas
  • Negotiated resolution with OIG to put long term care company assets into blind trust when owner convicted of Medicaid fraud
  • Assisted with seeking reinstatement after exclusion from Medicare and Medicaid
  • Represented providers in defense of ZPIC investigations and State Attorney General inquiries
  • Response to OCR privacy investigations
  • Handled responses to data and privacy breaches, responses to OCR inquiries and initiation of self-reports
  • Preparation of and training regarding facility corporate compliance programs
  • Counseling concerning billing compliance, voluntary disclosure and repayment
  • Preparation of HIPAA compliance policies and template documents


  • Advice regarding provider based status and compliance with Medicare conditions of participation and payment
  • Counseling concerning Medicare and Medicaid enrollment of new providers and changes of ownership
  • Guidance concerning establishment of medical and non-medical spas and wellness programs
  • Advice regarding licensure compliance and defense of licensure enforcement actions
  • Counseling and training concerning EMTALA and licensure compliance
  • Advice regarding rural health clinic options and requirements

Health Care Litigation

  • Defense of patient class action suits regarding hospital billing and collection
  • Defense of long term care facility lease suit
  • Defense of suit in Business Court alleging usurpation of healthcare business opportunity
  • Defense of alleged breaches of health care covenants not to compete
  • Defense of claim by Disability Rights group concerning access to peer review materials
  • Multiple medical staff fair hearings concerning restrictions on or termination of medical staff privileges
  • Several trials appealing long term care survey and penalty enforcement actions
  • Arbitration involving dispute between ambulatory surgery facility and manager regarding fees


  • Guidance regarding health care risk management, patient relations, informed consent, bioethical issues, difficult patient discharges and myriad operational issues
  • Counseling concerning and preparation of resident admission agreements
  • Guidance regarding patient billing, collection and charity care policies and procedures and handling of specific billing and payment scenarios
  • Advice concerning and preparation of hospital policies and procedures

Transactions and New Ventures

  • Regulatory guidance, patient contract and appropriate corporate structure for high frequency ultrasound clinics in six states
  • Developed models for compliance with Medicare provider based requirements for new facilities including rural health clinics
  • Lead negotiating and coordinating counsel for multiple long term care acquisitions
  • Guidance regarding regulatory compliance and due diligence for hospital, ambulatory surgical center, medical equipment, cardiac catheterization lab and diagnostic center acquisitions
  • Service, lease and other agreements to facilitate innovative services in independent living and continuing care retirement communities

Certificate of Need

  • Lead counsel in over 40 CON trials and appeals concerning operating rooms, acute care beds, endoscopy rooms, major renovation and expansion hospital projects, major medical equipment, skilled nursing facilities and home health agencies
  • Lead counsel in arbitration concerning dispute between two hospitals regarding CON settlement
  • Lead counsel through NC Supreme Court in CON litigation concerning exemptions from CON Act
  • Extensive counseling concerning CON compliance and exemptions from CON review

* Past success does not indicate the likelihood of success in any future legal representation.

Thought Leadership

Published Works

  • "A Good Defense is the Best Offense Against Fraud Claims," Looking at Long Term Care, October, 2010
  • "Risk Management Considerations in a Time of Medical Malpractice Crisis," American Health Lawyers Association, Long Term Care Program Materials, February 2003
  • HIPAA Manual and Model Forms for North Carolina Nursing Homes for the North Carolina Health Care Facilities Association, December 2002
  • "Plans of Correction" chapter for American Health Care Association's Legal Handbook: Survey, Certification and Enforcement, 1995


  • “First to the Ball: Can You Find the Issue Before it Becomes a Problem? Practical Compliance Guide for Home Health Agencies” The Association for Home & Hospice Care of North Carolina 2017 Leadership Conference, Wrightsville Beach, NC, October 10, 2017
  • Co-presenter, "EMTALA; Inpatient Care Reviews by Quality Improvement Organizations 'QIO'; Provider based issues," North Carolina Hospital Association's Regulatory Compliance Workshop, June 8, 2017
  • “An Evidence Refresher For Litigators” North Carolina Fellows of the American College of Trial Lawyers 2017 Annual Meeting, Asheville, North Carolina, March 25, 2017
  • “MACRA:  What It Means For Your Organization, Context And Tips For Compliance Professionals” Health Care Compliance Association 2017 Regional Conference, Charlotte, North Carolina, March 17, 2017
  • “First to the Ball:  Can You Find the Issue Before it Becomes a Problem?” 2017 American Health Lawyers Association Long Term Care and the Law Program, San Diego, California, February 23-24, 2017
  • “Evidence Refresher for Litigators,” 2016 North Carolina Legal Services Conference, Greensboro, North Carolina, October 26, 2016
  • “Internal Fraud Investigations,” Health Care Compliance Association Regional Conference, Charlotte, North Carolina, March 18, 2016
  • "Pitfalls and Strategies for Hospitals in Physician Contracting," NC Hospital Association webinar, December 2015
  • “Recent Privacy and Compliance Worries and How to Still Sleep at Night,” Carolinas HealthCare System Fall Privacy & Compliance Summit, Charlotte, North Carolina, September 15, 2015
  • “The Leader, The Woman, The Mother,” North Carolina Hospital Association, Hilton Head, South Carolina, July 30, 2015
  • "Value Added Healthcare," Hospice of the Piedmont, Greensboro, North Carolina, February 3, 2014
  • "Heightened Health Care Fraud Enforcement," NCACPA 2013 Healthcare Industry Conference, Greensboro, North Carolina, June 14, 2013
  • "Legal Update" – Presentation to Piedmont Chapter of North Carolina Health Information Management Association – April 16, 2010
  • Panel Member, Triad Healthcare Executive Forum, Local Chapter. American College of Healthcare Executives, August 18, 2009
  • "Release of PHI to Law Enforcement" – Risk Management Symposium, Greensboro AHEC, March 2009
  • "Legal Update" – Presentation to Piedmont Chapter of North Carolina Health Information Management Association – December 12, 2008
  • "Current Compliance Issues in Long Term Care," Carolinas Health Care System, Charlotte, North Carolina, May 20, 2005
  • "Risk Management Measures and Implementation of NC Peer Review Protections," North Carolina Society of Healthcare Attorneys, Chapel Hill, North Carolina, October 22, 2004
  • "Surveys: How to Respond," North Carolina Health Care Facilities Association, Raleigh, North Carolina, June 18, 2003
  • "Risk Management Considerations in a Time of Medical Malpractice Crisis," American Health Lawyers Association Program, Long Term Care and The Law, Phoenix, Arizona, February 20, 2003
  • HIPAA Privacy Rule Training for North Carolina Long Term Care Facilities, North Carolina Health Care Facilities Association, multiple sessions, 2003
  • "HIPAA Legal Issues and Compliance," NC Hospital Association Hospital Counsel Program, Cary, NC, April 18, 2002
  • "Practical Legal Considerations of HIPAA Compliance," Virginia Chapter, Health Care Financial Management Association, Roanoke, Virginia, November 26, 2001
  • "Survival of the Fittest: Steps Safeguarding You and Your Facility – A Practical Guide to Corporate Compliance," North Carolina Health Care Facilities Association Annual Meeting, Winston-Salem, North Carolina, February 7, 2000
  • "Using Plaintiff's Expert As Our Expert, Deposing Experts," American Health Care Association Legal Defense Conference, Chicago, Illinois, October 22, 1999
  • "Plans of Correction under the Survey, Certification and Enforcement Rule" American Health Care Association Annual Meeting, Atlanta, November 6, 1996


  • Vanderbilt University School of Law, Annual Law Firm Gift Committee – 2003 -
  • Vanderbilt Law Admission Interview Program
  • Duke University: Class Gift Committee - 1990-92; 1996-97; 2001-02; 2006-07; 2012-13
  • Various officer positions including President of PTSO or PTA for Western Guilford High School (past), Kernodle Middle School (past) and McIver Special Education Center (past)
  • Duke University, B.A., magna cum laude, 1977
  • Vanderbilt University Law School, J.D., Patrick Wilson Scholar, 1980
  • North Carolina, 1980
  • Florida, 1980
  • Member, American College of Trial Lawyers North Carolina State Committee, 2009-
  • American Health Lawyers Association
  • North Carolina Society of Healthcare Attorneys
  • Health Law Section of North Carolina Bar Association
  • North Carolina Health Care Facilities Association, Associate Advisory Committee, 2018-2020
  • North Carolina State Bar Disciplinary Hearing Commission 1986-1995 - Chair 1990-1995; Vice-Chair 1989-90
  • Greensboro Bar Association

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