Madeline Dwivedi, a trial attorney and associate at Waranch & Brown, LLC, defends healthcare providers with a unique blend of legal insight and clinical experience. A former registered nurse and hospital policy leader, Ms. Dwivedi combines bedside understanding with regulatory fluency, equipping clients with pragmatic, defensible strategies in high-stakes medical malpractice, administrative and compliance matters.
As she continues to expand her regulatory practice, Ms. Dwivedi offers practical, strategic counsel across several rapidly evolving areas affecting today’s healthcare institutions and providers.
EMTALA Compliance, Internal Investigations and Regulatory Response:
The Emergency Medical Treatment and Labor Act (EMTALA) remains one of the most aggressively enforced federal mandates affecting emergency departments nationwide. Drawing on her clinical background, Ms. Dwivedi helps clients translate real-world workflow into legally compliant policies, including developing protocols to ensure proper emergency department triage and documentation, conducting internal investigations when EMTALA violations are alleged, and guiding appropriate responses to federal investigations, Statements of Deficiencies and implementing Corrective Action Plans. Her dual understanding of clinical workflow and legal requirements ensures providers can meet EMTALA obligations while maintaining efficient patient care.
CMS Coding Audits, Overpayment Disputes and Documentation Strategies:
CMS coding audits of hospital and provider billing practices continue to intensify, often putting millions of dollars, and a provider’s reputation, on the line. Ms. Dwivedi assists clients in proactively identifying and mitigating coding vulnerabilities, developing documentation strategies, and representing them in CMS audits, appeals and overpayment disputes. She provides guidance on self-disclosures, remediation, and corrective action plans, ensuring that providers can effectively address regulatory scrutiny and minimize liability, proactively identifying documentation vulnerabilities before auditors do.
Ms. Dwivedi’s combined legal-clinical lens enables clients to navigate these audits with a grounded understanding of what regulators expect and what documentation truly supports.
Telehealth Law, Virtual Care Compliance and Multistate Practice Issues:
As telemedicine and virtual care become essential components of healthcare delivery, regulatory requirements continue to evolve. Ms. Dwivedi advises providers and institutions on the rapidly changing legal requirements governing telehealth. Her practice includes matters related to multistate licensure, provider credentialing, online prescribing and HIPAA privacy and security for electronic health records.
Providers benefit from Ms. Dwivedi’s real-world perspective on how digital workflows intersect with regulatory guardrails, ensuring telehealth programs are both innovative and compliant.
Social Security Disability Appeals and Federal Administrative Advocacy:
Leveraging her clinical background and experience with the U.S. District Court, Ms. Dwivedi also provides strategic representation in Social Security disability denials and appeals. She advises and can navigate the intricate administrative appeals process.
Ms. Dwivedi’s ability to translate clinical detail into persuasive legal argument gives clients a meaningful advantage in a demanding and technical arena.
A Comprehensive, Clinically Grounded Regulatory Practice
With experience that spans the bedside, the courtroom and the regulatory arena, Madeline Dwivedi offers healthcare providers a rare combination of practical insight and legal acuity. Her expanding regulatory practice, supported by her experience as a registered nurse, hospital administrator and trial attorney, positions her to provide the highest level of support to healthcare organizations facing compliance challenges across the industry’s most scrutinized areas.
