Margaret 11-2018

                   314-394-2222 ext. 24



Margaret C. Scavotto, JD, CHC

  • Designs, implements and manages customized compliance programs to maximize compliance with complex and evolving requirements
  • Develops policies and procedures, training programs and audit tools to improve processes and operational outcomes
  • Leads workshops on compliance program development and implementation for nursing home administrators and staff
  • Helps providers promote a culture of compliance to make their program last


Margaret Scavotto, JD, CHC builds healthcare compliance programs that work. She helps health care clients design, implement and manage customized compliance programs to maximize quality and billing accuracy. Scavotto uses risk assessments, policies and procedures, online training programs, audit tools and culture campaigns to improve processes and operational outcomes. Scavotto’s training and culture strategies help clients maintain their compliance programs on a day-to-day basis, year after year.

Scavotto has spoken on compliance for LeadingAge, the National Association of Rural Health Centers, LeadingAge Illinois, LeadingAge Missouri, the Illinois Health Care Association, the Senior Living Forum, the Illinois Critical Access Hospital Network, and the Illinois Nursing Home Administrators Association, among others.

Before joining MPA, Scavotto practiced healthcare law at Lashly & Baer, P.C., in St. Louis. She advised long-term care facilities, hospitals, and other health care providers on how to comply with HIPAA and other regulatory requirements; represented clients in administrative hearings; and negotiated contracts for a multi-hospital GPO. In addition, Scavotto drafted contracts, policies and bylaws for health care entities, and represented nurses and social workers before state licensing agencies. Scavotto’s healthcare law background brings an acute understanding of the complex issues today’s providers face.

When practicing law, Scavotto devoted considerable time to pro bono work, serving as counsel to a local clinic serving indigent children, and securing a certificate of need for a not-for-profit children’s hospital.

Scavotto served as a judicial clerk for the Honorable Kenneth M. Romines on the Missouri Court of Appeals. Scavotto received her BA (Political Science) from Kenyon College; and a JD from Washington University in St. Louis; and is certified in healthcare compliance (CHC).

Education and Credentials

  • Juris Doctor, Washington University
  • Bachelor of Arts, Political Science, Kenyon College
  • Certified in Healthcare Compliance


The following were published by national third party publications. For MPA's own blog posts, see blog.

Recent and Upcoming Speaking Engagements

  • Phase 3 Compliance Update for Nursing Homes, HCCA webinar, March 18, 2020
  • Compliance Enforcement Update, Wolters Kluwer webinar, February 6, 2020
  • Phase 3 Compliance Update, LeadingAge Illinois webinar, February 5, 2020
  • HIPAA Hazards and Social Media Snafus, LeadingAge Illinois webinar, January 22, 2020
  • HIPAA Hazards for SLFs, AALC Conference, October 23, 2019
  • Is It a Breach? NARHC Fall Institute, St. Louis, October 9, 2019
  • HIPAA in the Headlines, HCCA Webinar, July 25, 2019
  • Disaster Planning in Senior Living: HIPAA Still Matters, HCCA/SCCE Webinar, May 28, 2019
  • Culture Case Studies, Health Care Compliance Association, Annual Compliance Institute, April 8, 2019, Boston
  • HIPAA Parade of Horribles: Lessons from the Headlines, HCCA/SCCE Webinar, November 7, 2018
  • Tales of the Unexpected: Puzzling HIPAA Breaches, HCCA/SCCE Webinar, July 10, 2018
  • How to Conduct a Compliance Risk Assessment, HCCA's 22nd Annual Compliance Institute, Las Vegas, NV, April 17, 2018
  • Avoiding HIPAA Hazards & Social Media Snafus, HCCA/SCCE Webinar, February 27, 2018
  • CAH Compliance Officer Update, Illinois Critical Access Hospital Network, October 12, 2017
  • Social Media Snafus, Trinity Risk Solutions Webinar, May 2, 2017
  • Compliance Officer Workshop, Illinois Critical Access Hospital Network, Springfield, IL, April 27, 2017
  • PEPPER Deciphered, Trinity Risk Solutions Webinar, March 28, 2017
  • ProviderTrust Webinar, Great, You Have a Compliance Program, Now What?, June 23, 2016
  • Hidden HIPAA Weaknesses: How to Tackle Them and Prevent a Breach, LeadingAge MO Annual Conference, September 13, 2016
  • Illinois Critical Access Hospital Network, Compliance: What's New?, Webinar, October 6, 2016
  • Illinois Critical Access Hospital Network, Compliance Workshop, Springfield, IL, May 26, 2016
  • Affordable Assisted Living Coalition, HIPAA Hazards and How to Avoid Them, Springfield, IL May 17, 2016
  • National Association of Rural Health Centers Conference, Top HIPAA Hazards and How to Avoid Them, St. Louis, Oct. 29, 2015
  • Missouri Association of Nursing Home Administrators, Compliance & HIPAA Workshop, St. Charles, MO, Oct. 27, 2015
  • LeadingAge Missouri, Compliance Conundrums and Legal Landmines, St. Louis, MO, September 2, 2015
  • Missouri Assisted Living Association, The Inevitable Data Breach: Are You Prepared? St. Louis, MO, April 21, 2015
  • Illinois Critical Access Hospital Network, Compliance Workshop, April 15, 2015, Springfield, IL
  • LeadingAge Annual Meeting, October 19-22, 2014, Cultivating a Culture of Compliance
  • Illinois Health Care Association Convention, September 9-11, 2014, Compliance Updates: Are You at Risk?
  • Illinois Nursing Home Administrators Association Conference, March 19-20, 2014, Using PEPPER to Spice Up Your Compliance Program and Avoid Costly Mistakes
  • Life Services Network of Illinois Webinar, February 26, 2014, How You Can Advance Your Compliance Effort – Now.
  • LeadingAge Missouri Webinar, February 18, 2014: What PEPPER Means for You and Your Compliance Effort
  • Life Services Network of Illinois Webinar, February 12, 2014, The Real Price of Waiting to Comply
  • LeadingAge Missouri Compliance Workshops, 2012-2013
  • Life Services Network of Illinois Annual Meeting and Exhibition, May 2-4, 2012: Achieving Quality of Care and Financial Success in Long Term Care Facilities with Effective Compliance Programs
  • Illinois Nursing Home Administrators Association March 15, 2012: Achieving Quality of Care and Financial Success in Long Term Care Facilities with Effective Compliance Programs

Judicial Clerk

  • Served as law clerk for The Hon. Kenneth M. Romines, Missouri Court of Appeals, Eastern District

Health Care Attorney

  • Represented clients before Missouri Health Facilities Review Committee
  • Won dozens of Certificate of Need approvals for hospitals and long term care facilities
  • Developed policies, procedures and bylaws for health care providers
  • Drafted and negotiated professional service and employment contracts
  • Interpreted and applied HIPAA, HITECH, RAC and other compliance/privacy law and regulation
  • Represented licensed nurses before the Missouri Board of Nursing
  • Drafted and negotiated multi-hospital group purchasing agreements
  • Trained provider teams in contract negotiation strategies
  • Provided pro bono legal counsel to local health care institution serving children



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Thanks Margaret! Your session blew me away. No wonder you packed the house.

—Rhondi Davis
National Association of
Rural Health Centers
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Outstanding guidance and support in an ever changing compliance climate... only a phone call away. So very reassuring when complex issues arise... and they will!

—Kris Decker
Compliance Officer, Retired
DeKalb County Rehab
& Nursing Center
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2705 Dougherty Ferry Road, Suite 202 • St. Louis, MO • 63122 • 314.394.2222
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