About

Provided by Bass, Berry & Sims PLC

Healthcare Practice Summary

Marked by an integrated approach & unmatched regulatory knowledge, our healthcare practice consists of more than 325 attorneys who leverage their diverse strengths to meet the demands of our clients within one of the largest, most highly regulated industries.

  • Represent over 200 businesses in the healthcare industry, 30 of which are publicly traded
  • Represent clients in more than 20 healthcare industry sectors
  • Represented healthcare clients in transactions with a combined value in excess of $136B and more than $52 billion in debt and equity offerings

Regulatory

Our team navigates complex state & federal regulations including five major areas:

  • Mergers & acquisitions
  • Joint ventures & syndications
  • Contracting, regulatory & operational
  • 340B & reimbursement
  • Compliance & investigations

Investigations, Enforcement & Compliance

Our team includes former members of DOJ, several former Assistant U.S. Attorneys, & two former members of HHS-OCIG, the branch responsible for promulgating the modified safe harbors to the AKS. We counsel clients on civil and criminal exposure related to healthcare fraud and abuse allegations, including:

  • Alleged violations of various laws such as the Stark Law; AKS; & Food, Drug and Cosmetic Act
  • Investigations & litigation under the FCA
  • Internal compliance investigations
  • Managed Care, Medicare Advantage, & Risk Adjustment Compliance
  • Medicare & Medicaid compliance, governmental contractor audits, including MAC, RAC, ZPIC & UPIC audits

Chambers Review

Provided by Chambers

Healthcare - District of Columbia

4
Band 4

What the Team is Known For

Bass, Berry & Sims PLC provides extensive skill in fraud and abuse matters such as Stark Law and Anti-Kickback Statute concerns. Regularly counsels a broad range of clients including manufacturers, pharmaceuticals, hospitals and health systems. Experience spans internal investigations, litigation and compliance issues related to Medicare.

Work Highlights

  • Bass, Berry & Sims conducted a comprehensive review of the effectiveness of the compliance program across the entire Johns Hopkins Health System.

Strengths

Provided by Chambers

Notable Practitioners

Provided by Chambers

Jeffrey Davis
5
Jeffrey Davis
5
Band 5

Jeffrey Davis has significant experience of providing counsel on the 340B drug-pricing program. He is also an expert on Medicare and Medicaid billing and reimbursement matters.

Jeffrey is responsive and practical.

Jennifer Michael
5
Jennifer Michael
5
Band 5

Jennifer Michaels handles Medicare reimbursement, drug pricing and other compliance work, particularly concerning fraud and abuse regulations. She acts for a range of healthcare clients, including health systems and medical centers.

Ranked Lawyers at
Bass, Berry & Sims PLC

Provided by Chambers
Filter by
Band

District of Columbia

Healthcare

Jeffrey Davis
5
Jeffrey Davis
5
Band 5
Jennifer Michael
5
Jennifer Michael
5
Band 5

Members

Provided by Bass, Berry & Sims PLC

Clients

Provided by Bass, Berry & Sims PLC

Ballad Health

Centene Corporation

CenterPointe Behavioral Health System

Consonance Capital Partners

Diversicare Healthcare Services

Envision Healthcare Corporation

HCA Holdings, Inc.

Methodist Le Bonheur Healthcare

Resurgens Orthopaedics

SouthEast Eye Specialists, PLLC

Industries

Provided by Bass, Berry & Sims PLC

Academic medical centers

Ambulatory surgery centers

Behavioral health

Cancer therapy

Clinical laboratories

Dermatology

Diagnostic imaging

Digital health

Healthcare information technology

Home health & hospice

Hospitals & health systems

Life sciences

Managed care

Medical device

Medical transportation

Nonprofit providers

Orthotics & prosthetics

Physician practice, outsourced physician services & management companies

Private equity

Revenue cycle management

Senior housing & long-term care

Specialty pharmacy & pharmaceuticals

Telemedicine

Urgent & retail care clinics

Wellness & disease management