Healthcare Fraud & Abuse Review 2021

JENNIFER E. MICHAEL Member | 202.827.2960 | jennifer.michael@bassberry.com

DANIELLE M. SLOANE Member | 615.742.7763 | dsloane@bassberry.com

Jennifer Michael draws on her experience as the former Chief of the Industry Guidance Branch at the U.S. Department of Health and Human Services (HHS), Office of Counsel to the Inspector General (OCIG) to help healthcare providers and life science companies avoid potential fraud and abuse landmines and defend them in fraud and abuse investigations. Jennifer helps her clients structure their arrangements to comply with the federal Anti-Kickback Statute (AKS), the federal Civil Monetary Penalty (CMP) law, and other state and federal fraud and abuse laws and navigate government investigations under the federal False Claims Act (FCA). She also leads internal investigations for healthcare companies to identify and quantify potential overpayments from federal healthcare programs; advises on fraud risks of existing and proposed arrangements in connection with pending and proposed transactions; and designs, implements, and evaluates compliance programs.

Danielle Sloane helps life sciences and healthcare clients navigate federal and state healthcare laws and regulations. She frequently advises clients on compliance, fraud and abuse, reimbursement, and operational matters, including in the context of transactional diligence and structuring, reimbursement, contractual relationships, compliance reviews, self-disclosures, and voluntary repayments.

JULIA K. TAMULIS Member | 202.827.2999 | jtamulis@bassberry.com

Julia Tamulis provides guidance on government investigations of healthcare providers concerning potential fraud and abuse matters, including under the AKS, Stark Law, and FCA. She assists healthcare companies with internal compliance reviews and investigations and advises healthcare providers on Medicare appeals related to government audits. Julia previously was an attorney-advisor for HHS’s Departmental Appeals Board.

LISA S. RIVERA Member | 615.742.7707 | lrivera@bassberry.com

Lisa Rivera advises healthcare providers on matters related to compliance and internal investigations, as well as responding to government investigations and enforcement of civil and criminal healthcare fraud. Lisa previously served for 13 years as an Assistant U.S. Attorney, with 10 of those years spent in the U.S. Attorney’s Office for the Middle District of Tennessee, where she was Civil and Criminal Healthcare Fraud Coordinator and responsible for the review and coordination of all criminal and civil healthcare fraud investigations, as well as handling her own civil and criminal healthcare cases. She is an adjunct professor teaching Healthcare Fraud and Abuse at Belmont University College of Law. BRIAN D. ROARK Co-chair, Healthcare Fraud Task Force | Member | 615.742.7753 | broark@bassberry.com Brian Roark is co-chair of Bass, Berry & Sims’ Healthcare Fraud Task Force and concentrates his practice on representing healthcare clients in responding to government investigations and defending FCA lawsuits. He has successfully litigated and resolved numerous healthcare fraud matters and frequently represents clients in connection with Medicare audits and overpayment disputes. Brian is an adjunct professor at Vanderbilt Law School, teaching Healthcare Fraud and Abuse.

SENIOR ATTORNEYS & ASSOCIATES

MICHAEL K. BASSHAM Michael Bassham represents healthcare clients in government enforcement and compliance actions concerning the federal and state Stark Laws, AKS, and FCA. He works closely with providers to help them navigate the complex Medicaid requirements in relation to fraud and abuse regulations. Michael spent more than seven years as Chief Deputy General Counsel and then General Counsel of the Bureau of TennCare, the Tennessee Medicaid program. Before that, he prosecuted civil healthcare fraud cases for more than a decade at the Tennessee Attorney General’s Office. NATHAN F. BROWN Nathan Brown focuses his practice on representing clients in investigations and related litigation, and government actions, particularly involving the False Claims Act, Anti-Kickback Statute and Stark Law. In addition, Nathan assists corporate clients with internal compliance assessments and internal investigations regarding regulatory compliance matters. GARRAH CARTER-MASON Garrah Carter-Mason represents clients in complex business litigation and government investigations. She recently completed a clerkship with the Honorable Judge Eli J. Richardson of the U.S. District Court for the Middle District of Tennessee.

GLENN B. ROSE Member | 615.742.6273 | grose@bassberry.com

Glenn Rose represents clients in complex business disputes and healthcare litigation, including defending FCA lawsuits, conducting internal investigations, and assisting clients with risk management issues.

MOLLY K. RUBERG Member | 615.742.7862 | mruberg@bassberry.com

Molly Ruberg represents clients in connection with internal investigations, government enforcement actions, and civil and criminal proceedings, particularly involving matters of alleged fraud and abuse in the healthcare sector.

ABOUT BASS, BERRY & SIMS | 81

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