Assist on healthcare regulatory and compliance matters and strategy

Lead legal counsel for a ~$1B operating division of DaVita Kidney Care covering ~250 dialysis centers in Texas, New Mexico, Louisiana, and Arkansas.

Provide guidance and support to a Fortune 200 healthcare provider on compliance related matters relating to federal and state fraud and abuse laws and other health care regulatory laws that arise in the context of outpatient dialysis centers and related businesses.• Interpret and apply DaVita’s Corporate Integrity Agreement, Anti-Kickback Statute, Stark, and compliance policies to referral source agreements, such as personal services agreements, joint venture transactions, and leases.• Manage the review, risk assessment, and risk mitigation of compliance due diligence for all proposed outpatient dialysis center acquisitions with emphasis on risk relating to fraud and abuse laws, billing, and licensing.• Holistically review documentation and background information for potential agreements with referral sources for fraud and abuse risk.• Regularly interact with business clients to apply compliance principles to business practices.• Assist other compliance teammates, regulatory attorneys, and business clients in identifying and resolving compliance matters.• Advise on compliance with federal and state healthcare industry laws and regulations.• Monitor changes in relevant regulatory areas and provide education to business clients and compliance and legal teammates.

Revenue Cycle Consulting

Partner with a portfolio of health system clients representing $1.2 million of booked business to leverage performance technology to drive data-centric performance improvement and population health management; develop physician evaluation processes that comply with hospital accreditation standards; and bolster physician alignment and engagement.• Maximize return of client investment in performance technology through project management of client and internal resources; holding client and internal resources accountable to project timelines and deliverables; and challenging client executives and physicians to play active roles in cultural, clinical, and procedural changes necessary to advance the quality and efficiency of patient care. • Analyze client data and provide opportunity assessments and recommendations for performance improvement initiatives around key quality and utilization performance indicators, physician coding and documentation improvement, and population health management.• Train hospital executives, physicians, and staff on use of business intelligence software.• Support client initiatives with best practices research and performance improvement toolkits.• Document case studies highlighting client return on investment, including $1.5 million in aggregate cost savings and revenue improvement, physician documentation and coding improvement, and development of efficient and robust physician evaluation systems that comply with hospital accreditation standards.

Provided legal counsel to hospitals, healthcare organizations, and healthcare practitioners with particular focus on regulatory compliance, mergers and acquisitions, and healthcare business transactions.• Advised healthcare clients on regulatory compliance, mergers and acquisitions, and risk management strategies.• Drafted legal documents, contracts, hospital by-laws, and policies aligning business practices and relationships with applicable legal standards and institutional strategies.• Drafted, reviewed, revised, and negotiated agreements for hospitals, healthcare organizations, and healthcare practitioners, including employment agreements, independent contractor agreements, consulting agreements, management agreements, medical director agreements, nurse protocol agreements, business associate agreements, lease agreements, asset purchase agreements, and nondisclosure agreements.• Advised hospitals on regulatory compliance for specific business practices and/or transactions, especially in the areas of PPACA, HIPAA/HITECH, Anti-Kickback, Stark, False Claims, Medicare and Medicaid reimbursement, and state regulation and licensing.• Conducted due diligence in connection with complex multimillion dollar healthcare technology company mergers and acquisitions.• Served as second chair in an arbitration hearing concerning a Medicaid reimbursement dispute that resulted in an award in excess of $4 million for the client.

Provided legal counsel to large businesses and healthcare organizations with a practice concentrated in the areas of commercial contract law, compliance, risk management, litigation, and general business law.• Drafted, reviewed, revised, and negotiated 100+ agreements for a medical device manufacturer, including pricing agreements with hospitals and group purchasing organizations, consulting agreements, confidentiality agreements, service agreements, equipment lease agreements, consignment agreements, and event contracts.• Advised physicians on practice management and regulatory compliance and formed corporate entities for clients based on identified business needs. • Provided advice and risk assessment for specific business practices and/or transactions, especially in the areas of Anti-Kickback, Stark, False Claims, Medicaid, and the Uniform Commercial Code.• Prepared a presentation regarding Red Flags Rules and online data security for a corporate counsel seminar.

Provided legal analysis, trial document preparation, and case management for employment and cargo litigation attorneys at FedEx World Headquarters.

Managed an inventory of flight markets totaling over $100 million in annual revenue to maximize the revenue per passenger miles. Presented a monthly market performance review to the Senior Vice President of Pricing and Yield Management.