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Primary Care Providers Win Challenge of CMS Interpretation of Enhanced Payment Law

With the help and support of the Tennessee Medical Association, 21 Tennessee physicians of underserved communities joined together and retained Bass, Berry & Sims to file suit against the Centers for Medicare & Medicaid Services to stop improper collection efforts. Our team, led by David King, was successful in halting efforts to recoup TennCare payments that were used legitimately to expand services in communities that needed them. Read more

Tennessee Medical Association & Bass, Berry & Sims

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Thought Leadership

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Thought Leadership Spotlight

Healthcare Transactions: Year in Review 2018Last year, CVS Health Corp. (NYSE: CVS) announced it would purchase health insurer Aetna Inc. (NYSE: AET) for $67.5 billion, a transaction that would be one of the biggest healthcare mergers in the past decade. The transaction raises an intriguing question: is this the beginning of a transformational shift in healthcare?

Recently, members of our healthcare group authored the Healthcare Transactions: Year in Review outlining 2017 M&A activity and drivers in the following hot healthcare sectors:

• Managed Care
• Hospitals
• Post-Acute Care—Home Health & Hospice
• Ambulatory Surgery Centers (ASCs)
• Healthcare Information Technology (HIT)
• Behavioral Health
• Physician Practice Management

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Matt Curley Discusses Steps Healthcare Providers Can Take to Avoid FCA Whistleblower Lawsuits

Becker's Hospital Review

Media Mentions

February 11, 2016

Bass, Berry & Sims attorney Matt Curley discusses practical steps that healthcare providers should consider in order to reduce the risk of employees and third parties pursuing whistleblower lawsuits under the False Claims Act (FCA). According to Matt, the following precautions could lessen the chances of whistleblowers filing claims:

  1. Improve visibility – "'When compliance leaders are visible and relatable, employees will feel more comfortable going to them with concerns.'"
  2. Conduct training – Live, in-person training is recommended when possible.
  3. Close the loop – When possible, it is important to provide feedback to employees who have raised compliance concerns.
  4. Remember third-party whistleblowers – Healthcare providers should evaluate agreements with third parties and determine whether additional protections against whistleblowing can be inserted into those agreements. 

The full article, "How to Avoid Whistle-blower Lawsuits: 4 Key Tips for Healthcare Leaders," was published by Becker's Hospital Review on February 10, 2016 and is available online.


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