As chair of the firm’s multi-disciplinary Managed Care practice, Lindsey Fetzer has a deep understanding of the managed care industry and partners with her clients to provide strategic guidance and solutions in this ever-evolving area. She has extensive experience working with healthcare plans, risk-bearing provider groups, and vendors, in litigation, investigation, and compliance counseling matters. She has conducted dozens of investigations and compliance audits pertaining to issues such as Medicare Advantage risk adjustment, alleged kickback schemes, sales and marketing practices, and quality reporting metrics.
Lindsey Brown Fetzer
Member
Washington, D.C.
Notice
Visiting, or interacting with, this website does not constitute an attorney-client relationship. Although we are always interested in hearing from visitors to our website, we cannot accept representation on a new matter from either existing clients or new clients until we know that we do not have a conflict of interest that would prevent us from doing so. Therefore, please do not send us any information about any new matter that may involve a potential legal representation until we have confirmed that a conflict of interest does not exist and we have expressly agreed in writing to the representation. Until there is such an agreement, we will not be deemed to have given you any advice, any information you send may not be deemed privileged and confidential, and we may be able to represent adverse parties.
Lindsey Brown Fetzer
Member
Washington, D.C.
lfetzer@bassberry.com
https://www.bassberry.com/professionals/fetzer-lindsey-brown/
Memberships
American Bar Association
American Health Law Association (AHLA)
Women’s White Collar Defense Association
As chair of the firm’s multi-disciplinary Managed Care practice, Lindsey Fetzer has a deep understanding of the managed care industry and partners with her clients to provide strategic guidance and solutions in this ever-evolving area. She has extensive experience working with healthcare plans, risk-bearing provider groups, and vendors, in litigation, investigation, and compliance counseling matters. She has conducted dozens of investigations and compliance audits pertaining to issues such as Medicare Advantage risk adjustment, alleged kickback schemes, sales and marketing practices, and quality reporting metrics.
Memberships
American Bar Association
American Health Law Association (AHLA)
Women’s White Collar Defense Association
Representative Experience
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Developed and implemented compliance protocols, strategies, and data-driven analytics for a Medicare Advantage plan to conduct oversight of network providers’ risk adjustment practices and ensure plan-wide compliance with Medicare regulations.
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Representation of a national healthcare company in an investigation related to allegations of fraudulent risk adjustment coding practices. Matter involved government disclosure and an analysis of data correction obligations.
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Representation of a Medicare Advantage Organization in an investigation related to data-driven coding anomalies and practices detected at a large contracted provider group.
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Representation of a Medicare Advantage Organization and its wholly-owned provider group in an internal investigation related to allegations of improper coding practices, hostile work environment, and non-compliance with Medicare requirements.
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Representation of a Fortune 50 healthcare company in conducting oversight of network provider marketing practices and compliance with Medicare marketing regulations.
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Representation of a Medicare Advantage plan in multiple internal investigations related to its grievance and appeal procedures.
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Representation of a national managed care organization in an internal review of potentially improper home health and hospice discharge protocols.
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Representation of a Fortune 50 healthcare company in its response to a third-party grand jury subpoena.
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Representation of a Fortune 50 healthcare company in its response to a third-party grand jury subpoena.
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Representation of a managed care organization in a review of whistleblower allegations related to the post-acquisition integration of a specialty pharmacy. The matter involved an assessment of risk specific to data privacy obligations.
Representative Experience
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Publications
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April 15, 2024 | Firm Publication
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February 26, 2024 | Firm Publication
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November 15, 2023 | GovCon & Trade Blog
Upcoming Events
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May 2-3, 2024 | Chicago, IllinoisAmerican Conference Institute
Past Events
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November 2-3, 2023 | Nashville, TenneseeAmerican Conference Institute
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September 14, 2023 | Nashville, TennesseeBass, Berry & Sims
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May 23, 2023 | WebinarBass, Berry & Sims
Media Mentions & Firm News
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March 26, 2024 | AIS Health - Radar on Medicare Advantage
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March 7, 2024 | Health Payer Intelligence
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September 5, 2023 | STAT News
Publications
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April 15, 2024 | Firm Publication
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February 26, 2024 | Firm Publication
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November 15, 2023 | GovCon & Trade Blog
Media Mentions & Firm News
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March 26, 2024 | AIS Health - Radar on Medicare Advantage
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March 7, 2024 | Health Payer Intelligence
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September 5, 2023 | STAT News
Accolades
Best Lawyers: Ones to Watch® in America — Health Care Law (2021-2024)
Best Lawyers® : Women In The Law Ones To Watch (2021)
Thomson Reuters — Stand-Out Lawyer (2023-2024)
The Wall Street Journal Best Lawyers in DC Ones To Watch (2021)
Washington, D.C. Super Lawyers “Rising Star” (2015-2024)
The Washington Post Top Attorneys Rising Stars in Washington D.C. (2015 & 2020)
Washington and Lee Journal of Civil Rights and Social Justice — Lead Articles Editor
Accolades
Best Lawyers: Ones to Watch® in America — Health Care Law (2021-2024)
Best Lawyers® : Women In The Law Ones To Watch (2021)
Thomson Reuters — Stand-Out Lawyer (2023-2024)
The Wall Street Journal Best Lawyers in DC Ones To Watch (2021)
Washington, D.C. Super Lawyers “Rising Star” (2015-2024)
The Washington Post Top Attorneys Rising Stars in Washington D.C. (2015 & 2020)
Washington and Lee Journal of Civil Rights and Social Justice — Lead Articles Editor
Related Services
Related Industries
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Washington and Lee University School of Law - J.D., 2010
magna cum laude
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Vanderbilt University - B.A., 2006
magna cum laude
Education
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Washington and Lee University School of Law - J.D., 2010
magna cum laude
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Vanderbilt University - B.A., 2006
magna cum laude
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District of Columbia, 2012
Admissions
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District of Columbia, 2012