Close X
Attorney Spotlight

How does Jessie Zeigler anticipate the intersection of privacy and smart technology will impact the future of litigation? Find out more>

Search

Close X

Experience

Search our Experience

Experience Spotlight

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

Close X

Thought Leadership

Enter your search terms in the relevant box(es) below to search for specific Thought Leadership.
To see a recent listing of Thought Leadership, click the blue Search button below.

Thought Leadership Spotlight

Healthcare Private Equity Compliance Checklist

The complex and ever-changing healthcare regulatory and enforcement environment, including increased focus on the role of private equity firms in their portfolio companies, make compliance a top priority for private equity firms investing in healthcare companies. The best way to limit your exposure as a private equity firm is to avoid a compliance misstep in the first place. Additionally, an effective and robust compliance program for your portfolio healthcare company makes it much more attractive to potential buyers and helps you avoid an unexpected and costly investigation or valuation hit down the road. Download the Healthcare Private Equity Compliance Checklist to assess whether your portfolio company's compliance program is up-to-date.

Click here to download the checklist.

Anna M. Grizzle

Member

Nashville
(615) 742-7732 TEL
(615) 742-2741 FAX

Anna M. Grizzle

Member

Nashville
(615) 742-7732 TEL
(615) 742-2741 FAX
Nashville
(615) 742-7732 TEL
(615) 742-2741 FAX

With over fifteen years of experience, Anna helps healthcare clients address enforcement and compliance issues and respond to legal and regulatory violations. She also advises healthcare companies on regulatory and compliance matters, including transactions involving mergers, acquisitions, joint ventures and dispositions. With significant experience in defending against statistical sampling and extrapolation in Medicare and Medicaid claims audits, Anna also has saved healthcare companies tens of millions of dollars in potential overpayment demands.

With over fifteen years of experience, Anna helps healthcare clients address enforcement and compliance issues and respond to legal and regulatory violations. She also advises healthcare companies on regulatory and compliance matters, including transactions involving mergers, acquisitions, joint ventures and dispositions. With significant experience in defending against statistical sampling and extrapolation in Medicare and Medicaid claims audits, Anna also has saved healthcare companies tens of millions of dollars in potential overpayment demands.

Representing national hospitals, health systems, hospices, ambulatory surgery centers and a variety of other healthcare providers, laboratories and DMEPOS suppliers from many industry sectors, Anna's practice involves:

  • Mergers & Acquisitions – Providing counsel on healthcare transactions including the structuring of arrangements, regulatory and operational implications of potential transactions, and resolution of potential regulatory compliance issues arising during the transaction, including the development of action plans to address potential overpayments through repayments or self-disclosures.

  • Contracting, Regulatory & Operational Matters – Counseling on healthcare operations and compliance, such as fraud and abuse, arrangements with referral sources, billing and reimbursement, patient care, quality, and risk management issues

  • Government Enforcement & Compliance – Developing, implementing and evaluating the effectiveness of compliance programs, including:

    • Providing advice on the reporting and repayment of overpayments, as appropriate, including representing clients in self-disclosures, including disclosures made through self-referral (Stark) and OIG disclosure protocols.
    • Conducting internal investigations, including coordinating the hiring of outside statistical, coding or billing experts.
    • Representing clients in responding to and, if necessary, appealing the results of payor claims audits, including those performed by Recovery Audit Contractors (RACs), Program Safeguard Contractors (PSCs) n/k/a Zone Program Integrity Contractors (ZPICs) and Medicaid Integrity Contractors (MICs).
    • Assisting clients in resolving any issues with enforcement authorities, if audit results are referred to law enforcement.
    • Drafting and revising compliance program documents, including Codes of Conduct, policies and procedures, forms, and job descriptions.
    • Developing and presenting compliance training programs to boards of directors, officers, and clinical and administrative staff.
    • Developing and reviewing policies, procedures, and audit checklists for risk areas in anticipation of government investigations or inquiries.
  • Healthcare Fraud & Abuse – Representing clients in connection with False Claims Act litigation, self-disclosures, internal investigations and responding to governmental inquiries regarding potential regulatory, compliance and clinical issues, conducted by the Office of Inspector General, United States Department of Justice, the Centers for Disease Control and Prevention, state Attorney Generals' offices, and state regulatory agencies.

  • Healthcare Disputes – Defending clients in medical malpractice actions and commercial litigation.

Anna's leadership abilities and visionary judgment make her a go-to advisor in the healthcare sector. In addition, Anna is certified in healthcare compliance (CHC)®. She is also among the most trusted leaders of Bass, Berry & Sims, serving on the firm's Executive Committee.

+ Read More

- Read Less

Memberships

Health Care Compliance Association

American Health Lawyers Association (AHLA)

American Bar Association — Women in White Collar Subcommittee

News

View More

Representative Experience

View More

Publications

View More

Upcoming Events

Past Events

View More

Media Mentions

View More

Accolades

Chambers USA — Healthcare (2016-2018)

Best Lawyers in America® — Health Care Law; Litigation: Health Care (2013-2018)

Best Lawyers in America® — Nashville Litigation: Health Care "Lawyer of the Year" (2017)

Certified in Healthcare Compliance (CHC)®

Mid-South Super Lawyers "Rising Star" (2011-2012)

Nashville Business Journal "Health Care Hero" (2015)

Nashville Business Journal "Forty Under 40" (2012)

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.