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How did a clerkship with Judge Merritt change the way Chris Climo approaches the practice of law? Find out more>

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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

Download the Healthcare Fraud & Abuse Review 2017, authored by Bass, Berry & Sims

The Healthcare Fraud & Abuse Review 2017 details all healthcare-related False Claims Act settlements from last year, organized by particular sectors of the healthcare industry. In addition to reviewing all healthcare fraud-related settlements, the Review includes updates on enforcement-related litigation involving the Stark Law and Anti-Kickback Statute, and looks at the continued implications from the government's focus on enforcement efforts involving individual actors in connection with civil and criminal healthcare fraud investigations.

Click here to download the Review.

Lisa Rivera and Jeff Gibson Author Modern Healthcare Article on Application of Yates Memo within Healthcare Organizations

Modern Healthcare

Publications

November 14, 2016

Bass, Berry & Sims attorneys Lisa Rivera and Jeff Gibson authored a guest column for Modern Healthcare reviewing the directives of the Yates Memo as it impacts investigations related to healthcare fraud and abuse. While Lisa and Jeff contend that the enforcement outlined in the Yates Memo is merely building upon a decades-old position, "[w]hat is new, taking the Yates memo and other Obama administration directives as a whole, is a narrower, more difficult path for healthcare organizations hoping to earn 'cooperation credit' when providing information to the government."

The article also provides several practical steps for healthcare companies to implement in order to cooperate with government investigations:

  1. Creating, implementing and regularly evaluating a robust compliance program
  2. Conducting prompt, thorough internal investigations
  3. Considering the ramifications of any action on all potential enforcement fronts, including possible actions against the individuals managing or making decisions on behalf of the corporation. 

The full article, "Commentary: Raising the Bar on 'Cooperating Fully' with the Government," was published by Modern Healthcare on November 11, 2016, and is available online.


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