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How does Eli Richardson's past work with the federal government inform his client interactions? Find out more>

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In June 2016, AmSurg Corp. and Envision Healthcare Holdings, Inc. (Envision) announced they have signed a definitive merger agreement pursuant to which the companies will combine in an all-stock transaction. Upon completion of the merger, which is expected to be tax-free to the shareholders of both organizations, the combined company will be named Envision Healthcare Corporation and co-headquartered in Nashville, Tennessee and Greenwood Village, Colorado. The company's common stock is expected to trade on the New York Stock Exchange under the ticker symbol: EVHC. Bass, Berry & Sims served as lead counsel on the transaction, led by Jim Jenkins. Read more.

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Inside the FCA blogInside the FCA blog features ongoing updates related to the False Claims Act (FCA), including insight on the latest legal decisions, regulatory developments and FCA settlements. The blog provides timely updates for corporate boards, directors, compliance managers, general counsel and other parties interested in the organizational impact and legal developments stemming from issues potentially giving rise to FCA liability.

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Healthcare Compliance & Administrative Proceedings

Regulatory complexity and scrutiny are hallmarks of today's healthcare landscape. We have represented healthcare clients in connection with internal investigations regarding potential regulatory, compliance and clinical issues. Our experience includes representing clients in investigations conducted by the Office of Inspector General, United States Department of Justice, the Centers for Disease Control and Prevention, the Office for Civil Rights and state regulatory agencies.

We frequently work with clients to develop and implement compliance programs and provide advice on compliance-related matters. We work to develop policies in anticipation of government and commercial payer claims audits. These audits include those performed by Recovery Audit Contractors (RACs), Zone Program Integrity Contractors (ZPICs) (formerly known as Program Safeguard Contractors (PSCs)), and Medicaid Integrity Contractors (MICs). We routinely represent clients in responding to claims audits and in the appeals of audit results. This group counsels clients in antitrust regulatory requirements, corporate compliance programs and internal and government investigations.

Regulatory complexity and scrutiny are hallmarks of today's healthcare landscape. We have represented healthcare clients in connection with internal investigations regarding potential regulatory, compliance and clinical issues. Our experience includes representing clients in investigations conducted by the Office of Inspector General, United States Department of Justice, the Centers for Disease Control and Prevention, the Office for Civil Rights and state regulatory agencies.

We frequently work with clients to develop and implement compliance programs and provide advice on compliance-related matters. We work to develop policies in anticipation of government and commercial payer claims audits. These audits include those performed by Recovery Audit Contractors (RACs), Zone Program Integrity Contractors (ZPICs) (formerly known as Program Safeguard Contractors (PSCs)), and Medicaid Integrity Contractors (MICs). We routinely represent clients in responding to claims audits and in the appeals of audit results. This group counsels clients in antitrust regulatory requirements, corporate compliance programs and internal and government investigations.

Government audits of healthcare providers continue to increase in frequency and to evolve in nature and scope, and these audits bear serious consequences. At the outset of an audit, the firm can assist clients in responding to a request for medical records or help prepare for interviews conducted by auditors. In cases where an overpayment demand is received by the provider, we can assemble the coding professionals, statistical experts and independent medical experts necessary to formulate an appropriate response.

Compliance Task Force

Keeping up with the ever-changing tangle of complex regulations healthcare organizations face is tough enough. In recent years, the federal government has devoted additional financial resources to fighting fraud in healthcare and also authorized private contractors to scrutinize healthcare providers for Medicare and Medicaid fraud and abuse, such as RAC and ZPIC audits. Additionally, the Patient Protection and Affordable Care Act requires all Medicare and Medicaid providers to implement a compliance program.

A strong, robust compliance program to protect your healthcare organization has never been more important.

To assist our clients in meeting this challenge, Bass, Berry & Sims established a Compliance Task Force. This group of attorneys and other professionals brings significant experience in all aspects of developing, implementing and improving compliance programs for healthcare providers. We counsel clients on all of the elements needed to craft a comprehensive compliance program under the standards of the Federal Sentencing Guidelines and the HHS-OIG's Compliance Program Guidance.

The task force has worked with providers in numerous industry sectors across the continuum of care, from hospitals and multi-hospital health systems and ambulatory surgery centers to post-acute providers and durable medical equipment suppliers.

Members of our Compliance Task Force frequently speak on healthcare compliance to local and national groups, publish articles and network with other compliance professionals through our membership in leading organizations in the field, such as the Health Care Compliance Association and the American Health Lawyers Association. By applying our sophisticated, experienced counsel to the multitude of issues that face highly regulated healthcare services providers, we produce cost-effective and practical solutions to improve our clients' compliance programs.

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