William T. Mathias
Bill Mathias is a healthcare regulatory attorney with a focus on fraud and abuse and Stark Law issues. He draws on over 25 years of experience to help national healthcare organizations address their thorniest healthcare regulatory issues.
He works with healthcare organizations to structure complex business arrangements, including joint ventures and strategic transactions, to manage risk while meeting their business objectives. Investors and healthcare organizations look to Bill to identify legal and compliance risks through due diligence and internal investigations and to devise strategies for managing legal risks and successfully resolving compliance issues.
Bill is a recognized authority on the federal Anti-Kickback Statute (AKS), the Stark Physician Self-Referral Law, the Eliminating Kickbacks in Recovery Act (EKRA) and the federal Civil Monetary Penalty regulations. He regularly assists with government investigations and defending False Claims Act lawsuits and other enforcement actions.
Memberships
American Health Law Association (AHLA) — Fraud & Abuse Practice Group, Vice Chair (2008–2014), Advisory Opinion Task Force (2004–2008); Mentoring Program; Public Interest Contributor
American Bar Association — Health Law Section: Co-Chair, Planning Committee, Emerging Issues in Healthcare Law Conference (2022-present); Vice Chair, Planning Committee, Emerging Issues in Healthcare Law Conference (2017-2022); Vice Chair, Business & Transactions Interest Group (2009-2012)
Maryland State Bar Association
Serjeants Inn Law Club
U.S. Court of Appeals, Fourth Circuit Judicial Conference
Legal Aid Bureau —Young Lawyers Division, Past Board Member
Publications
Past Events
Media Mentions & Firm News
Additional News & Insights
Publications
- “Donating Health Care Electronic Health Record Systems, Cyber Tech Could Get Easier,” (co-author) Bloomberg Law (December 2019)
- “Recent Florida Patient Brokering Act Developments Spark Growing Quandary,” Daily Business Review (September 2019)
- “Due Diligence in a Dynamic Health Care Landscape,” (author) Bloomberg BNA (2016)
Presentations
- “The Role of Boards of Directors and How to Interact with Them,” AHLA Fraud and Compliance Forum (October 2021)
- “Co-Management Arrangements in Healthcare: Compliance in Hospital-Physician Arrangements,” Strafford webinar (October 2021)
- “Compliance and Ethics Programs: Where Risk, Data, and QAPI Intersect,” AHCA/NCAL Convention & Expo (October 2021)
- “Charitable Patient Assistance Programs: Ensuring Compliance,” Strafford webinar (February 2021)
- “20th Annual ABA Emerging Issues in Healthcare Law Conference” American Bar Association (March 2019)
- “Board Compliance Training–What’s it All About,” AHLA Fraud & Compliance Forum (September 2018)
- “Gainsharing Arrangements and Bundled Payments: OIG Advisory Opinion and Other Developments,” Strafford webinar (May 2018)
- “Achieving Hospital-Physician Integration Through Effective Co-Management Arrangements,” AHLA Physicians and Hospitals Law Institute (February 2018)
- “Healthcare Supply Chain Compliance: Minimizing Regulatory and Contractual Liability Risk,” Strafford webinar (May 2017)
- “Structuring Gainsharing Arrangements and Bundled Payments,” Strafford Webinar (March 2017)
- “What Every Seasoned Transactional Health Care Lawyer Should Know about Key Regulatory Elements of a Health Care Transaction, Part V: Common Regulatory Pitfalls in Acquisitions: the Stark Law, AKS and FCA,” AHLA webinar (May 2016)
- “Gainsharing Arrangements and Bundled Payments: Latest Developments,” Strafford webinar (December 2015)
- “Hot Compliance Risk Areas for DME Suppliers,” Medtrade Conference (October 2015)
- “Gainsharing Arrangements,” Strafford webinar (April 2014)
- “Deciphering the Self-Disclosure Puzzle,” Emerging Issues in Healthcare Law program, American Bar Association’s Health Law Section (February 2014)
- “Update from the OIG,” D.C. Bar (December 2013)
- “Cutting Through the Buzz to Get to the Hot Risk Areas for DME Suppliers,” Medtrade Conference (October 2012)
- “Healthcare Fraud and Abuse Bootcamp Webinar Series, Part VI: Trends in Government Enforcement and Best Practices for Investigating and Defending Healthcare Fraud Actions,” AHLA webinar (June 2012)
- “Legal & Investigational Issues with Short Stays,” AHLA, Institute on Medicare and Medicaid Payment Issues (March 2012)
- “Practical Side of Investigating And Reporting Overpayments,” ABA Health Law Section, Emerging Issues in Healthcare Law Conference (February 2012)
Accolades
The Best Lawyers in America© — Health Care Law (2021-2023)
Expert Guides to the Leading Lawyers — Best of the Best USA, Healthcare Category (2014)
Maryland Super Lawyers (2012–2014)
Nightingale’s Health Care News — “Outstanding Healthcare Fraud and Compliance Lawyer” (2008), “Outstanding Young Healthcare Lawyer” (2003)
Maryland Law Review — Associate Editor
Education
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University of Maryland Francis King Carey School of Law - J.D., 1996
With honors
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Amherst College - B.A., 1990
cum laude
Admissions
- District of Columbia, 2022
- Maryland, 1996
- U.S. District Court, District of Maryland, 1997
- U.S. Court of Appeals, Fourth Circuit, 1997
- Court of Appeals of Maryland, 1996
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