Lisa S. Rivera
A former federal prosecutor and current chair of the firm’s Compliance & Government Investigations Practice Group, Lisa Rivera’s practice focuses on advising healthcare providers, pharmaceutical manufacturers, medical device companies and other clients on matters related to civil and criminal healthcare fraud and abuse, as well as government investigations and enforcement. Lisa has significant experience handling matters arising under the False Claims Act, the Anti-Kickback Statute, the Stark law, and various other federal and state healthcare statutes and regulations, and counsels clients on fraud and abuse matters, internal investigations and compliance issues.
For 10 years, Lisa served as an Assistant United States Attorney in the U.S. Attorney’s Office for the Middle District of Tennessee, where she served as Civil and Criminal Healthcare Fraud Coordinator and was responsible for the intake, review and coordination of all criminal and civil healthcare fraud investigations and claims. During more than 20 years as a state and federal prosecutor, Lisa prosecuted numerous white collar government contract and healthcare fraud cases, resulting in significant sentences and judgments. She also has investigated and resolved civil healthcare and government contract cases against hospital systems, ambulance and transportation companies, medical device companies, physician groups, laboratories, durable medical equipment suppliers, diagnostic facilities, hospice providers, long-term care facilities, pharmacies, billing companies, and Department of Defense contractors; and negotiated numerous multi-million dollar settlements and exclusion from federal programs.
Lisa also has considerable experience in conducting compliance training for healthcare providers, and has conducted healthcare training for prosecutors, federal and state regulators and law enforcement in connection with her previous role as the coordinator of the U.S. Attorney’s Healthcare Fraud Working Group.
Prior to her work in the U.S. Attorney’s Office for the Middle District of Tennessee, Lisa was an attorney with the Medicaid Fraud Control Unit with the Tennessee Bureau of Investigation, an Assistant U.S. Attorney in Puerto Rico, a state prosecutor in Florida, and had a commercial litigation defense practice in Texas. She also served as a law clerk to the Honorable James C. Paine in the U.S. District Court for the Southern District of Florida.
American Health Law Association (AHLA)
Federal Bar Association — Criminal Law Section Board, Science & Technology Committee
Tennessee Bar Association
American Bar Association
Media Mentions & Firm News
The Best Lawyers in America© — Litigation: Health Care (2023-2024)
Benchmark Litigation — Local Litigation Star: Tennessee (2023-2024)
BTI Client Service All-Stars (2020)
Leadership Council on Legal Diversity (LCLD) — Fellow (2019)
Department of Justice Director’s Award for Superior Performance as an Assistant U.S. Attorney
U.S. President’s Council on Integrity and Efficiency — Award for Excellence
Excellence for Outstanding Partnership Award — Federal Executive Board (CMS Atlanta)
Health and Human Services Office of Inspector General Integrity Award in Healthcare Fraud
Atlanta Region Council of Inspectors General — Special Achievement Award