Julia Tamulis focuses her practice on counseling a diverse range of clients on healthcare regulatory and compliance matters. A former attorney-advisor for the Department of Health and Human Services (HHS), Departmental Appeals Board (DAB), the highest level of appeal within HHS, Julia has written more than 100 decisions involving Medicare Part A and Part B coverage and reimbursement claims. Since leaving HHS DAB, Julia’s practice involves addressing complex healthcare regulatory issues in operations, compliance, and healthcare transactions. Julia advises pediatric hospital systems on internal compliance matters, including daily operations issues, privacy incidents, and internal compliance audits. She also works with specialty pharmacy clients to draft and negotiate agreements across the drug supply chain, including distribution and pharmacy services agreements, and provides guidance on healthcare regulatory requirements applicable to pharmacies and pharmaceutical manufacturers.
Drawing on her healthcare regulatory experience, Julia assists with internal compliance reviews and responding to government investigations, including defending companies facing government scrutiny in False Claims Act (FCA) matters. She has represented clients in the medical device, Medicare Advantage, long-term care, and imaging sectors, as well as senior healthcare executives, before U.S. Attorneys’ Offices and the HHS Office of Inspector General in FCA, Stark Law, and Anti-Kickback Statute enforcement actions.
American Health Lawyers Association (AHLA) — Hospitals and Health Systems Practice Group, Vice Chair (2018-2020); Hospitals and Health Systems Practice Group, Leadership Development Program (2015-2016)
Women’s White Collar Defense Association
D.C. Bar Association — Health Law Section, Steering Committee Co-Chair (2016-2018); Health Law Section, Steering Committee (2015-2016); Health Law Section, New Practitioners Planning Committee (2014-2017)
Successfully defended a number of clients across industry sectors, including hospitals, physician practices, hospices, home health agencies and DMEPOS suppliers, in appealing audit results where statistical sampling was used to calculate to extrapolated overpayment demands.
Currently serve as outside counsel for one of the largest national hospice providers, handling audit response issues and appealing unfavorable audit results, which has resulted in overturning millions of dollars in overpayment demands.
Currently serve as outside counsel for a publicly traded senior living in responding to home health and hospice audits.
Represented Addus HomeCare Corporation in its acquisition of Ambercare for $40 million.
Represented a large hospital system and negotiated a favorable settlement with HHS-OIG utilizing the OIG’s Self-Disclosure Protocol. More specifically, our team conducted an internal investigation into possible compliance issues, drafted the disclosure for provision to HHS-OIG, and negotiated the final settlement between the parties resulting in a favorable resolution for the hospital.
Represented a global healthcare company in relation to an investigation conducted by DOJ and HHS-OIG into alleged violations of the False Claims Act. The alleged false claims involved the manner in which certain negative pressure wound therapy devices were being marketed and distributed as durable medical equipment. Conducted an internal investigation and negotiated a favorable settlement with DOJ, HHS-OIG, and counsel for the relator. No post-settlement oversight was required.
Represented Pharos Capital Group, LLC in its acquisition of an adolescent residential treatment center
Lead counsel representing Medicare Advantage service provider in qui tam that alleged that defendants caused the inflation of risk adjustment scores. U.S. ex rel. Ramsey v. Censeo Health, L.L.C., No. 3:14-cv-118 (N.D. Tex.)
Represented Modern HC Holdings, Inc. in its sale to The Kroger Company
Represented Healthways (NASDAQ: HWAY) in the sale of its Total Population Health Services (TPHS) business to Sharecare, Inc.
Washington, D.C. Super Lawyers “Rising Star” (2016-2019)
The George Washington University Law School — J.B. and Maurice C. Shapiro Public Service Fellowship Recipient
American Intellectual Property Law Association (AIPLA) Quarterly Journal — Editorial Staff Member
University of Oxford — International Human Rights Law Program (2009)