Julia Tamulis counsels a diverse range of clients on complex healthcare regulatory issues, focusing her practice on advising health plans on Medicare Advantage and risk adjustment compliance matters. Julia also provides healthcare regulatory analysis for transactions in the home health, primary care, and health plan sectors.
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, pharmaceutical, long-term care, and imaging sectors, as well as senior healthcare executives, before U.S. Attorneys’ Offices and the Department of Health and Human Services (HHS) Office of Inspector General in FCA, Stark Law, and Anti-Kickback Statute enforcement actions.
Julia Tamulis counsels a diverse range of clients on complex healthcare regulatory issues, focusing her practice on advising health plans on Medicare Advantage and risk adjustment compliance matters. Julia also provides healthcare regulatory analysis for transactions in the home health, primary care, and health plan sectors.
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, pharmaceutical, long-term care, and imaging sectors, as well as senior healthcare executives, before U.S. Attorneys’ Offices and the Department of Health and Human Services (HHS) Office of Inspector General in FCA, Stark Law, and Anti-Kickback Statute enforcement actions.
Julia recognizes the challenges her clients face in adapting to a constantly changing regulatory landscape. Her practice involves:
- Medicare Advantage/Managed Care – Providing analysis regarding Medicare Advantage regulatory requirements and compliance strategies, risk adjustment issues, risk-bearing provider groups and vendors, marketing requirements, rulemaking impacting Medicare Advantage, and other areas.
- Government Enforcement and Compliance– Defending clients in healthcare fraud enforcement matters through internal investigations and advocacy before government entities; conducting compliance assessments; assisting with day-to-day operational matters and internal audits; and drafting compliance policies.
- Contracting, Regulatory and Operational Matters – Advising on complex operational and regulatory matters for healthcare clients, including health plans, home health and primary care providers, and specialty pharmacies, among others.
- Medicare Reimbursement Appeals – Filing and arguing appeals before the Office of Medicare Hearings and Appeals and other levels of appeal.
A former attorney-advisor for the Departmental Appeals Board (DAB), the highest level of appeal within HHS, Julia drafted decisions involving Medicare Part A and Part B coverage and reimbursement claims.
