- Healthcare fraud and abuse
- Compliance and audits
- Managed care disputes
- IT software vendor disputes
- Privacy and data security
- Antitrust and trade practices
- Professional liability and risk management
- Medical staff disputes
Healthcare Disputes
Disputes in the healthcare industry are on the rise. They stem from aggressive government and commercial payor initiatives and positions on reimbursement issues, strict rules on data privacy, and fast-moving technological advances where there may be inconsistent expectations among the parties involved. All of these issues can be very complex and they often involve sensitive business relationships. The fair and prompt resolution of these disputes can be critical to operational success.
Our Healthcare Disputes Group focuses on these disputes and they have a proven record of success. We also provide operational support on more "routine" investigations and other matters creating potential liability and we regularly provide in-service training to help clients stay ahead of these issues. Our clients include hospitals and health systems, nonprofit academic medical centers, ambulatory surgery centers, air ambulance companies, specialty pharmacy, dialysis centers, clinical laboratories, senior living communities, home healthcare companies, physician practice management companies, and physicians' practices.
We use an interdisciplinary approach, engaging lawyers from our healthcare regulatory and operations group to create the right legal team for every investigation or dispute.
Our healthcare dispute services include:
Experience
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We successfully defended a regional home health agency in a responding to an audit conducted by the Office of Audit...
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We successfully represented a multi-hospital non-profit health system in negotiating practice leases with several physician groups in specialties including orthopedics,...
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We successfully defended a national hospice provider against Centers for Medicare & Medicaid Services’ (CMS) determination that the provider failed...
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We successfully defended two agencies of a national hospice provider against Centers for Medicare & Medicaid Services’ (CMS) determination that...
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Lead counsel representing Tennessee Oncology, PLLC, in an investigation of False Claims Act allegations arising from a qui tam case...
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We defended a national home healthcare provider in appealing an $18 million extrapolated overpayment resulting from a UPIC audit. Through...
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We represented AmSurg Holdings, Inc. in a dispute with a group of physicians seeking to invalidate a non-compete provision that...
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We serve as lead counsel for the company and 23 individual defendants in a putative class action alleging violations of...
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We served as lead counsel for Envision Healthcare Corporation and current and former board members in four derivative actions asserting...
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We represented Quest Diagnostics (NYSE: DGX) in its acquisition of the outreach laboratory services operations of Marin General Hospital, a non-profit, full-service...
Professionals
Publications
Past Events
"Bass, Berry & Sims holds a deep bench with varied expertise across both regulatory and transactional healthcare matters. It is well equipped to handle significant multistate M&A deals, recapitalizations and dispositions. It is regularly mandated on joint ventures and syndications, in addition to compliance matters and government investigations. The firm's clients include healthcare companies, pharmacy groups, private equity investors and long-term care centers." Client feedback: "Bass, Berry & Sims has the breadth and depth of knowledge to handle complex and sophisticated matters." "Bass, Berry & Sims provides expert advice on business strategy and healthcare compliance matters." "The firm provides a high-level, excellent service and responds immediately."
From Chambers USA 2023
