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Law Firm
Attorney
Health Care
Min 5 yrs required
Mid- or Senior-level Fraud and Abuse Attorney The candidate should have strong academic credentials with a J.D. degree. Must have 5+ years of relevant healthcare regulatory and compliance experience with a demonstrated deep expertise in the federal fraud and abuse laws and current knowledge of the regulatory framework, especially as it relates to the 2020 Stark Law and Anti-Kickback Statute final rules. Should be able to apply working fraud and abuse knowledge to arrangements involving hospitals, physicians and group practices, ambulatory surgery centers, clinical labs and other health care providers and contractual matters, including professional services, recruitment and employment agreements. Should also be able to navigate state kickback and self-referral prohibition laws. Should also have knowledge of and experience with working with both the OIG and CMS voluntary self-disclosure processes. Additional experience advising clients on regulatory matters related to Medicare and Medicaid regulations, including experience with coding coverage and payment rules, and any health-reform related initiatives (such as ACOs, medical homes, bundled payment programs); as well as regulatory counseling in connection with corporate and transactional matters with health care providers, such as, mergers, acquisitions, joint ventures, affiliations, MSOs, IPAs, and PHOs needed. Admission to practice law in one of the following jurisdictions is mandatory: California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York, Florida, Tennessee, Texas, or Washington DC.
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