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Phone: 303.583.8211
Fax: 720.228.2316

Jennifer L. Evans

Shareholder
Jennifer Evans brings legal, legislative and operational experience to health care matters. Her legal practice is focused on fraud and abuse, Medicare and Medicaid reimbursement issues and regulatory compliance. Ms. Evans' clients have included multi-state service providers to chronic patients, multi-state pharmacies, Durable Medical Equipment companies, hospitals, physician practice managers, laboratories, health care management franchisors and a specialty services extension of a physician practice.

Ms. Evans also served as deputy director of the Colorado Department of Health Care Policy and Financing, the single state agency responsible for administering Medicaid and the Child Health Plan Plus programs. At HCPF Jennifer served as office director for administration and operations with responsibility for audit, procurement, program integrity, coordination of benefits, privacy, provider enrollment, claims payment, operations, and information technology, including health information technology.

Memberships and Affiliations

  • American Health Lawyers Association

Experience

  • Advising clients on federal health care program reimbursement and payment issues, including Medicare and Medicaid requirements and limitations
  • Resolution of Medicaid overpayment investigations without imposition of penalties
  • Advising clients on fraud and abuse issues and implications of corporate transactions in a variety of forms including joint ventures with physician and hospital referrals, appropriate billing and cost reporting to Medicare and Medicaid, payments to physicians other than referral sources, and overpayment returns to Medicare and Medicaid
  • Resolution of Medicaid reimbursement issues
  • Defending clients against allegations of fraud and abuse and submission of false claims
  • Settlement of overpayment allegations by commercial health insurers
  • Building and maintaining a compliance program for health care provider to avoid prospective violations of fraud and abuse laws and avoid the submission of false claims
  • Advising clients regarding Medicare DME Competitive Bid Awards
  • Participating in the negotiation and implementation of corporate integrity agreements and final settlement of health care fraud and abuse investigations
  • Operational responsibility for Medicaid claims payment totaling nearly $4 billion per year
  • Negotiating $50 million multi-year IT contract for eligibility determination
  • Management of external audit and program integrity contractors
  • Serving on National Governors' Association Center for Best Practices working group on Health Information Technology and Exchange.
  • Represented non-profit health care organization before Congress
  • Legislative assistant for health care and legislative director in the U.S. Senate
  • Working group member of Clinton White House Task Force on Health Care Reform (1993 and 1994)

Publications & Presentations

2011
2011 Health Care Regulatory Update
2011
Colorado Hospital Association Healthcare Reform Task Force
2010
American Health Lawyers Association, Fundamentals of Health Law
2010
American Health Lawyers Association, Institute on Medicare and Medicaid Payment Issues
2010
Colorado Healthcare Financial Management Association, Compliance Conference
2010
Integrated Delivery Round Table
2010
Colorado Hospital Association Health Care Regulatory Update
2009
American Health Lawyers Association, Fundamentals of Health Law
2009
Colorado Healthcare Financial Management Association, Rural Conference
2009
2008
Health Care Compliance Association Mountain Regional Conference