Matters
- Advised a private equity sponsor in the acquisition of a multi-state ABA platform; identified reimbursement and credentialing considerations that informed valuation, escrow structure, and post-closing integration strategy.
- Served as lead healthcare regulatory counsel in the sale of one of the largest medical oncology practices in the United States.
- Led diligence for a specialty pharmacy platform, evaluating infusion and compounding reimbursement models across Medicare and multiple payor requirements; findings informed transaction structure and growth assumptions.
- Counseled multiple national diagnostic laboratories on coverage and payment considerations, including coding and billing practices.
- Represented numerous healthcare providers in responding to government audit and reimbursement-related claims, including Federal False Claims Act matters, mitigating financial exposure and operational disruption.
- Advised investors and operators on Medicare and Medicaid reimbursement strategies tied to expansion into new states, including licensure and corporate practice of medicine considerations.
- Structured reimbursement and compliance frameworks for platform roll-up strategies in behavioral health and ancillary services sectors.
- Assisted healthcare providers in resolving complex payment disputes with CMS, Medicare contractors, and commercial payors affecting ongoing revenue streams.
