Jennifer Evans is a Shareholder in the Health Care Department, Practice Leader of the firm’s Health Care Compliance practice and Office Managing Partner of the firm’s Denver Office. Her legal practice is focused on fraud and abuse, Medicare and Medicaid reimbursement and regulatory compliance. She advises large health systems, emerging companies in health care and entities focused on behavioral health serving commercial and safety net patients.

Jennifer served as Deputy Director of the Colorado Department of Health Care Policy and Financing, the single state agency responsible for administering Medicaid and the CHP+ programs. At Colorado Medicaid she was responsible for Administration & Operations including audit, program integrity, provider enrollment, provider enrollment, claims payment and information technology. Jennifer previously served as Legislative Director and Legislative Assistant for Health Care in the U.S. Senate and U.S. House of Representatives.

She is a Member of the Board of Directors of the American Health Law Association (AHLA) and the Denver Metro Chamber of Commerce.
  • Secured favorable Advisory Opinion from the HHS/OIG opining that an arrangement would not create prohibited remuneration under the anti-kickback statute, and would not subject a client to administrative sanctions or exclusion from participation in Medicare and Medicaid
  • 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
  • Advised hospital associations regarding development and implementation of supplemental payment program through inter-governmental transfer and use of provider fees in the Medicaid program
  • 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 Supplemental Payment Options
  • 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
  • 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 information technology contract for eligibility determination
  • Management of external audit and program integrity contractors
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