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  • Education
    • J.D., Ohio State University Moritz College of Law, 2009, Order of the Coif
    • B.A., University of Virginia, 2004, Phi Beta Kappa
Sara Iams collaborates with clients and colleagues to navigate the complex health care regulatory environment. As a result, she helps clients achieve their desired business objectives. Sara regularly counsels clients with respect to Medicare and Medicaid reimbursement matters, as well as general fraud and abuse issues. In doing so, Sara is not afraid to ask the difficult questions, and she pursues the answers with a steadfast attention to detail.
  • Analyze Medicare and Medicaid statutes and regulatory guidance to identify and advise clients regarding payment and coverage of diagnostic and therapeutic services rendered within various settings (including inpatient, outpatient, and freestanding facilities).
  • Prepare risk analyses to address complex regulatory compliance issues, including issues related to the Medicare Secondary Payer rules, the Medicare three-day payment window policy, and the provider-based rules.
  • Advise health care entities in structuring business arrangements and physician compensation in compliance with state and federal fraud and abuse laws, including the Anti-Kickback Statute, Stark Law, and the Beneficiary Inducement prohibition.
  • Advocate on behalf of clients with respect to alleged overpayment and claims processing issues through correspondence with CMS, Medicare Administrative Contractors, state Medicaid agencies, and other third party payers.
  • Provide on-going counsel to a large national provider of pharmacy and home infusion services to facilitate an exclusive distributorship arrangement, pharmacy discount programs, and provision of infusion services to hospitals and home health agencies.
  • Part of a team that defended a national DME supplier against claims of improper Medicaid billing brought by the state Medicaid agency.
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