Practice Expertise

  • Health Care
  • False Claims Act
  • Health Care and Life Sciences
  •  

Areas of Practice

  • False Claims Act
  • Health Care
  • Health Care and Life Sciences
  • Health Care Fraud and Abuse and Regulatory
  • Health Care Transactions and Corporate ...
  • View More

Profile

Jim represents health care providers in transactional, corporate, regulatory and compliance matters.

Jim advises health care clients on matters involving structuring of business transactions and joint ventures, corporate governance, regulatory compliance (including fraud and abuse, licensure, health privacy and reimbursement issues) and governmental audits and investigations. He previously served as Vice Chair of the ABA Health Law Section’s Business & Transactions Interest Group and has been a contributor to the BVR/AHLA Guide to Healthcare Valuation and frequent speaker on healthcare valuation issues. He is a member of the firm’s Pro Bono Committee. Prior to law school, he served as business development analyst for a privately held dialysis company in Nashville, TN, where he was responsible for market research, financial analysis and diligence on the acquisition of over 25 dialysis clinics.

Relevant Experience

  • Advised clients on corporate, regulatory and nonprofit status issues related to acquisition, disposition and joint venture transactions involving over 180 healthcare facilities (including hospitals, ambulatory surgery centers, rehab clinics, cancer centers, imaging centers, home health and laboratory providers) with an aggregate value over $2 billion.
  • Advised clients on over 50 transactions involving nonprofit / for-profit joint ventures.
  • Advised clients on physician practice acquisitions in cardiology, orthopedics, oncology and other specialties involving over 260 physicians.
  • Advised clients on private placement offerings for hospitals, ambulatory surgery centers and other health care facilities.
  • Advised health systems on physician alignment arrangements, including development of clinically integrated networks, clinical co-management, professional services agreements and affiliated group practices.
  • Represented clients on audits and investigations relating to fraud and abuse and billing issues, self-disclosure filings with Centers for Medicare and Medicaid Services, HHS Office of Inspector General and other governmental agencies, and governmental settlements related to such issues.
  • Represented clients in securing state attorney general approvals for transactions involving charitable assets.
  • Represented clients in obtaining advisory opinions from Centers for Medicare and Medicaid Services relating to physician-owned hospitals.
  • Regularly advises health care providers on regulatory and compliance issues, including Stark, Anti-Kickback, nonprofit status, licensure, Medicare and Medicaid participation, reimbursement and health privacy issues.

Bar Admissions

  • Virginia

Education
BA, Duke University, 2000

Areas of Practice

  • False Claims Act
  • Health Care
  • Health Care and Life Sciences
  • Health Care Fraud and Abuse and Regulatory
  • Health Care Transactions and Corporate Governance

Professional Career

Significant Accomplishments
  • Advised clients on corporate, regulatory and nonprofit status issues related to acquisitions and/or joint venture arrangements involving a combined total of 8 hospitals, 15 ambulatory surgery centers, 30 outpatient rehab facilities, 5 radiation therapy centers and 33 imaging centers.
  • Advised clients on physician practice acquisitions in cardiology, orthopedics, oncology and a variety of other specialties involving a combined total of more than 150 physicians.
  • Advised clients on private placement offerings for hospitals, ambulatory surgery centers and co-management companies.
  • Regularly advise healthcare providers on recruitment, call coverage, quality management and other contractual arrangements with physicians.
  • Regularly advise healthcare providers on regulatory and compliance matters related to ongoing operations, including Stark, fraud and abuse, nonprofit status, licensure, Medicare and Medicaid participation, reimbursement and health privacy issues.


Professional Associations
  • Virginia Bar Association Health Law Section
  • American Health Lawyers Association
  • American Bar Association Health Law Section, Former Vice Chair of Business and Transactions Interest Group, Task Force member on comments to 2014 OIG Proposed Rule regarding revisions to Anti-Kickback Statute Safe Harbors and Civil Monetary Penalty Rules
  • Massey Alliance, Former Board Member and Treasurer


Articles

Additional Articles
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Collaboration for Quality - Performance Management Arrangements, ABA Health eSource
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Avoiding Valuation of Referrals - Interpreting OIG Advisory Opinion 09-09, ABA Health eSource
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Health Law Insights
  • Three Key Things in Health Care
  • Chapter 6, The Anti-Kickback Statute and Stark Law: Avoiding Valuation of Referrals, BVR's Guide to Healthcare Valuation
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • CMS Issues Final Regulations Implementing Whole Hospital and Rural Provider Exceptions, ABA Health eSource
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • What Do You Mean Our Deal Is Illegal?! Legal And Business Issues Related To The Unwind Of Physician-Focused Joint Ventures, ABA Health eSource
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Three Key Things in Health Care
  • Chapter 5, The Anti-Kickback Statute and Stark Law: Avoiding Valuation of Referrals, BVR/AHLA Guide to Healthcare Industry Finance and Valuation, Fourth Edition
  • Lessons on the Bradford Case on Structuring Acquisitions, ABA Health eSource
  • Chapter 7, The Anti-Kickback Statute and Stark Law: Avoiding Valuation of Referrals, BVR/AHLA Guide to Healthcare Valuation, Third Edition
  • Three traps for the unwary in HHS’ provider relief fund, STAT
  • Health Providers Still Need Help Fighting Virus Kickback Risks, Law360
  • The Time Is Now For A Blanket Stark Law Waiver, Law360
  • CMS Coronavirus Stark Law Waivers Need Corrections, Law360

Blogs

Meet our Firms and Professionals

WSG’s member firms include legal, investment banking and accounting experts across industries and on a global scale. We invite you to meet our member firms and professionals.