Representative Matters

  • Represents multinational health care provider before NC Department of Insurance to acquire HMO and offer Medicare Advantage plan to North Carolina residents.
  • Represented health system in disputed termination of hospital management and financing agreements.
  • Represented county hospital authority in dispute with lessee/operator over hospital closure and breach of contract, involving licensure and certification of hospital.
  • Represents diagnostic imaging provider in North Carolina Business Court in multimillion-dollar civil suit against former customer involving alleged sham entities, fraudulent transfers and certificate of need issues.
  • Represented Durable Medical Equipment supplier in administrative appeal of contract award for designated supplier of medical supplies to Medicaid beneficiaries.
  • Represented nursing home operator/lessee against municipality owner/lessor in dispute over ownership of certificate of need CON rights before North Carolina CON Agency.
  • Litigated numerous certificate of need (CON) appeals from competitive and non-competitive CON reviews, including seven trials before administrative law judges and six appeals to North Carolina Court of Appeals.
  • Represented dialysis provider in reconsideration review from denial of Medicare/Medicaid provider enrollment for multiple facilities.
  • Negotiated resolution of over $1 million Medicare and Medicaid overpayment to medical practice with HHS Office of Inspector General (OIG) and North Carolina Medicaid agency. Oversaw audit by medical coding and billing consultant and negotiated for indemnity for overpayment from medical practice's immunology testing vendor.
  • Defended through settlement false claims act suit by U.S. Attorney’s office.
  • Represented startup continuing care retirement community (CCRC) in appeal of North Carolnia Medical Care Commission decision to deny tax exempt bond financing.
  • Appealed and negotiated settlement of licensure sanctions imposed on behavioral health providers for survey deficiencies.