Adam
Robison

Litigation/Administrative Appeals
Successfully represented a large healthcare company in obtaining an $18 million arbitration award against the sellers of a hospice pursuant to claims for indemnification and fraud related to a self-disclosure audit that Adam also facilitated.

Successfully represented a drug testing laboratory in reducing a $31 million Medicare overpayment resulting in more than a $29 million overpayment reduction.

Represented an oncologist before the Administrative Law Judge in a Medicare overpayment case resulting in the full reversal of the alleged multimillion-dollar overpayment.

Successfully represented a coalition of children’s hospitals in connection with dispute involving cost-settling certain Medicaid primary care case management payments resulting in multimillion-dollar settlements.

Negotiated a $6 million settlement agreement for a children’s hospital in connection with a dispute involving cost-settling certain Medicaid primary care case management payments.

False Claims Act Matters and Settlements
Represented a county-owned hospital in an approximate $21.75 million settlement of a federal False Claims Act qui tam lawsuit involving allegations of Stark Law and Anti-Kickback Statute violations without a Corporate Integrity Agreement.

Represented a nursing home chain in a $4 million settlement of federal and state False Claims Act lawsuit and negotiation of a Corporate Integrity Agreement related to ambulance arrangement allegations.

Represented a hospital district in a favorable $3.3 million settlement of federal and state False Claims Act lawsuit involving physician billing without a Corporate Integrity Agreement.

Represented a national hospice in negotiating an approximate $25 million settlement and negotiated Corporate Integrity Agreement based on allegations of lack of medically necessary services.

Represented a county hospital district in negotiating an approximate $15 million settlement and negotiated corporate compliance agreement related to allegations of lack of Medicare Secondary Payer issues and claims for prisoners.

Transactions
Represented a medical school in negotiating $100 plus million joint operating company and physician clinically integrated network agreements.

Represented a medical school in the annual negotiation of $220 plus million physician coverage and academic affiliation agreements.

Represented a state university/academic medical center in the successful negotiation of a $338 million agreement with the state’s department of criminal justice for the provision of correctional healthcare services to state inmates.

Health Regulatory and Self-Disclosures
Represented a state medical school in obtaining provider-based on-campus designation for its $66 million radiation oncology facility resulting in millions of dollars of additional reimbursement per year.

Represented a state medical school in obtaining a favorable advisory opinion from the Office of Inspector General related to the medical school’s prenatal care programs.

Represented an academic medical center hospital in obtaining retroactive listing as a covered entity under the 340B drug discount program, resulting in $4.5 plus million in drug savings.

Represented multiple hospital systems and providers in self-disclosing overpayments to Medicare Administrative Contractors, the Office of Inspector General (self-disclosure protocol) and various state Medicaid agencies.

Represented various participants regarding the development and implementation of Medicaid supplemental payment/1115 Waiver programs to provide enhanced Medicaid payments to hospitals and other providers located in multiple counties in Texas.

Reviewed and analyzed physician and referral arrangements on behalf of multiple financial institutions in connection with hospital public finance transactions to determine compliance with the Anti-Kickback Statute and Stark Law.

Represented a multi-hospital system in voluntarily disclosing pursuant to the OIG through the OIG Self-Disclosure Protocol its employment of individuals excluded from participation in federal healthcare programs.