Kim Roeder helps hospital systems, physician groups and other healthcare providers navigate healthcare regulatory, compliance and enforcement matters. Clients rely on her practical counsel on Medicare and Medicaid reimbursement, participation in shared risk and other value-based arrangements, payor agreements, fraud and abuse, anti-kickback and Stark Law issues, internal investigations, voluntary disclosures and compliance programs that reduce risk and support business goals.
Kim works with healthcare organizations facing high-stakes regulatory questions, government scrutiny and complex business change. She helps clients assess regulatory risk, respond to investigations, strengthen compliance programs, and structure transactions around the practical realities of operating in a heavily regulated healthcare environment.
Her practice spans Medicare and Medicaid reimbursement, fraud and abuse, anti-kickback and Physician Self-Referral Law issues, defense of False Claims Act matters, and voluntary disclosures, She counsels clients in the formation of accountable care organizations and clinically integrated provider networks to engage in value-based care initiatives, the Medicare Shared Savings Program and other innovative CMS-sponsored models. Whether clients are evaluating a transaction, negotiating a value-based payment contract with a payor, addressing a compliance concern, responding to a Department of Justice or Office of Inspector General inquiry, or designing provider collaborations, Kim offers guidance that connects legal requirements with business and operational needs.
Clients turn to Kim for clear, practical advice on compliance assessments, repayment obligations, disclosure strategies, protocols for operating under corporate integrity agreements, and obligations under Medicare, Medicaid and commercial payor contracts that incorporate quality and efficiency measures and payment incentives. Her perspective is informed by her experience teaching healthcare transactions at the Georgia State University College of Law and speaking to industry groups on emerging regulatory issues.
Kim holds a top ranking among Georgia healthcare lawyers in Chambers USA and has been recognized for more than 15 years as one of The Best Lawyers in America for Healthcare Law. In addition, she has been named an Outstanding Healthcare Fraud and Compliance Lawyer in Nightingale’s Healthcare News.
