Jeffrey Fitzgerald joined Faegre & Benson as an associate in 2003, following more than five years of health law practice in Washington, D.C. Jeffrey's practice includes representing clients with respect to fraud and abuse, Medicare reimbursement, compliance, and other regulatory issues, including:
- Representing hospitals, physicians and other healthcare providers in federal False Claims Act investigations and litigation
- Conducting internal investigations in response to allegations of fraud or other non-compliance with state or federal healthcare laws
- Preparing voluntary refunds of overpayments and the disclosure of non-compliance
- Advising health care entities in development and implementation of corporate compliance plans including plan design, risk assessments, internal reviews, self-audits, voluntary disclosures and repayments to governmental and private health programs
- Advising health care providers with respect to Medicare reimbursement issues (Parts A and B) and Medicaid reimbursement
- Advising clients with respect to structuring financial relationships under the fraud and abuse and self-referral laws
Media Mentions
- Quoted in "DOJ Alleges Hospital's Generous Physician Employment Deals Led to False Claims"
Report on Medicare Compliance (December, 2009)
- Quoted in "Providers Weigh Two Options for Financing EMRs Within Fraud and Abuse Exceptions"
Report on Medicare Compliance (September, 2009)
- Quoted in "With Hospital Employment of Physicians Rising, Consider Stark, Kickback Risks"
Report on Medicare Compliance (April, 2009)
- Quoted in "Compliance Officer Is Accused of Second Contracting Scam; Feds Seek to Revoke Bail"
Report on Medicare Compliance (October, 2008)
- Colorado Rising Stars, Super Lawyers, Health Care, 2009 and 2010
- Fraud & Abuse Update: Legal Changes and Your Hospital's Compliance Program
Colorado Hospital Association (2010)
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Recent Developments in Voluntary Disclosure
HCCA 14th Annual Compliance Institute (2010)
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Lessons Learned From the Integrated Delivery System Round Tables™
How to Avoid Key Pitfalls on the Path to Integration—an IDS Boot Camp (2010)
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Legal and Regulatory Update
Integrated Delivery Round Table (2010)
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Fraud and Abuse: Year in Review
Colorado Hospital Association Health Care Regulatory Update (2010)
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Healthcare Fraud Under Heightened Scrutiny: Effective Compliance Strategies in the Face of New Healthcare Fraud Initiatives
Legal Publishing Group of Strafford Publications (2009)
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EMTALA Compliance and the Anti-Kickback and Stark Laws
HCCA Compliance Institute (2009)
- Fraud & Abuse - Year in Review
Colorado Bar Association CLE (2008)
- EMTALA & You
Exempla Good Samaritan Medical Center (2008)
- Outside-the-Box Compliance Initiatives
HCCA's 12th Annual Compliance Institute (2008)
- Case Study: Compliance Investigations and Settlement Agreements
HFMA Colorado Chapter, Compliance/Law Conference (2008)
- Reevaluating and Developing the Company's Compliance Program in Light of New Rules and Laws
State False Claims Summit (2007)
- Re-Energizing Your Compliance Program: Preserving the Strength of Fraud Avoidance
American Urological Association Practice Management Conference (2007)
- HIPAA Civil Enforcement Update
HCCA Mountain Local Annual Conference (2006)
- Strategies for Resolving Billing Mistakes or Alleged Misconduct
Colorado MGMA Annual Meeting (2006)
- Protecting Your Practice Against Embezzlement
Colorado MGMA Annual Meeting (2006)
- Responding to a Fraud and Abuse Investigation
Health Care Compliance Association, Region VIII Compliance Conference (2003)
- Representing Health Care Providers in Civil and Administrative Fraud and Abuse Matters
Defending Civil and Criminal Healthcare Investigations, sponsored by the Colorado Bar Association and the CBA Health Law Section (2004)
- Navigating Two Standards of Disruptive Behavior, Then Effectively Addressing It
Faegre.com (2009)
- The Updated AdvaMed Code—Is It Time to Reassess Your Advisory Board?
Faegre.com (2009)
- The EMTALA rollback continues: The courts and inpatients
HCCA Compliance Today (2009)
- OIG Open Letter to Providers Regarding Self-Disclosure Protocol: Knock and the Door May Not Be Opened
Faegre.com (2009)
- What CMS Gives, the Courts Take Away: Patients in Ambulances and EMTALA
HCCA Compliance Today (2008)
- Implications of Stark Rule Changes and Proposals for Integrated Delivery Systems
Faegre.com (2008)
- Medicare Updates Its Dialysis Facility Requirements: 2008 Final ESRD Conditions for Coverage
Faegre.com (2008)
- Companies Cannot Be Put In Jail, But They Can Be Executed
TRENDS (2007)
- Medicare Exclusion and Health Care Employers
HCCA Compliance Today (2006)
- Employer Beware: Hidden Risks of Medicare-Excluded Workers
Denver Business Journal (2005)
- Importing Drugs from Canada is more Mirage than Miracle
Denver Business Journal (2004)
- Fixing Past Mistakes
MGMA Connexion (2003)
- A Guide to Employee Interview Techniques for Healthcare Organizations in a Fraud Investigation (co-author)
Healthcare Fraud and Abuse Newsletter (2000)
- Employee Interview Techniques for Healthcare Organizations Responding to a Fraud Investigation
The Health Lawyer (1999)
- Health Care Providers Encounter the Civil False Claims Act
The Colorado Lawyer (1999)
- Key Issues in Defending Civil Investigative Demands under the False Claims Act (co-author)
A National Initiative and the Civil False Claims Act and Qui Tam Enforcement (1998)
- Curbing False Claims Act Abuse (co-author)
Business Crimes Bulletin: Compliance and Litigation (1998)
Related Practices
Health Care Litigation
Health Care Regulatory Compliance and Reimbursement
Health Care Transactions
White Collar Criminal
Related Industries
Health Care
Medical Technology
Education
Notre Dame Law School
J.D., magna cum laude (1997)
University of Colorado, Boulder
B.A., Phi Beta Kappa (1993)
Articles
01-June-2010 - Colorado Medicaid False Claims Act: May 2010
13-January-2010 - Through the Magnifying Glass: Transparency and Enforcement Dominate Regulatory Arena
22-September-2009 - Navigating Two Standards of Disruptive Behavior, Then Effectively Addressing It
16-September-2009 - The Updated AdvaMed Code—Is It Time to Reassess Your Advisory Board?
22-June-2009 - Revised AdvaMed Code of Ethics Becomes Effective July 1: Are You Ready?
21-May-2009 - Expansion of the False Claims Act: What Health Care Companies Need to Know
01-April-2009 - Two Recent False Claims Act Decisions Every Health Care Lawyer Should Know About
30-March-2009 - OIG Open Letter to Providers Regarding Self-Disclosure Protocol: Knock and the Door May Not Be Opened
19-September-2008 - Implications of Stark Rule Changes and Proposals for Integrated Delivery Systems
15-April-2008 - Medicare Updates Its Dialysis Facility Requirements: 2008 Final ESRD Conditions for Coverage
News
12-March-2010 - Faegre & Benson Attorneys Named to Super Lawyers in Colorado
16-March-2009 - Faegre & Benson Attorneys Named to Super Lawyers in Colorado
Bar Admissions
Colorado
District of Columbia
Events
12-January-2010 - 2010 Health Care Regulatory Update
13-January-2009 - 2009 Health Care Regulatory Update
15-January-2008 - 2008 Health Care Regulatory Update
10-January-2007 - 2007 Health Care Regulatory Update