Teresa A. Mason

Attorney Teresa Mason concentrates on health care fraud and abuse, risk adjustment coding and payment, government investigations, and health regulatory counseling.

Teresa's services include the following:

• Defending a variety of health care entities against federal and state government investigations related to health care fraud and abuse arising under the False Claims Act, the Anti-Kickback Statute, physician self-referral laws, and other state and federal fraud statutes
• Conducting internal investigations related to health care fraud and counseling clients on self-disclosures
• Negotiating settlement agreements and corporate integrity agreements in connection with state and federal investigations
• Counseling clients—including plans, vendors, and providers—regarding Medicare Part C risk adjustment, including false claims defense, self-disclosures related to overpayment, enforcement counseling, risk adjustment program review, RAD-V preparedness, coding/documentation guidance, and compliance with Medicare regulations
• Assisting Medicare Advantage Organizations with CMS program audits, responses to the imposition of civil monetary penalties or sanctions, and implementation of program changes
• Assisting hospitals and health systems with disclosing or responding to non-compliance with Medicare Conditions of Participation, including EMTALA violations 
• Designing institutional policies, procedures, and compliance documents
• Advising clients on legal and regulatory compliance matters arising under Medicare, Medicaid, and other third-party reimbursement programs.