AHLA Best Practices Handbook for Advising Clients on Fraud and Abuse Issues (Non-Members)

Paul W. Shaw (Editor-in-Chief) is a member of the litigation and health law departments of Verrill Dana LLP in Boston, MA, where he concentrates in representing businesses and professionals in health care fraud and abuse investigations. Paul has represented numerous health care clients subject to criminal fraud and abuse and civil false claims act investigations by the federal government and state Medicaid Fraud Control Units. These clients include academic medical centers, pharmaceutical service providers, hospitals, physicians, medical practice groups, behavioral health providers, clinical laboratories, durable medical equipment suppliers, home health agencies and other health care providers. He has also represented The New England Journal of Medicine for many years in connection with litigation involving the Journal.

Paul has lectured and written extensively in the area of fraud and abuse before the American Health Law Association, state medical societies, and bar associations. He is Editor-in-Chief of the AHLA publication, Best Practices Handbook for Advising Clients on Fraud and Abuse Issues. He is also co-author of the handbook jointly published by the American Medical Association and AHLA, entitled Avoiding Fraud and Abuse in the Medical Office. Paul is a member of the Editorial Board of the Journal of Health & Life Sciences Law. Paul has been consistently recognized in Chambers USA: America’s Leading Lawyers for Business under Healthcare. Paul graduated from Georgetown University Law Center in 1975.

Kristin M. Bohl is a Shareholder in the Baltimore office of Baker Donelson where she practices as part of the Baker Ober Health Law Group. Her practice focuses on regulatory guidance related to fraud and abuse and Medicare and Medicaid law and policy. The clients she works with include hospitals and health care systems, physicians and providers. Her health care experience includes advising these clients on fraud and abuse compliance reviews and addressing issues identified which can include the submission and resolution of voluntary disclosures to the government. Additionally, she assists clients in analyzing and implementing bundled payment programs developed by the Centers for Medicare & Medicaid Services (CMS). Ms. Bohl worked at CMS prior to entering private practice. While at CMS, she worked on the team that developed and implemented aspects of the physician self-referral (Stark) law, including regulatory updates, development of the CMS Voluntary Self-Referral Disclosure Protocol, and collaboration with the Office of Inspector General in drafting the initial Stark waivers for the Medicare Shared Savings Program.

Before earning her law degree, Ms. Bohl was a registered nurse. She received her BSN from Georgetown University and her J.D. from the University of Maryland Francis King Carey School of Law where she was received a Certificate in Health Law and was a member of the Journal of Health Care Law & Policy.

Kristin C. Carter is a Shareholder in the Baltimore Office of Baker, Donelson, Bearman, Caldwell & Berkowitz, PC. As part of the BakerOber Health Law Group, she focuses her practice on advising clients regarding federal and state fraud and abuse laws, including the federal Anti-Kickback Statute and Stark law, and regulatory compliance issues. Kristin represents a broad spectrum of health care providers, including hospitals, clinical laboratories, physicians and other ancillary providers. She frequently assists clients with internal investigations, self-disclosures to government entities, acquisition due diligences, and corporate compliance matters.

Ms. Carter received her J.D., cum laude, as part of the Law & Health Care Program from the University of Maryland School of Law in 2006 where she served as the Executive Editor of the Journal of Health Care Law & Policy. Active in the community, Kristin was selected for The Daily Record's Leading Women in 2011. She has also been named a Maryland Rising Star on a number of occasions by Maryland Super Lawyers in the area of Health Care Law.

Renee M. Howard is a partner in the Seattle, WA office of Davis Wright Tremaine, LLP. She has nearly two decades of experience in health care regulatory and litigation matters and counsels a wide range of health care providers and suppliers, including hospitals, health systems, physicians, imaging centers, laboratories, medical device manufacturers and distributors, skilled nursing facilities, hospices, and behavioral health agencies. Renee represents clients in federal False Claims Act, Anti-Kickback, and Stark law matters, Medicare and Medicaid reimbursement litigation, and professional licensing investigations and complaints. She also advises on internal investigations pertaining to fraud and abuse and routinely counsels on compliance-related policies and procedures.

Prior to joining Davis Wright Tremaine, she was a partner in the Seattle office of Perkins Coie, LLP and a shareholder at a health care boutique law firm in Seattle. She spent her associate years at the Washington, D.C. office of Jones Day. Renee graduated magna cum laude from the Notre Dame Law School in 1999 and received her undergraduate degree from the University of Notre Dame in 1996. Renee is a frequent speaker and lecturer on health care fraud and abuse topics and is a member of AHLA, the Washington State Health Care Attorneys, and the ABA Health Law Section.

Amy M. Joseph, Esquire, is a partner in the Boston, MA office of Hooper, Lundy & Bookman, P.C. Ms. Joseph advises a wide variety of health care providers on business and regulatory matters, including for-profit and nonprofit health systems, health care information technology companies, management organizations, and physician groups. A significant portion of her practice is focused on fraud and abuse compliance, including counseling and advice regarding compliance of potential business structures with federal and state anti-kickback and self-referral laws, as well as assistance with internal investigations.

Ms. Joseph served as one of the original members on the Women’s Leadership Council of the American Health Law Association (AHLA) and is currently on the program planning committee for the AHLA Academic Medical Centers and Teaching Hospitals Law Institute.