Colin concentrates his practice on healthcare compliance and reimbursement. He counsels hospitals, health systems, surgery centers, physician practices, and other healthcare providers on the laws and regulations governing payment from Medicare, Medicaid, TRICARE, and commercial payers.
He advises healthcare clients on coverage, coding, and payment rules; Medicare Conditions of Participation; provider-based status; HIPAA; False Claims Act and “60-Day Rule;” Stark and Anti-Kickback laws; development and implementation of compliance programs; and other regulatory compliance issues. Colin frequently helps healthcare providers undergoing changes of ownership or reorganizations navigate the state licensure, Medicare enrollment and certification, and other regulatory filings necessary to complete the transaction with minimal disruption to business operations.
Colin also represents healthcare providers facing scrutiny from government auditors and investigators, including Recovery Audit Contractors, Zone Program Integrity Contractors, state Medicaid programs, the Office of Inspector General, and the Department of Justice. He has defended providers in dozens of administrative appeals of adverse audit results. He also helps healthcare providers mitigate their False Claims Act risk by conducting internal compliance investigations and preparing self-disclosures to the government when necessary.
Colin frequently writes and presents on emerging reimbursement and compliance issues and is active in the American Health Lawyers Association and Health Care Compliance Association. Colin maintains an active pro bono practice through the Legal Information Network for Cancer, using his understanding of healthcare reimbursement to assist cancer patients with coverage and payment issues.
Represented dozens of healthcare providers in administrative appeals of Medicare, Medicaid, and commercial payer audits.
Advised hospitals through the Medicare certification process, including initial certification and additions of provider-based departments, hospitals-within-hospitals, and distinct part units.
Served as interim Compliance and Privacy Officer for a community hospital.
Counseled health care clients on the application of fraud and abuse laws, including Stark, Anti-Kickback Statute, False Claims Act, and Civil Monetary Penalties Law.
Conducted internal investigations and prepared self-disclosures to Medicare and Medicaid programs.
Represented hospital in successful appeal of CMS’ termination of sole community hospital status.
Represented hospital in successful appeal of CMS’ termination of Critical Access Hospital status.
Vice Chair, American Health Lawyers Association Accreditation, Certification, and Enrollment Affinity Group, 2016 – present
Pro Bono Attorney, Legal Information Network for Cancer, 2015 - present
Member, American Health Lawyers Association
Member, Health Law Section, Virginia Bar Association
Member, Health Care Section, Virginia State Bar
Member, Health Care Compliance Association
Member, Healthcare Financial Management Association