TERESA A. MASON is an Associate in the Health Care and Life Sciences practice, in the Washington, DC, office of Epstein Becker Green. She concentrates in health care fraud and abuse, risk adjustment coding and payment, government investigations, and health regulatory counseling.
Defends a variety of health care entities against federal and state government investigations related to health care fraud and abuse arising under the anti-kickback laws, physician self-referral laws, false claims, and other state and federal fraud statutes
Conducts internal investigations related to health care fraud and counsels clients on self-disclosures
Counsels clients—including plans, vendors, and providers—regarding Medicare Part C risk adjustment coding and payment including false claims defense, self-disclosures related to overpayment, enforcement counseling, risk adjustment program review, and compliance with Medicare regulations
Assists plans with response to CMS sanctions and implementation of program changes
Assists Medicare Advantage Organizations with program audits, responses to imposition of civil monetary penalties and/or sanctions, and implementation of program changes
Negotiates settlement agreement and corporate integrity agreements in connection with state and federal investigations
Designs policies, procedures, and compliance documents
Advises clients on legal and regulatory compliance matters arising under Medicare, Medicaid, and other third-party reimbursement programs.
Prior to joining Epstein Becker Green, Ms. Mason worked as a registered nurse in pediatric oncology, bone marrow transplantation, and emergency medicine. She also served as a medical analyst at a boutique litigation firm in the District of Columbia, where she was responsible for researching and analyzing medical information for attorneys who were defending major pharmaceutical companies in class action litigation.
Articles in the National Law Review database by Teresa A. Mason