Health care regulatory attorney Jason Christ extends his successful defense strategies in False Claims Act (FCA) actions by the government to safeguard clients’ Medicare Part C plan risk adjustment payment programs. As one of the first and few attorneys focused on risk adjustment in Medicare Advantage (MA) plans, Jason has transformed how clients organize, monitor, and ultimately defend their programs. He creates new business opportunities and best practices for risk-bearing provider groups, plans, and vendors.
As enforcement and regulation of risk adjustment and the FCA escalates, Jason anticipates threats. He devises balanced and compliant approaches that address his clients’ greatest exposures: coding fidelity, clinical effectiveness, oversight, and consistency in best industry practices. From program assessment to testing and corrective actions, Jason shows clients how to close the compliance gap.
Should government investigations, audits, or litigation arise, Jason reduces the damage clients face. He has negotiated scores of settlements with the U.S. Department of Justice (DOJ) and the Centers for Medicare & Medicaid Services (CMS) involving anti-kickback, false billing, civil monetary penalties, and other fraud and abuse laws. Jason’s all-in commitment has helped clients avoid program exclusions, corporate integrity agreements, penalties, and disclosures.
Jason’s range of health care clients spans from new entrants to MA and established regional and Fortune 500 payors to multispecialty physician groups, hospitals, vendors, and providers of vision care, dermatology, and other medical specialties. Committed to keeping clients ahead of health care regulations, Jason speaks about fraud and abuse issues to law students and industry groups.