Overview
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.
Teresa has been chosen by her peers for inclusion in The Best Lawyers in America©: “Ones to Watch” (2021) in the field of Health Care Law.
Prior to joining Epstein Becker Green, Teresa worked as a registered nurse in emergency medicine, pediatric oncology, and bone marrow transplantation. 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.
In addition, Teresa has served on the local board of the American Association of Legal Nurse Consultants as the assistant Director-at-Large of Education.
During law school, Teresa was a member of the Georgetown Health Law Society and received a CALI Award for Excellence in Health Care Fraud and Abuse.
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Focus Areas
Services
Experience
Recognition
- The Best Lawyers in America, “Ones to Watch,” Health Care Law (2021-2023)
- Washington, DC, Rising Stars, Health Care (2023)
Credentials
Education
- Georgetown University Law Center (J.D.)
- Liberty University (B.S.N.)
Bar Admissions
- District of Columbia
Professional & Community Involvement
- American Association of Nurse Attorneys
- American Health Law Association
- Health Care Compliance Association
Media
Events
Past Events
Insights
Insights
- BlogsCMS Announces Comprehensive Plan to Ensure EMTALA Compliance8 minute read
- PublicationsMedicare Advantage, Part D, and More: Proposed Rule Outlines Significant Policy and Technical Changes for CY 2025 ...35 minute read
- Firm Announcements
Thirteen Epstein Becker Green Attorneys Named to the 2023 Washington, DC, Super Lawyers and Rising Stars Lists
4 minute read - BlogsCMS’s Final Rule on Medicare Advantage Risk Adjustment Data Validation3 minute read
- PublicationsBiden Administration Prioritizes Health Equity in Proposed Reforms to Medicare Managed Care33 minute read
- Firm Announcements
Epstein Becker Green Attorneys Recognized by 2023 Best Lawyers for Excellence in the Legal Profession
11 minute read - Publications
In Wake of Dobbs Decision, CMS Issues Guidance to Hospitals on EMTALA Obligations
12 minute read - BlogsThe Department of Justice (“DOJ”) Continues its Medicare Advantage (“MA”) Enforcement Efforts with a $90 Million ...4 minute read
- PublicationsCMS Wins on Partial Appeal—D.C. Circuit Court Rules Against United’s Initially Successful Challenge to the Medicare ...13 minute read
- Firm AnnouncementsThirty-Five Epstein Becker Green Attorneys Recognized as “Ones to Watch” by The Best Lawyers in America 2022 ...5 minute read
- BlogsOIG Audits on Medicare Advantage Plans Continue3 minute read
- Media CoverageTeresa Mason Featured in “Handling and (Hopefully) Avoiding CMS’s Targeted Probe and Educate Program”2 minute read
- PublicationsOIG Issues a Final Rule Designed to Advance the Transition to Value-Based Care and Modernize the Regulatory Framework ...39 minute read
- BlogsA Reflection on RBG’s Impact and Legacy3 minute read
- Firm Announcements
Twenty-Six Epstein Becker Green Attorneys Recognized as “Ones to Watch” by The Best Lawyers in America 2021 ...
4 minute read - Media Coverage
Eight Epstein Becker Green Attorneys Featured in "Law360 Names Attys Who Moved Up the Firm Ranks in Q1"
2 minute read - Firm AnnouncementsEpstein Becker Green Announces 2020 Promotions4 minute read
- BlogsFederal Legislators Express Continued Concerns with Oversight of Medicare Advantage Plans3 minute read
- BlogsMedicare Advantage Downstream Provider Settles Risk Adjustment False Claims Allegations3 minute read
- PublicationsHHS-OIG Work Plan – Medicare Advantage7 minute read