Kristen Andrews Wilson

Representative Experience

• Provided federal regulatory guidance for multi-state health care entity in sale of assets in multiple jurisdictions
• Completed various regulatory filings required when licensed, certified, and payer-contracted healthcare providers undergo changes of ownership
• Represented employed and independent physicians and nurses before various West Virginia and Pennsylvania licensure boards, including the West Virginia Osteopathic Medicine Board, the West Virginia Board of Medicine, the Pennsylvania State Board of Medicine, and the West Virginia RN Board
• Served as regulatory counsel for healthcare entities on Stark Law, the Anti-Kickback Statute, HIPAA, the HITECH Act, and the corporate practice of medicine doctrine
• Won jury verdict on behalf of physician in a medical malpractice case involving permanent injuries and death
• Advised healthcare clients on Certificate of Need (CON) matters in West Virginia, for acquisitions and divestitures, addition of services, and opposition of duplicative services
• Defended long-term care facilities against claims for alleged violations of state nursing home acts and medical negligence
• Prepared Certificate of Need for the reopening of an adolescent in-patient psychiatric hospital
• Advised multi-faceted health insurance company on regulatory compliance
• Defended physicians in medical negligence lawsuits
• Represented health care entities in a variety of transactions, including leasing, employment, and independent contractor arrangements
• Worked with clients to create comprehensive privacy and security policies that are operational and consistent with applicable laws and regulations
• Designed and implemented internal compliance program, conducted internal compliance audits, and responded to and appeal overpayment demands and enforcement actions
• Advised health insurance company in prompt pay litigation
• Advised clients during and after surveys, including mitigation of immediate jeopardy, responding to statements of deficiency, and challenging citations, Civil Monetary Penalties, and other enforcement activity