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Megan A. McGovern



Megan A. McGovern counsels a wide range of health care and life sciences companies on health care fraud and abuse, regulatory compliance, reimbursement and transactional matters.

What Do You Focus On?

Fraud and Abuse

I assist clients in responding to, and complying with, investigations and audits undertaken by federal and state enforcement agencies, including the U.S. Department of Justice (DOJ), the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), the Centers for Medicare & Medicaid Services (CMS) and CMS contractors. Additionally, I counsel clients on compliance with the federal Anti-Kickback Statute, Stark Law, Civil Monetary Penalties Law and Beneficiary Inducement Law and their state law equivalents, as well as other laws and regulations regarding coverage, reimbursement, pricing, marketing and sales. I represent clients in all levels of appeals associated with alleged overpayments identified by federal health care program contractors and commercial payors.

Health Care Transactions

I advise and represent a broad range of health care organizations, private equity firms and venture capitalists in a variety of transactions, including mergers, acquisitions, restructurings, divestitures, joint ventures and joint operating agreements. Clients seek my advice on underlying regulatory issues, such as licensure, enrollment and health care fraud and abuse, that might arise as a result of such transactions.

Digital Health & Telemedicine

Providers, suppliers and emerging companies turn to me for counsel in connection with federal and state coverage and reimbursement, licensure and scope of practice, and privacy and security matters regarding the development of new digital health technologies and the practice of telemedicine.

Compliance & Reimbursement

My practice includes assisting clients in the development and implementation of corporate compliance programs, policies and procedures. In addition, I advise health care organizations regarding Medicare and Medicaid coverage and reimbursement issues.

What do you see on the horizon?

As the delivery of health care evolves and patients demand more accessible and convenient care, health care providers, suppliers and innovators will need to carefully navigate within existing legal frameworks and closely monitor new and emerging legislation and regulations.

Publications & Presentations

  • Trump signs telemedicine law related to prescribing controlled substances,” Nixon Peabody Health Care Alert, November 7, 2018
  • “The Provider Experience,” Telemedicine Today—Legislative Trends, Industry Insight, and Provider Considerations, Boston Bar Association, September 2018 (panel moderator)
  • “Treble What? Calculating the Federal Government’s ‘Damages’ under the Civil False Claims Act,” Journal of Health Care Compliance, July–August 2013
  • “The Stark Law: A Call for More Accuracy and Less Zealous Advocacy,” Journal of Health Care Compliance, November–December 2012 (co-author)
  • “At Last, A Day in Court for ‘Non Providers,’” Journal of Health Care Compliance, March–April 2012

Contact

Megan A. McGovern

Associate

Boston

Phone: 617-345-1179


Fax: 844-343-8943

University of Pittsburgh School of Law, J.D., Advanced Law Studies Certificate in Health Law

Carnegie Mellon University, M.S., Health Care Policy & Management, summa cum laude

Boston University, B.A., cum laude

District of Columbia

Pennsylvania

  • Rising Star, Health Care, Super Lawyers, Washington DC, 2016–2018
  • Capital Pro Bono Honor Roll, District of Columbia Court of Appeals and the Superior Court of DC, 2015
  • Capital Pro Bono High Honor Roll, District of Columbia Court of Appeals and the Superior Court of DC, 2014
  • CALI Leader for the Future Award in Health Care Business Transactions, University of Pittsburgh School of Law, 2011
  • Excellence in Health Law Award, University of Pittsburgh School of Law, 2011
  • Community Service Award, University of Pittsburgh School of Law, 2011
  • American Health Lawyers Association
  • American Telemedicine Association
  • Health Law Section, American Bar Association
  • Health Law Section, The District of Columbia Bar Association
  • Pennsylvania Bar Association
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