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.
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.
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.
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.
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.
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.
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