As both an attorney and a registered nurse, Ms. Fleming uses her first-hand experience to understand and strategically address her clients' most significant challenges.
Ms. Fleming represents large hospital systems, skilled nursing facilities, home health agencies, hospice providers, behavioral health providers, assisted living facilities, physicians, and health care professionals. She focuses her practice on regulatory compliance; operations and risk management; Medicare and Medicaid reimbursement; Medicare and Medicaid audits and appeals; payor disputes and litigation; post-payment reviews; voluntary repayments; investigations and disclosures under the Centers for Medicare & Medicaid Services (CMS) and Office of Inspector General (OIG) self-disclosure protocols involving potential violations of the False Claims Act (FCA), Anti-Kickback Statute, and Stark Law; internal investigations involving allegations of health care fraud and retaliation under the FCA; disciplinary proceedings and peer review; confidentiality of medical information; facility licensing; certification of need; scope of practice; and wrongful death, professional negligence, professional licensing, and other health care issues involving state and federal law.
When clients need assistance with litigation, Ms. Fleming offers counsel at the trial and appellate levels, including jury and non-jury trials and hearings on behalf of hospitals, physicians, long term care facilities, home health and hospice providers, pharmacies, and other health care professionals in claims ranging from medical malpractice to disciplinary proceedings, repayment, and qui tam whistleblower actions.
Ms. Fleming also advises health care providers in matters involving employment law, including matters involving discrimination and retaliation in violation of Title VII of the Civil Rights Act, Age Discrimination in Employment Act (ADEA), Family Medical Leave Act (FMLA), American with Disabilities Act (ADA), and state employment laws.