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Kristin C. Carter

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Kristin Carter provides health care regulatory advice to a wide range of health care providers, with emphasis on fraud and abuse laws.

Featured Videos


Physician Self-Referral (Stark) Law and Anti-Kickback Final Sprint Rules: Understanding the Impact December 3, 2020
COVID-19 Outbreak: Understanding the Physician Self-Referral Law 1135 "Blanket" Waiver April 8, 2020
Stark and Anti-Kickback Proposed Rules: Understanding the Proposals and Their Potential Impact October 21, 2019

Professional Biography


Ms. Carter represents a broad spectrum of health care providers, including hospitals and health systems, clinical laboratories, physician group practices and other health care providers.

Ms. Carter focuses her practice on advising clients regarding federal and state fraud and abuse laws and regulatory compliance issues. She has extensive experience analyzing arrangements under the federal Anti-Kickback Statute, Stark Law and state fraud and abuse provisions. She takes a holistic approach to advising clients about potential arrangements to help them focus on their business objectives while navigating through the myriad of regulatory laws facing health care providers and companies.

Ms. Carter routinely advises clients regarding:

  • Evaluating potential physician contracting arrangements, joint ventures and other initiatives for compliance with the Anti-Kickback Statute, Stark Law, OIG civil monetary penalties law, and state fraud and abuse provisions.
  • Working with clinical laboratories and other ancillary providers to evaluate testing programs and processes for compliance with federal fraud and abuse laws, CLIA, EKRA and state licensure and regulatory laws.
  • Resolving unintended violations of the federal and state fraud and abuse laws through self-disclosure to CMS, OIG and other state and federal agencies.
  • Conducting internal investigations, audits and compliance reviews.
  • Defending health care organizations undergoing government investigations, inquiries and audits.
  • Conducting health care regulatory due diligence to assist health care organizations through mergers and acquisitions.
  • Developing, implementing and reviewing compliance programs and health care regulatory policies and procedures.
  • Negotiating and implementing corporate integrity agreements, including successfully navigating operating under a CIA and conducting Focus Arrangement reviews.

Ms. Carter is active in the American Health Law Association.  She currently serves as the vice chair for Educational Programming for the Fraud and Abuse Practice Group, and recently served as the vice chair of the Women's Leadership Council.  Active in the community, she was selected for The Daily Record's Leading Women in 2011. She has also been named a Maryland Rising Star on a number of occasions by Maryland Super Lawyers in the area of Health Care Law.

Ms. Carter frequently lectures and drafts articles on fraud and abuse, and compliance issues.

Prior to joining Baker Donelson, Ms. Carter served the Honorable John Philip Miller (Circuit Court for Baltimore City); advocated for the University of Maryland School of Law's Health Care, Child Welfare, and AIDS Advocacy Clinic; and worked with the Maryland Veterans Caucus as part of the Maryland General Assembly.

Professional Memberships

  • Member – American Health Law Association
    • Fraud & Abuse Group
      • Lead Coordinator, Publications (2016 – 2017)
    • Women's Leadership Council (2017 – present)
  • Member – Maryland State Bar Association
    • Health Law Section

Community Service

  • Movable Feast
    • Board of Directors (2009 – 2014)

Honoraries

  • Selected for The Daily Record's Leading Women (2011)
  • Listed as a Maryland Rising Star in Maryland Super Lawyers, Health Care (2010, 2012 – 2013)
  • "Fraud and Abuse: Agency Interactions—Advisory Opinions," AHLA's Speaking of Health Law Podcast (April 2021)
  • "Fraud and Abuse: 2020 in Review and a Look Ahead to 2021," AHLA's Speaking of Health Law Podcast (January 2021)
  • "COVID-19 Testing: Reimbursement & Enforcement Trends," AHLA's Educational Call (January 2021)
  • "Fraud and Abuse: What Health Lawyers Need to Know about the Final Stark and AKS Rules," AHLA's Speaking of Health Law Podcast (December 2020)
  • Presenter – "Be Prepared: How the Proposed Stark and Anti-Kickback Regulations Impact Hospitals," Nashville Council of Health Care Attorneys (November 2019)
  • Presenter – "Federal Administrative Sanctions: Exclusions, Civil Money Penalties, and Case Update," HCCA Enforcement Conference (November 2019)
  • Presenter – "Moving Beyond Basics: A Bootcamp For Hospital Lawyers & Advisors, Part V – On Demand Recording," AHLA webinar (June 2018)
  • Co-presenter – "Laboratory Compliance: Keys to Successfully Navigating Regulatory Minefields," HCCA Web Conference (April 2018)
  • Presenter – "Compliance: Key Trends and Potential Vulnerabilities," Lab Institute 2017, G2 Intelligence (October 2017)
  • Presenter – "Update on All Things Medicare: Medicare Enrollment, Revalidation, Claims Submission, and Industry Audits," Mid-Year Billing Conference, National Association of Portable X-ray Providers (2016)
  • Presenter – "Paying Through the Nose? New Payment Models for Physician Reimbursement," Leadership Forum, American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS) (2015)
  • Presenter – "Medicare Overpayments – Avoiding Sanctions through Prevention, Reporting and Defense of Overpayment Claims," Maryland Healthcare Financial Management Association (2014)
  • Presenter – "Compliance Programs," Maryland State Bar Association Health Law Section (2014)
  • Presenter – "Stark Physician Self-Referral Law," Fraud and Abuse Basics Bootcamp Series, Part II, American Health Law Association (2014)
  • Presenter – "Exploration of Common Exceptions to the Stark Law," AHLA's Fraud and Abuse Basics Bootcamp Series (March 2014)
  • Presenter – "MOLST (Medical Orders for Life Sustaining Treatment) and Health Care Decision-Making: The Practitioner's Guide to a New Mandate," Webinar, Ober|Kaler (2012)

Industries

Education

  • University of Maryland School of Law, 2006, J.D., cum laude
    • Executive Editor – Journal of Healthcare Law & Policy
    • Law & Health Care Program
  • James Madison University, B.S., 2003, magna cum laude
    • Teacher's Award for Academic Excellence, JMU Integrated Science & Technology (ISAT) Program
    • Concentration in Biotechnology

Admissions

  • Maryland
  • Court of Appeals of Maryland

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