Brandon W. Shirley is a member of the firm’s Health Care Practice Group. His practice areas include Medicare and Medicaid reimbursement, government audits, disciplinary sanctions involving Medicare and Medicaid enrolled providers, state surveys and corrective action plans, federal and state regulatory compliance, contract reviews, and Medicaid pharmacy matters.
Prior to joining Krieg DeVault, Mr. Shirley acquired government and regulatory compliance experience as the deputy general counsel and as a staff attorney with the Indiana Family and Social Services Administration. As a result, Mr. Shirley has significant experience responding to government audits and regulatory actions against all Medicaid provider types including prosecuting administrative appeals. Mr. Shirley understands the complexities of Medicaid and Medicaid managed care reimbursement and handles many related issues and transactions. Mr. Shirley has successfully developed corrective action plans for hospitals and other health systems in response to findings involving life-safety conditions and clinical practices. Mr. Shirley worked closely with the State and Federal prosecutors on matters relating to Medicaid fraud and abuse as a government attorney. He currently advises clients on matters relating to Medicaid fraud and abuse, including compliance with the Anti-Kickback Statute and Stark physician referral laws. Mr. Shirley regularly counsels clients on matters relating to Medicaid and Medicaid managed care pharmacy reimbursement, compliance issues, audits, and adverse determinations. Mr. Shirley drafts and reviews contracts for hospitals, health systems, and independent practice groups involving matters of all types. He played a key role in drafting the laws and rules necessary to implement and support major healthcare reforms and understands Medicaid assistance and waiver programs in Indiana.
Mr. Shirley also advises on public disclosure requirements including compliance with open door and open record laws and has experience responding to inquiries from the Indiana Public Access Counselor. Mr. Shirley regularly reviews and advises on matters relating to State and Federal health care legislation and government affairs matters.