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Brandon W. Shirley has a diverse knowledge of Federal and State regulations. He has extensive experience with State and Federal Medicaid laws, regulations, policies, waiver programs, audits, and administrative appeals having previously served in top-level legal positions with the State of Indiana. His practice extends to Medicaid managed care policies, audits, and disputes. He assists clients investigating and appealing government overpayment determinations or other Medicare or Medicaid sanctions. He assists clients with internal investigations of noncompliance issues involving Medicare and Medicaid billing. He has additional experience with Medicare and Medicaid pharmacy issues, including 340B drug pricing, telehealth and telemedicine, State and Federal site surveys, Department of Health and licensure issues, and Federally Qualified Health Centers.

Mr. Shirley specializes in Medicare and Medicaid fraud and abuse laws, including establishing arrangements that comply with the Anti-Kickback Statute and Stark Law. He has assisted clients facing qui-tam lawsuits, government sanctions, or with government investigations or self-reporting noncompliance. He has extensive experience assisting clients with implementing policies for and complying with Corporate Integrity Agreements.

Seminars & Presentations

  • Co-Presenter, "Indiana Surprise Medical Billing: What You Need to Know About HB 1004," Indiana Primary Health care Association, 2020
  • Co-Presenter, "Don't Be Surprised By Surprise Billing: What You Need to Know About HB 1004," Krieg Devault, 2020
  • Co-Presenter, Telemedicine: The New Frontier During COVID-19, Indiana State Medical Association 2020
  • Medicare and Medicaid Overpayments, Indiana Medical Group Management Association, Webinar, 2019
  • Corporate Compliance: Best Practices, Indiana Osteopathic Association's 3rd Annual Summer Update, 2019
  • Medical Documentation for Government Audits, Eskenazi Health, 2019
  • Medicaid and Medicare Overpayments, Eskenazi Health, 2019
  • Health Care Case Law Update, Indianapolis Bar Association, March 2019

Publications

Specialized Speaking Topics

  • Litigation & Appeals
  • Medicaid Audits, Fraud, Abuse
  • Licensure & Surveys
  • Compliance
  • Pharmacy

Click here to view specialized speaking topics for other professionals in our Health Care Practice Group.

Education

  • J.D., Dean's List, Indiana University Robert H. McKinney School of Law, Indianapolis, Indiana, 2010
    • Vice President, J. Ruben Clark Law Society
    • Participant, Trial Practice Course
    • Participant Staton Intramural Moot Court Competition
  • B.A. in English, magna cum laude, University of Utah, Salt Lake City, Utah, 2007

Bar & Court Admissions

  • Indiana (2010)
  • U.S. District Court for the Northern District of Indiana
  • U.S. District Court Southern District of Indiana

Insights

Thought Leadership

HIPAA Business Associates … How Do I Know Thee?

November 18, 2018

Thought Leadership

Managed Care Proposed Rule Summary

November 18, 2018

Thought Leadership

Upcoming INSPECT Compliance Dates

October 28, 2018

Thought Leadership

Dismissal of Non-Intervened Qui Tam Lawsuits

February 1, 2018

Thought Leadership

HIPAA Security...Integrity Matters

February 1, 2018

Thought Leadership

Recent DOJ Settlements with Physician Groups

February 1, 2018

Thought Leadership

CMS Issues Guidance Regarding Texting Physician Orders

January 9, 2018

Thought Leadership

Judge Allows Reduced 340B Payments, Effective 1/1/2018

January 3, 2018

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