As chair of the firm’s multi-disciplinary Managed Care practice, Lindsey Fetzer has a deep understanding of the managed care industry and partners with her clients to provide strategic guidance and solutions in this ever-evolving area. She has extensive experience working with healthcare plans, risk-bearing provider groups, and vendors, in litigation, investigation, and compliance counseling matters. She has conducted dozens of investigations and compliance audits pertaining to issues such as Medicare Advantage risk adjustment, alleged kickback schemes, sales and marketing practices, and quality reporting metrics.
Lindsey Brown Fetzer
Member
Washington, D.C.
Notice
Visiting, or interacting with, this website does not constitute an attorney-client relationship. Although we are always interested in hearing from visitors to our website, we cannot accept representation on a new matter from either existing clients or new clients until we know that we do not have a conflict of interest that would prevent us from doing so. Therefore, please do not send us any information about any new matter that may involve a potential legal representation until we have confirmed that a conflict of interest does not exist and we have expressly agreed in writing to the representation. Until there is such an agreement, we will not be deemed to have given you any advice, any information you send may not be deemed privileged and confidential, and we may be able to represent adverse parties.
Lindsey Brown Fetzer
Member
Washington, D.C.
lfetzer@bassberry.com
https://www.bassberry.com/professionals/fetzer-lindsey-brown/
Memberships
American Bar Association
American Health Law Association (AHLA)
Women’s White Collar Defense Association
As chair of the firm’s multi-disciplinary Managed Care practice, Lindsey Fetzer has a deep understanding of the managed care industry and partners with her clients to provide strategic guidance and solutions in this ever-evolving area. She has extensive experience working with healthcare plans, risk-bearing provider groups, and vendors, in litigation, investigation, and compliance counseling matters. She has conducted dozens of investigations and compliance audits pertaining to issues such as Medicare Advantage risk adjustment, alleged kickback schemes, sales and marketing practices, and quality reporting metrics.
Memberships
American Bar Association
American Health Law Association (AHLA)
Women’s White Collar Defense Association
Representative Experience
-
We counseled a high-profile defense contractor on an assessment of its bribery and corruption risk, then developed and implemented a tailored compliance program for the client.
-
We advised a publicly-traded European hospitality provider on developing and implementing its anti-bribery compliance program. This involved preparing procedures and other policy materials, helping to deliver training, and then supporting on day-to-day compliance issues that arise for the company.
-
We represented a former senior executive of Walmart Stores, Inc. in a Foreign Corrupt Practices Act (FCPA) investigation by the U.S. Justice Department (DOJ) and Securities and Exchange Commission (SEC). This representation included multiple formal interviews of our client by DOJ and SEC and cooperation with senior attorneys in the DOJ and SEC FCPA Units.
-
Representation of a national managed care organization in an internal review of potentially improper home health and hospice discharge protocols.
-
Representation of a Fortune 50 healthcare company in conducting oversight of network provider marketing practices and compliance with Medicare marketing regulations.
-
Representation of a large national healthcare company in its defense of a FCA qui tam involving its wholly-owned Pharmacy Benefit Manager. After extensive negotiation, DOJ declined to intervene in the matter. The relator pursued the case independently, which resulted in a favorable resolution to our client.
-
Representation of a Medicare Advantage plan in multiple internal investigations related to its grievance and appeal procedures.
-
Representation of a national healthcare company in an investigation related to allegations of fraudulent risk adjustment coding practices. Matter involved government disclosure and an analysis of data correction obligations.
-
Representation of a Medicare Advantage Organization in an investigation related to data-driven coding anomalies and practices detected at a large contracted provider group.
-
Representation of a Medicare Advantage Organization and its wholly-owned provider group in an internal investigation related to allegations of improper coding practices, hostile work environment, and non-compliance with Medicare requirements.
Representative Experience
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type:
-
Client Type: Public Company
-
Client Type: Public Company
-
Client Type:
-
Client Type:
-
Client Type: Public Company
-
Client Type: Private Company
-
Client Type: Public Company
-
Client Type: Public Company
-
Client Type:
-
Client Type:
-
Client Type: Public Company
-
Client Type: Individual
-
Client Type: Public Company
-
Client Type:
-
Client Type: Public Company
-
Client Type:
Publications
-
July 15, 2024 | Firm Publication
-
June 27, 2024 | Inside the False Claims Act Blog
-
April 15, 2024 | Firm Publication
Past Events
-
September 19, 2024 | Nashville, TennesseeBass, Berry & Sims
-
May 2-3, 2024 | Chicago, IllinoisAmerican Conference Institute
-
November 2-3, 2023 | Nashville, TenneseeAmerican Conference Institute
Media Mentions & Firm News
-
August 16, 2024 | HealthLeaders
-
March 26, 2024 | AIS Health - Radar on Medicare Advantage
-
March 7, 2024 | Health Payer Intelligence
Publications
-
July 15, 2024 | Firm Publication
-
June 27, 2024 | Inside the False Claims Act Blog
-
April 15, 2024 | Firm Publication
-
February 26, 2024 | Firm Publication
-
November 15, 2023 | GovCon & Trade Blog
-
October 3, 2023 | Risk Management
-
August 9, 2023 | Inside the False Claims Act blog
-
July 28, 2023 | Compliance and Ethics Professional® (CEP) Magazine
-
June 5, 2023 | Compliance Today
-
February 13, 2023 | Firm Publication
-
February 7, 2023 | Firm Publication
-
December 21, 2022 | GovCon & Trade Blog
-
December 20, 2022 | Firm Publication
-
November 21, 2022 | Inside the False Claims Act Blog
-
October 6, 2022 | Inside the False Claims Act blog
-
October 6, 2022 | Inside the False Claims Act blog
-
June 21, 2022 | GovCon & Trade Blog
-
March 2, 2022 | GovCon & Trade Blog
-
February 10, 2022 | Firm Publication
-
February 4, 2021 | Firm Publication
-
January 13, 2021 | GovCon & Trade Blog
-
December 14, 2020 | Inside the FCA Blog
-
July 31, 2020 | Risk Management
-
April 21, 2020 | Inside the FCA Blog
-
April 20, 2020 | Firm Publication
-
April 10, 2020 | GovCon & Trade Blog
-
April 6, 2020 | Inside the FCA Blog
-
April 2, 2020 | Inside the FCA Blog
-
March 27, 2020 | Inside the FCA Blog
-
March 26, 2020 | Firm Publication
-
March 19, 2020 | GovCon & Trade Blog
-
February 13, 2020 | Firm Publication
-
November 12, 2019 | Corporate Compliance Insights
-
October 24, 2019 | GovCon & Trade Blog
-
April 15, 2019 | Firm Publication
-
February 15, 2019 | Firm Publication
-
January 30, 2019 | Inside the FCA Blog
-
December 21, 2018 | Firm Publication
-
December 14, 2018 | Inside the FCA Blog
-
December 5, 2018 | Inside the FCA Blog
-
August 27, 2018 | Firm Publication
-
March 7, 2018 | Firm Publication
-
December 28, 2017 | Global Trade
-
November 29, 2017 | Bloomberg BNA White Collar Crime Report
-
March 30, 2017 | Global Trade
-
March 15, 2017 | Firm Publication
-
March 9, 2017 | Firm Publication
-
October 12, 2016 | Inside the FCA Blog
-
June 9, 2016 | Firm Publication
-
March 16, 2016 | Firm Publication
-
February 22, 2016 | Firm Publication
-
February 16, 2016 | Firm Publication
-
November 30, 2015
-
September 14, 2015
-
May 21, 2015
-
April 28, 2015
-
March 11, 2015
-
January 8, 2015
-
November 17, 2014
-
November 7, 2014
-
October 30, 2014
-
March 27, 2014 | BNA's Health Care Program Compliance Guide
-
March 11, 2014
-
August 14, 2013
Media Mentions & Firm News
-
August 16, 2024 | HealthLeaders
-
March 26, 2024 | AIS Health - Radar on Medicare Advantage
-
March 7, 2024 | Health Payer Intelligence
-
September 5, 2023 | STAT News
-
August 17, 2023 | Best Lawyers®
-
March 14, 2023 | AIS Health – RADAR on Medicare Advantage
-
February 1, 2023 | Modern Healthcare
-
December 12, 2022 | Firm News
-
October 4, 2022 | Dow Jones MarketWatch
-
August 18, 2022 | Best Lawyers®
-
July 11, 2022 | RADAR on Medicare Advantage - AIS Health
-
April 28, 2022 | Washington, D.C. Super Lawyers
-
August 19, 2021 | Best Lawyers
-
April 27, 2021 | Washington, D.C. Super Lawyers
-
August 20, 2020 | Best Lawyers
-
April 17, 2020 | Washington, D.C. Super Lawyers
-
April 19, 2019 | Washington, D.C. Super Lawyers
-
January 10, 2019 | Personnel Announcement
-
April 23, 2018 | Super Lawyers
-
April 24, 2017
-
April 25, 2016
-
April 16, 2015
-
July 1, 2013
Accolades
Best Lawyers: Ones to Watch® in America — Health Care Law (2021-2024)
Best Lawyers® : Women In The Law Ones To Watch (2021)
Thomson Reuters — Stand-Out Lawyer (2023-2024)
The Wall Street Journal Best Lawyers in DC Ones To Watch (2021)
Washington, D.C. Super Lawyers “Rising Star” (2015-2024)
The Washington Post Top Attorneys Rising Stars in Washington D.C. (2015 & 2020)
Washington and Lee Journal of Civil Rights and Social Justice — Lead Articles Editor
Accolades
Best Lawyers: Ones to Watch® in America — Health Care Law (2021-2024)
Best Lawyers® : Women In The Law Ones To Watch (2021)
Thomson Reuters — Stand-Out Lawyer (2023-2024)
The Wall Street Journal Best Lawyers in DC Ones To Watch (2021)
Washington, D.C. Super Lawyers “Rising Star” (2015-2024)
The Washington Post Top Attorneys Rising Stars in Washington D.C. (2015 & 2020)
Washington and Lee Journal of Civil Rights and Social Justice — Lead Articles Editor
Related Services
Related Industries
-
Washington and Lee University School of Law - J.D., 2010
magna cum laude
-
Vanderbilt University - B.A., 2006
magna cum laude
Education
-
Washington and Lee University School of Law - J.D., 2010
magna cum laude
-
Vanderbilt University - B.A., 2006
magna cum laude
-
District of Columbia, 2012
Admissions
-
District of Columbia, 2012