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Fulbright & Jaworski L.L.P.

Jeffrey Layne, Jeff Layne, Layne, Fulbright & Jaworski L.L.P., Fulbright & Jaworski, Fulbright and Jaworski, Fulbright, health law, litigation, regulatory health law, administrative health law, Medicare and Medicaid reimbursement, managed care, fraud and abuse, compliance issues, False Claims Act, Austin
R. Jeffrey Layne - Fulbright & Jaworski LLP
R. Jeffrey Layne
Partner
D: +1 512 536 4593
Austin
98 San Jacinto Boulevard
Suite 1100
Austin, TX 78701-4255
T: +1 512 474 5201
F: +1 512 536 4598
AREAS OF CONCENTRATION
EXPERIENCE

Jeff Layne joined Fulbright & Jaworski L.L.P.'s Washington, D.C. office in 1998 and moved to the Austin office in 2005. His practice focuses on federal and state regulatory, administrative, and litigation-related health law matters, including Medicare and Medicaid fraud and abuse and research compliance issues. His health-related litigation experience includes criminal, False Claims Act and administrative litigation related to a wide variety of Medicare and Medicaid fraud and abuse, reimbursement, and compliance issues.

Jeff represents clients from across the spectrum of the healthcare industry, including hospital systems, university health systems, pharmaceutical and medical device manufacturers and distributors, pharmacies, suppliers, and managed care organizations.

REPRESENTATIVE EXPERIENCE

Significant matters include:

A. Life Sciences Industry

  • Development, implementation, and evaluation of compliance programs for multiple medical device companies.
  • Representation of device manufacturer in grand jury investigation and civil litigation regarding business practices.
  • Advise national DME manufacturer and supplier regarding compliance and competitive bidding issues.
  • Representation of national retail pharmacy chain in coordinated federal and state investigations of dispensing practices affecting Medicaid claims.
  • Representation of an international diagnostics company in regulatory and compliance matters and internal audits.
  • Representation of multiple pharmaceutical companies in National Medicaid Fraud Task Force and Texas Attorney General investigations regarding physician relationships and marketing activities.
  • Representation of pharmaceutical wholesalers in National Medicaid Fraud Task Force and Texas Attorney General investigations regarding Medicaid rebates, and in compliance issues related to drug pedigree rules.

B. Healthcare Providers

  • Representation of hospitals in government investigation and False Claims Act suits related to issues of medical necessity (e.g., one day stays), billing fraud, and kickbacks.
  • Representation of hospitals and health systems throughout Texas and Louisiana in fraud and abuse and compliance matters, including internal investigations and internal audits.
  • Representation of a large hospital system in Louisiana in a class action lawsuit involving hospital collection of third party liability settlement proceeds.
  • Representation of hospitals in Texas, South Carolina, and Alabama in litigation involving hospital charges and collections from the uninsured.
  • Representation of healthcare systems in Texas, Arkansas, and New Jersey in administrative appeals involving Medicare "Loss on Sale" provisions.
  • Representation of hospital systems in internal and government investigations and self-disclosures.
  • Representation of hospital systems and university health systems in False Claims Act litigation.
  • Representation of providers in administrative overpayment hearings.

C. Managed Care

  • Representation of national HMO in False Claims Act litigation.
  • Representation of an HMO in litigation against the state of Washington involving operation of the state's Medicaid managed care program.
PROFESSIONAL ACTIVITIES and MEMBERSHIPS
  • American Bar Association - Health Law Section, former Vice Chair for Programming
  • District of Columbia Bar Association - Health Law Section
  • State Bar of Texas - Health Law Section
PUBLICATIONS
SPEECHES
  • Panelist, "Compliance: Current Investigative Initiatives," Fulbright & Jaworski L.L.P. Eighth Annual Health Law Symposium, February 2-3, 2012
  • Co-presenter "Compliance Investigations," "Overpayments Part 1: Billing Issues," and "Overpayments Part 2: Stark Issues," Legal Issues Boot Camp for Compliance Professionals, June 7-8, 2011
  • "Compliance--Voluntary Refunds and Disclosures: Not So 'Voluntary' Anymore," Fulbright & Jaworski L.L.P. Seventh Annual Health Law Symposium, February 3-4, 2011
  • "Sunshine Act and Fundamentals of Health Reform," THA/SBA Health Law Conference, October 11-12, 2010
  • "Voluntary Disclosures and Other Paths to Righteousness," Fulbright & Jaworski L.L.P. Sixth Annual Health Law Symposium, February 4-5, 2010
  • "'Never' Events: Medicare and the Impact of Fiscally-Driven Standards of Care," American Health Lawyers Association, Hospitals and Health Systems Law Institute, February 11, 2009
  • "Compliance--When Good Deals Go Bad: Resolving Conflicts with Physicians," Fulbright & Jaworski L.L.P. Fifth Annual Health Law Symposium, February 5-6, 2009
  • "When Relationships Go Bad: Resolving and Litigating Physician Disputes in Compliance with the Stark and Anti-kickback Laws," Fulbright & Jaworski L.L.P. Briefing, November 19, 2008
  • "Compliance Update: Transparency in Vendor and Physician Relationships," American Society for Healthcare Risk Management Annual Conference, October 2-5, 2008
  • "Quality in Today's Healthcare – Never Events and Medicare," Fulbright & Jaworski L.L.P. Briefing, September 12, 2008
  • "Quality Summit – Medicare's New Enforcement Tool," Fulbright & Jaworski L.L.P. Briefing, February 2008
  • "From the DRA to Stark Phase III: Latest Developments in Hospital / Physician Relationships," Fulbright & Jaworski L.L.P. Briefing, January 2008
  • "Relationships Between Hospitals and Life Science Vendors," Fulbright & Jaworski L.L.P. Third Annual Health Law Symposium, May 31 and June 1, 2007
EDUCATIONAL BACKGROUND

1998 - M.P.H., Harvard University
1994 - J.D., Duke University Law School
1990 - B.B.A., magna cum laude, Finance, Texas Christian University  

Jeff was admitted to practice law in Texas in 1994 and in the District of Columbia in 1999.







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