Healthcare Litigation

We understand the struggles our healthcare clients face in a rapidly changing and highly regulated industry. Our attorneys have decades of combined experience representing healthcare providers and practitioners in a broad range of Healthcare Litigation matters. From high-dollar qui tam battles, antitrust issues, and significant payment disputes with Medicare and Medicaid, to employee actions, partnership disputes, Managed Care litigation, administrative and regulatory cases, including licensure actions, and collection actions, Jackson Walker has the skilled litigators and industry experience to protect our clients’ interests in virtually any dispute related to the healthcare industry.

As a full-service firm, we have the background and support systems needed to effectively manage all aspects of our Healthcare Litigation cases. Our clients know we have the necessary industry insight, business acumen, and legal experience to assist them in identifying and understanding their options so they can decide upon the best strategy given their particular situation and objectives. This enables them to move decisively toward a positive outcome, be it in or out of the courtroom. We help our clients fight their legal battles – and win – so they can concentrate on what matters most, delivering the very best in patient care and support.

The breadth of our experience enables us to provide exceptional service to clients engaged in all facets of healthcare delivery. Our healthcare clients include entities of all sizes from large hospital systems to private practitioners, including both non-profit and for-profit community hospitals, specialty facilities, surgery centers, nursing homes, hospice providers, home health providers, assisted and independent living facilities, and individual doctors, nurses, administrators, and dentists. We have a long history of successfully defending medical malpractice claims against healthcare entities and providers.

Stacy Allen

Stacy Allen

Partner, Austin
512.236.2090

John K. Edwards

John K. Edwards

Partner, Houston
713.752.4319

Gracie Garcia

Gracie Garcia

Associate, Fort Worth
817.334.7217

Monte F. James

Monte F. James

Of Counsel, Austin
512.236.2066

Jack E. Skaggs

Jack E. Skaggs

Partner, Austin
512.236.2343

  • Handled Medicare reimbursement appeal for 277 hospitals before the DC Circuit Court challenging the Secretary’s establishment of the Medicare prospective payment system “standardized amount,” a calculation which is the principal building block of the program’s prospective payment system for hospitals. The DC Circuit Court held that the regulation did not bar the appellants’ Medicare appeals and observed that such a position could result in the perpetual use of erroneous information. This case has received national attention, both for the Medicare reimbursement issue, as well as the ability for hospitals to pursue appeals of predicate facts in other contexts.
  • Represented client before, during, and after a health regulatory investigation. Assisted co-counsel in negotiating a settlement with the DOJ and OIG and then revised the client subsidiaries’ structure and transactional documents to comply with the government’s extensive Corporate Integrity Agreement.
  • Successfully negotiated settlement agreement for former employee asserting wrongful termination, as well as several alleged operational improprieties at a skilled nursing facility. Case required significant research, briefing, discovery, and strategy relating to the novel theories of liability asserted by Plaintiff for purported deficiencies related to new resident admission procedures and patient care.
  • Successfully appealed and reversed HHSC denial of the license renewal application of a skilled nursing facility for failure to comply with minimum standards of financial condition.
Virginia Mimmack and Brad Nitschke with Fast Takes logo

February 1, 2021
Podcasts

What Health Care Providers and Facilities Should Know About the PREP Act’s “Covered Countermeasures”

~13 minutes | As many businesses and those in the health care industry wonder what protections, if any, they have against COVID-19-related litigation claims, Jackson Walker’s Healthcare practice chair, Virginia Mimmack, and healthcare litigator Brad Nitschke discuss the patchwork laws and regulations of federal, state, and local governments that may provide immunity from these claims.

January 2, 2020
Attorney News

Monte James Instated as President of Baylor Law Alumni Association Executive Committee

Prior to his selection as President, Monte served a three-year term as a member of the Executive Committee. Following the end of his term in January 2021, he will serve as former President for one year.

January 18, 2019
Attorney News

A Tribute to Don Griffis: Celebrating 50 Years of Dedication to the Legal Profession and Service to the San Angelo Community

For nearly two decades, including time as Managing Partner of the San Angelo office and as Chair of the San Angelo Litigation Practice Group, Don Griffis served the Jackson Walker Leadership Team and the San Angelo office with dedication, compassion, and a strong dose of professionalism topped with a unique laugh and a donnish sense of humor.

August 1, 2017
Spotlight

Texas Lawyer Honors Mary Emma Karam and Amanda Zimmerman with 2017 Professional Excellence Awards

Jackson Walker is proud to announce that Texas Lawyer has honored partners Mary Emma Karam and Amanda Zimmerman with its 2017 Professional Excellence Awards.

May 12, 2015
Spotlight

Mary Emma Karam: Practical, Strategic Leadership

Building a practice from the ground up in one of the most complex and dynamic areas of law might seem daunting to some lawyers, but not to Mary Emma Karam.

More Healthcare Litigation News

  • Healthcare fraud and abuse defense, including allegations under state and federal anti-kickback regulations and Stark laws
  • Defense of civil actions alleging Medicare and Medicaid fraud and abuse
  • Government investigations
  • Administrative and regulatory cases, including licensure actions
  • False Claims Act/qui tam litigation
  • Commercial payor audits and disputes
  • Government payor audits and disputes
  • Medical staff and credentialing disputes
  • Defense against HIPAA, HITECH, and other privacy claims
  • Recovery Audit Contractor (RAC) audits and appeals
  • ZPIC audits and appeals
  • Administrative hearings and appeals of government regulatory actions
  • CMPL defense
  • Defense of OIG exclusions
  • Professional services arrangements and disputes
  • Nonprofit institution and tax issues