| Biography | Kim Harvey Looney is a partner at Waller Lansden where she leads the firm's healthcare regulatory practice. Ms. Looney is recognized in The Best Lawyers in America (Woodward White, Inc.) for her extensive experience in healthcare law and she has been honored in the Nashville Business Journal's "Best of the Bar" since 2005. Ms. Looney provides counsel to hospitals, physician groups and outpatient services providers on day-to-day operational issues related to recruitment and employment and maintaining ongoing compliance with Stark and anti-kickback regulations. She also assists hospitals and physicians with medical staff issues. Ms. Looney works with healthcare providers on Medicare and Medicaid (TennCare) enrollment and reimbursement issues, and she provides counsel on fraud and abuse regulations. Her experience with healthcare regulatory matters also includes EMTALA. In addition, Ms. Looney advises clients on healthcare regulatory issues pertaining to mergers, acquisitions and joint ventures. She recently provided counsel on the regulatory aspects of the acquisition of a large institutional pharmacy by a leading private equity firm. Her transactional experience also includes the representation of a physician group in a joint venture with a not-for-profit hospital and the merger of three radiology groups. Ms. Looney assists physician groups, hospitals, ambulatory surgery centers, imaging centers, nursing homes and assisted living facilities, continuing care retirement communities, home health agencies and other provider facilities in operational, licensing and regulatory issues. She has extensive experience preparing certificate of need (CON) applications and representing clients in CON administrative hearings. She successfully represented clients in CON proceedings which resulted in the approval of the first 3-Tesla MRI Scanner and the first Stand-Up MRI Scanner in Middle Tennessee. Prior to law school, Ms. Looney worked as a healthcare consultant for Research and Planning Consultants in Austin, Texas where she conducted feasibility studies and long-range plans for a variety of healthcare providers. Previously, she worked for Electronic Data Systems in Dallas, Texas as a professional relations representative, responsible for education and assistance in claims processing to healthcare providers who participated in the Medicaid program. Prior to joining Waller Lansden, she served as the Co-Chair of the healthcare practice group at Adams & Reese/Stokes Bartholomew located in Nashville, Tennessee. Clerkships and Previous Affiliations: Co-Chair, healthcare practice at Adams & Reese/Stokes Bartholomew, Nashville, Tennessee; Healthcare Consultant, Research and Planning Consultants, Austin, Texas; Professional Relations Representative, Electronic Data Systems, Dallas, Texas. Professional Activities: Member, Nashville, Tennessee and American Bar Associations; President-Elect, Health Law section of the Tennessee Bar Association; Member, American Health Lawyers Association; Vice Chair, Physician Organizations Practice Group of the American Health Lawyers Association; Fellow, Nashville Bar Foundation; Member, Inaugural Class of Leadership Law, Tennessee Bar Association; Former Chair, Health Law Section of the Nashville Bar Association; Member, Lawyers' Association for Women. Civic and Other Activities: Co-Chair, Heart Gala for the American Heart Association; Member, Heart Gala Board of Directors; Member, Board of Directors, Franklin Road Academy; Co-Chair, Pizzazz fundraiser for Franklin Road Academy; Co-Chair, Opera Ball and La Bella Notte for the Nashville Opera; Co-Chair, Bal d'Hiver, the oldest charity ball in Nashville for the benefit of Family and Children's Service, CASA and the Kappa Alpha Theta Foundation; Member, Board of Directors for Kappa Alpha Theta Foundation; Co-chair, Paddock Club for Steeplechase, benefiting Monroe Carroll Children's Hospital at Vanderbilt. Articles: 5/27/2011, Haro v. Sebelius: "Reeling in CMS's MSP Reimbursement Collection Practices"; 5/19/2011, Survey Shows Healthcare Providers Preparing for ACO Era as Government Announces New Incentives for Participation in Accountable Care Organizations; 4/6/2011, Additional Information About Accountable Care Organizations; 4/1/2011, Federal Government Addresses Accountable Care Organizations and Requests Comments; 2/7/2011, Court of Appeals Decision Clarifies Provisions of the Hospital Lien Act of Tennessee; 12/2/2010, Congress Postpones Medicare Physician Reimbursement Rate Cuts; 11/9/2010, CMS Adopts Final Rule Clarifying Home Health Agency 36 Month Rule; 10/6/2010, CMS Publishes Healthcare Reform Fraud and Abuse Provisions; 7/29/2010, Physician-Owned Enterprise Enters into $7.3 Million Civil Monetary Penalty Settlement with OIG; 3/25/2010, Healthcare Reform Bill Prevents New Physician Ownership in Hospitals; 2/16/2010, CMS Mandates Accreditation for Imaging Providers; Accrediting Organizations Named; 12/4/2009, Routine Hospital Contract with Anesthesia Group or Illegal Fee-Splitting?; 10/27/2008, Federal Trade Commission Delays Enforcement of Red Flags Rules; New Identity Theft Program Could Impact Healthcare Providers; 9/18/2008, Firm Ranked Number One for Health Care, Government Relations, Mass Tort Litigation, Bankruptcy, Antitrust and Tax Law in Nashville and Tennessee; 8/29/2008, Recent OIG Advisory Opinion Calls Proposed Arrangement Between Physician Groups Potentially Illegal; 7/10/2008, Waller Lansden News: Ten Waller Lansden Attorneys Recognized as "Best of the Bar" by Nashville Business Journal; 4/8/2008, Physician Groups and Insurers Plan the First Set of National Standards to Rank Physicians; 3/21/2008, U.S. Tax Court Rules Against Physician Group in Practice Sale to Nonprofit Hospital; 3/14/2008, What is a RAC? Why You Should Care; 9/11/2007, Waller Lansden News: Best Lawyers in America Honors 45 Waller Lansden Attorneys; 6/13/2007, The Healthy Employer: Tennessee Adopts Specific Statutory Requirements for Physician Non-Competes; 11/1/2006, CMS Proposal Would Mandate Sprinklers for Nursing Homes; 8/18/2006, New Stark and Anti-Kickback Law Exceptions and Safe Harbors Now Available for Electronic Prescribing and Electronic Records Technology; 5/22/2006, AHA Proposes Hospital Pricing Transparency Policy; 5/3/2006, CMS Proposes Cost-Based Weight System for DRGs; 7/19/2005, What is an Outpatient Diagnostic Center in Tennessee?; 5/4/2005, Schiavo Case Highlights Need for Advance Planning. |