Tom is a partner in the health care industry team and exempt organizations group at Faegre Baker Daniels. His practice focuses on health care transactions, regulatory compliance, health information privacy, Medicare/Medicaid issues, and tax exemption matters. His work has included:
- Performing legal compliance reviews of health care institutions and assisting in the development of compliance programs
- Advising health care providers, device manufacturers, medical product suppliers, and medical software/ASP licensors regarding patient privacy issues, including compliance with HIPAA's privacy, security and standardization requirements
- Advising hospitals and clinics regarding claims audits and overpayment issues
- Interpreting Medicare/Medicaid participation, coverage and reimbursement criteria for health care providers
- Counseling clinics, health systems, and manufacturers and retailers of medical products concerning statutory fraud and abuse and self-referral prohibitions
- Assisting hospitals, physician-hospital organizations, and health care systems in forming, merging and acquiring health care and health care related entities
- Advising health insurers and third party administrators regarding State and Federal health regulatory mandates
- Advising nonprofit corporations concerning tax exemption issues, including private inurement, unrelated business income, intermediate sanctions, and lobbying limitations
- Converting for-profit to nonprofit entities and executing mergers between same
- Organizing, joint-venturing and reorganizing laboratory and other ancillary providers
- Drafting and reviewing professional employment and services agreements
- Representing individual practitioners in licensing and disciplinary matters.
Tom brings a substantial background in litigation to his health care practice. He has participated in the defense of several federal and state health care Fraud/False Claims Act lawsuits, including the Minnesota settlement of Operation Bad Bundle, the first of the federal government's national enforcement initiatives targeting Minnesota providers. He has also negotiated and assisted on the implementation of Corporate Integrity Agreements imposed by DHHS Office of Inspector General, advised clients on voluntary disclosures under OIG's Voluntary Disclose Protocols, and conducted numerous internal investigations into alleged fraud and abuse, reimbursement and other compliance matters.
- General corporate, tax representation to a variety of charitable organizations
- Historic Preservation (National Register criteria, HAB surveys, preservation easements, historic preservation commissions, local historic districting, preservation lawsuits)
- The Best Lawyers in America, Health Care Law, 2007–12
- Allina Community Benefit and Advocacy Committee (2004–present)
- East Metro Community Benefit Advisory Board (2004–present)
- Charities Review Council of Minnesota - chair (2001–03); board member (1998–2004)
- St. Paul Chamber of Commerce Nonprofit Roundtable, chair (1997–2001)
- Legal and Regulatory Update
Integrated Delivery System Round Table (2010)
- Real Dimensions and Creating Effective Relationships
How to Avoid Key Pitfalls on the Path to Integration—an IDS Boot Camp (2010)
- Frequent speaker for the Minnesota Hospital and HealthCare Partnership (MHHP), HealthCare Financial Managers Association (HFMA), and other health care associations
- Frequent Contributor to Beyond Health Care Reform
Faegre & Benson Blog on Legal and Regulatory Impact of Health Care Reform (2010)
Related Practices
Health Care Regulation
Litigation & Advocacy
Privacy & Data Security
Regulatory
Related Industries
Exempt Organizations
Health Care
Life Sciences
Manufacturing & Industrials
Education
University of Virginia School of Law
J.D., Phi Beta Kappa (1991)
University of Toronto
M.A. (1988)
Carleton College
B.A., magna cum laude, Phi Beta Kappa (1987)
Legal Updates
24-September-2010 - Is the Stark Self-Referral Disclosure Protocol a Game Changer?
26-August-2010 - City of Otsego Decision Could Impact Municipalities' Bids to Exit Hospital Taxing Districts
14-July-2010 - HHS Proposes Significant HIPAA Changes
19-September-2008 - Implications of Stark Rule Changes and Proposals for Integrated Delivery Systems
27-August-2008 - Stark Rules Change—Again
News
06-September-2011 - Ninety Faegre & Benson Lawyers Listed in The Best Lawyers in America
09-August-2010 - Ninety-Three Faegre & Benson Lawyers Listed in The Best Lawyers in America
31-July-2009 - 96 Faegre & Benson Lawyers Listed in The Best Lawyers in America
01-October-2008 - The Best Lawyers in America 2009 Includes 90 from Faegre & Benson
31-March-2008 - The Best Lawyers in America 2008 Includes 79 from Faegre & Benson
Bar Admissions
Minnesota
Court Admissions
U.S. District Court for the District of Minnesota
Events
21-April-2011 - Health Care Regulatory and Reform Update
22-April-2010 - How Health Care Reform Will Affect Minnesota
26-January-2010 - 2010 MHA Health Care Regulatory Update
01-August-2007 - Proposed 2008 Stark Rule Changes: New Restrictions Will Pose Stark Choices
27-July-2007 - The Impact of the Proposed Stark Rule Changes