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Bradley J. Sayles

Health care Attorney at Nashville, TN

Not yet reviewed
  • State Years
    Dist. of Columbia - DC 6 years
    Tennessee - TN 7 years
    Kentucky - KY 13 years
  • Licensed for 6 years
    State DC
    Acquired 2018
    Status
    Good Standing No misconduct found
  • Licensed for 7 years
    State TN
    Acquired 2017
    Status
    Active No misconduct found
  • Licensed for 13 years
    State KY
    Acquired 2010
    Status
    Active No misconduct found

We have not found any instances of professional misconduct for this lawyer.

About Bradley

Learn Bradley’s areas of practice.

4
Practice areas
  1. Health care
    50%
    Health care regulatory compliance, fraud and abuse defense, Stark and Anti-Kickback statute issues, Medicare and Medicaid audit appeals, Medicaid managed care issues, medical malpractice defense.

  2. Federal regulation
    20%

  3. Medicaid and medicare
    20%

  4. Administrative law
    10%

My practice is focused entirely in the area of health care. I have defended nurses, physicians and hospitals against allegations of medical malpractice. I have assisted clients in developing business opportunities that are compliant with federal and state laws and industry guidelines. I have worked in the areas of fraud and abuse defense, defending individual practitioners to large national corporations facing False Claims Act and Anti-Kickback statute allegations, as well as numerous health care providers throughout the country subject to Medicare and Medicaid audits and appeals. 

In addition to my FCA and AKS work, I have also provided assistance to health care entities concerning EMTALA, FFD&C Act, HIPAA, PSQIA and a number of other acronyms.

 

My experience includes: 

Assisted in responding to state and federal investigations, including extensive Civil Investigative Demands and management of large e-discovery components, documentation requests, onsite visits, other audits; as well as conducting internal investigations and assisting with self-reporting; 

Represented clients during False Claims Act litigation including alleged violations of Federal Health Care Program requirements, Anti-Kickback Statute, Stark, FDA misbranding and off-label use, and others; 

Advised providers regarding state and federal regulatory compliance, including 340B, PSQIA, HIPAA, conditions of participation and payment, state licensure requirements and certificate of need issues; 

Represented a large behavioral health hospital in combating Medicaid managed care denials that resulted in recouping over half a million dollars in previously denied care and significant changes to Kentucky law.

Represented providers in state and federal administrative appeals involving discretionary exclusion, overpayment demands, extrapolations, Civil Monetary Penalties, pre-authorization denials, and rate disputes; 

Defended providers in state and federal court against claims of medical malpractice, EMTALA violations, and contractual disputes; 

Advised provider associations regarding state and federal laws; assist with drafting statutes, regulations and commentary beneficial to the association’s members; 

Served as special counsel in numerous matters including compliance reviews during due diligence, asserting the federal patient safety work product privilege in employment and malpractice claims, and in federal administrative proceedings involving extrapolation errors.

Location

Nelson Mullins Riley & Scarborough
150 Fourth Avenue North, Suite 1100
Nashville, TN, 37219

Reviews

Not yet reviewed. Review Bradley

Cost

Rates
  • Hourly Rates $ 330-450 per hour
  • Retainer Sometimes
Payment methods
Cash, Check, Credit Card

Resume

AVVO RATING 10.0 (Superb)

Work Experience

  • Adjunct Professor -
  • Loyola University Chicago School Of Law - Beazley Institute for Health Law and Policy
  • 2017 - Present
  • Of Counsel
  • Nelson Mullins Riley & Scarborough
  • 2016 - Present
  • Associate
  • Bass Berry & Sims
  • 2016 - 2017
  • Associate
  • h3gm
  • 2014 - 2016
  • Associate
  • Barnett Benvenuti & Butler PLLC
  • 2010 - 2014
  • Summer Associate
  • Barnett Benvenuti & Butler PLLC
  • 2009 - 2010
  • Summer Law Clerk
  • Supreme Court of Kentucky Office of Chief Justice John D. Minton Jr.
  • 2009 - 2009
  • Summer Law Clerk
  • Kentucky Cabinet for Health and Family Services; Administrative Hearings Branch
  • 2008 - 2008
  • Summer Intern
  • Hamilton County Board of County Commissioners
  • 2006 - 2006
  • Hibachi Chef
  • Jillian's
  • 2002 - 2003
View all work experience

Education

  • University of Kentucky College of Law
  • JD - Juris Doctor
  • 2010
  • Northern Kentucky University
  • MA - Masters
  • 2007
  • Northern Kentucky University
  • BS - Bachelor of Science
  • 2005
  • Northern Kentucky University
  • BA - Bachelor of Arts
  • 2005
View all education

Sample of Legal Cases

  • Tinal v. Norton
  • Successfully, prevented discovery of protected peer review materials in wrongful termination matter
  • Romine v. St. Joseph Health Sys., No. 12-6587 (6th Cir. Oct. 24, 2013)
  • Sixth Circuit Dismissed in Hospital's Favor
  • United States ex rel. Daniel Purnell v. American Sleep Medicine LLC, no. 3:07-cv-12-S (Western District of Kentucky)
  • False Claims Act Settlement
View all legal cases

Associations

  • Kentucky Bar Association, Health Care Law Section
  • Chair
  • 2019 - Present
  • Kentucky Bar Association, Health Care Law Section
  • Chair Elect
  • 2017 - Present
  • American Health Lawyers Association
  • Member
  • 2010 - Present
  • American Bar Association
  • Member
  • 2010 - Present
  • Kentucky Bar Association's Young Lawyers Division
  • Immediate Past Chair
  • 2015 - 2016
  • Kentucky Bar Association, Young Lawyers Division
  • Chair
  • 2014 - 2015
  • Kentucky Bar Association
  • Board of Governors
  • 2014 - 2015
  • Kentucky Bar Association
  • Executive Committee Member
  • 2014 - 2015
  • Kentucky Bar Association, Health Care Law Section
  • Secretary
  • 2013 - 2015
  • Kentucky Bar Association, Young Lawyers Division
  • Chair Elect
  • 2013 - 2014
  • Kentucky Bar Association, Young Lawyers Division
  • Vice Chair
  • 2013 - 2013
  • Kentucky Bar Association, Young Lawyers Division
  • Secretary/Treasurer
  • 2012 - 2012
  • Fayette County Bar Association
  • Member
  • 2010 - 2015
View all associations

Languages Spoken

  • English

Honors and Awards

  • Outstanding Executive Committee Member
  • Kentucky Bar Association, Young Lawyers Division
  • 2011

Publications

  • New Perspectives on Healthcare Risk Management, Control and Governance
  • Climbing the Corporate ladder: Looking Up the Chain of Command in Health Care Fraud and Abuse Investigations
  • 2012
View all publications

Speaking Engagements

  • Webinar
  • Opioids and Other Controlled Substances: Minimizing the Risks in Prescribing, Dispensing and Administering
  • 2018
  • 2017 Nashville Year-End Tax and Accounting Update
  • Cybersecurity: What we Learned in 2017, What to Expect in 2018, and How to be Ready
  • 2017
  • Medicaid and Elder Law in Kentucky: Representing Clients in a New Legal Landscape
  • "Medicaid: The Nursing Home Bankruptcy Act" a review of King v. Butler Rest Home, Inc.'s Impact on Nursing Homes and Residents
  • 2014
  • Medicaid and Elder Law in Kentucky: Representing Clients in a New Legal Landscape
  • Involuntary Nursing Home Discharges Under Federal and State Law
  • 2014
  • Personal Injury 101
  • Medical Records in Case Law
  • 2012
  • Personal injury 101
  • Damages in Personal Injury Cases
  • 2012
  • Medical Records Law in Kentucky
  • Case Law Update
  • 2012
  • Medical Records Law in Kentucky
  • The Patient Safety Work Product Privilege
  • 2012
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