Expert Resume/CV

I am a Board Certified Health Law attorney who advises on health care fraud and compliance issues, including Medicare and Medicaid fraud, anti-kickback issues, self-referral prohibitions, and the resolution of Medicare overpayment matters.  I also have expertise in Medicare and Medicaid reimbursement and payment systems, and Medicare provider appeals resolution procedures.  I have represented several major hospital systems in connection with Medicare payment disputes and cost report issues, and have served as a Special Assistant Attorney General for the State of Washington in connection with a major Medicare/Medicaid reimbursement matter.  Specialized expertise in Medicare prospective payment systems, disproportionate share reimbursement, and outlier payments. I am a former U.S. Army JAGC attorney, and also served for several years as an attorney with the U.S. Department of Justice.  

Expertise in the areas of Medicare and Medicaid fraud, including False Claims Act litigation, qui tam cases, whistleblower suits, and exclusion actions.  Background in health care fraud involving allegations of overcharging or overbilling by hospitals, private practitioners, and durable medical equipment suppliers.  Experience in dealing with Medicare and Medicaid anti-kickback issues, self-referral prohibitions, and compliance with other Medicare and Medicaid program requirements.  Background in counseling providers with respect to changes made by the Patient Protection and Affordable Care Act (PPACA). Expertise in the resolution of Medicare overpayment disputes. Proficiency with respect to the design and administration of health care compliance programs.  Specialized knowledge of Medicare and Medicaid reimbursement and payment systems. Further expertise in representing hospitals in connection with DRG related issues, Medicare disproportionate share funding, and outlier claims. Expertise in connection with formal peer review processes and disciplinary procedures applicable to physicians and other health care providers.

• Competitive procurement procedures in public procurement 
• GSA and VA Federal Supply Schedule contracting 
• Government contract ethics, compliance, and training programs 
• Federal Acquisition Regulations (FAR) 
• Bid protests at the federal, state, and local level 
• Administrative suspension and debarment proceedings 
• False Claim Act proceedings, and Qui Tam litigation 
• Procurement fraud 
• Claims litigation before the Boards of Contract Appeals 
• Defense Contract Audit Agency (DCAA) audits 
• Truth-in-Negotiations Act, disclosure of cost or pricing data 
• Default and convenience terminations of government contracts 
• Small and disadvantaged minority businesses programs 
• International procurement, Buy-American Act. 
• Subcontract arrangements, teaming agreements, joint ventures

“AV” Rated by Martindale-Hubbell Legal Directory

United States Supreme Court

• Sebelius v. Auburn Reg'l Med. Ctr., 133 S. Ct. 817, 184 L. Ed. 2d 627 (2013) (amicus curiae)

United States Courts Of Appeals

• Metropolitan Hospital v. Sebelius, Case No. 11-2465, currently pending before the U.S. Court of Appeals for the 6th Circuit (amicus curiae)
• Gundersen Lutheran Med. Ctr., Inc. v. Sebelius, 666 F.3d 1335 (D.C. Cir. 2011)
• University of Washington Med. Ctr. v. Sebelius, 634 F.3d 1029 (9th Cir. 2011)
• Auburn Reg'l Med. Ctr. v. Sebelius, 642 F.3d 1145 (D.C. Cir. 2011) (amicus curiae)
• Phoenix Mem. Hosp. v. Sebelius, 622 F.3d 1219 (9th Cir. 2010) (amicus curiae)
• Cooper Univ. Hosp. v. Sebelius, 636 F.3d 44 (3rd Cir. 2010) (amicus curiae)
• Baptist Mem. Hosp. - Golden Triangle v. Sebelius, 566 F.3d 226 (D.C. Cir. 2009) (amicus curiae)
• Am. Council of the Blind v. Paulson, 525 F.3d 1256 (D.C. Cir 2008)
• St. Joseph Hosp. v. Leavitt, 280 Fed. Appx. 587, Case No. 07-55058 (9th Cir. 2008)
• Chippewa Dialysis Servs. v. Leavitt, 511 F.3d 172 (D.C. Cir. 2007)

United States Federal District Court

• Catholic Healthcare West v. Sebelius, 2013 U.S. Dist. LEXIS 11320 (D.D.C. Jan 29, 2013)
• Loma Linda Univ. Kidney Ctr. v. Johnson, 2009 U.S. Dist. LEXIS 22038 (D.D.C. Mar. 17, 2009)
• Gundersen Lutheran Med. Ctr., Inc. v. Johnson, 2009 U.S. Dist. LEXIS 21816 (D.D.C. Mar. 9, 2009)
• Am. Council of the Blind v. Paulson, 2008 U.S. Dist. LEXIS 77601 (D.D.C. 2008)
• Alpena Dialysis Servs. v. Leavitt, 2006 U.S. Dist. LEXIS 83059 (D.D.C. 2006) 
• St. Joseph Hospital v. Leavitt, Case No. 06CV1310, United States District Court for the Central District of California, Dec. 6. 2006
• Am. Council of the Blind v. Paulson, 463 F. Supp. 2d 51 (D.D.C. 2006)
• Rush Presbyterian-St. Luke's Med. Ctr. v. Thompson, 362 F. Supp. 2d 25 (D.D.C. 2005)
• Am. Council of the Blind v. Snow, 311 F. Supp. 2d 86 (D.D.C. 2004)

United States Court Of Federal Claims

• NVT Techs., Inc. v. United States, 73 Fed. Cl. 459 (2006)
• Anderson Columbia Envtl. Inc. v. United States, 43 Fed. Cl. 693 (1999)
• Anderson Columbia Envtl. Inc. v. United States, 42 Fed. Cl. 880 (1999)
• TS Infosystems v. United States, 36 Fed. Cl. 570 (1996)

United States Bankruptcy Court

• In re TS Infosystems, Inc., 1990 Bankr. LEXIS 1432, Case No. 89-4-0837-PM Chapter 11, July 3, 1990

United States Boards Of Contract Appeals

• NVT Technologies, Inc. 2005-1 B.C.A. (CCH) P32, 969, EBCA No. C-0401372, April 20, 2005
• NVT Technologies, Inc. v. General Services Administration, Respondent. 2004-2 B.C.A. (CCH) P32, 655, GSBCA No. 16175, May 27, 2004
• Carousel Development, Inc. ,Armed Services Board of Contract Appeals, 2001-1 B.C.A. (CCH) P31,262, ASBCA No. 50719, January 23, 2001
• I-NET, Inc., v. Department of the Army GSBCA LEXIS 67, GSBCA No. 13128-P, March 2, 1995 (co-counsel)
• Appeal Of Superior Surgical Mfg. Co., Inc., 93-2 B.C.A. (CCH) P25, 826, Docket No. VABCA-3748, February 19, 1993
• TS Infosystems, Inc., v. Department of Commerce, 1992 GSBCA LEXIS 473, GSBCA No. 10794-COM-REIN, November 9, 1992
• Appeal of TS Infosystems, Inc., 91-2 B.C.A. (CCH) P23, 794, GSBCA No. 10794-COM, February 21, 1991
• In re TS Infosystems, Inc., 36 Cont. Cas. Fed. (CCH) P75, 911. 1990 Bankr. LEXIS 1432 (1990)
• Protest of Rocky Mountain Trading Company, 1987 GSBCA LEXIS 799, GSBCA No. 8927-P, April 6, 1987
• Appeal of R.P. Sita, Inc. 85-1 B.C.A. (CCH) P17, 928; DOCKET NO. 1593, March 6, 1985

United States Government Accountability Office

• Horizon Industries, 2008 U.S. Comp. Gen. LEXIS 11, B-310542 (Jan. 7, 2008)
• NVT Technologies, Inc. 2006 U.S. Comp. Gen. LEXIS 30, B-297524, B-297524.2 (Feb 2, 2006)
• Universal Marine & Industrial Services, Inc., 2003 U.S. Comp. Gen. LEXIS 248, B-292964, December 23, 2003
• NVT Technologies, Inc, 2003 U.S. Comp. Gen. LEXIS 174, B-292302.3, October 20, 2003
• Satellite Services, Inc., 2001 U.S. Comp. Gen. LEXIS 13, B-286508; B-286508.2, January 18, 2001
• Rockville Mailing Service, Inc., 1997 U.S. Comp. Gen. LEXIS 129, B-275073; B-275073.2, January 23, 1997
• Rockville Mailing Service, Inc., 1996 U.S. Comp. Gen. LEXIS 200, B-270161.2, April 10, 1996
• DCT, Inc., 1995 U.S. Comp. Gen. LEXIS 753, B-261894.2, November 22, 1995
• Newport News Shipbuilding and Dry Dock Company; Combustion Engineering, Inc.; Sierra Nuclear Corporation; Case No’s B-261244.2, B-261244.3, B-261244.4, B-261244.5, September 11, 1995 (co-counsel)
• Ameriko Maintenance Company, 1993 U.S. Comp. Gen. LEXIS 791, B-253274; B-253274.2, August 25, 1993
• Anderson Columbia Co., Inc., 1993 U.S. Comp. Gen. LEXIS 96, B-249475.3, February 5, 1993
• Anderson Columbia Co., Inc., 1992 U.S. Comp. Gen. LEXIS 1300, B-250530, November 24, 1992

United States Provider Reimbursement Review Board

• Dartmouth Medical Center v. Anthem Health Plans of New Hampshire, Case No. 02-0632, U.S. Department of Health & Human Services Provider Reimbursement Review Board, Decision No., 2006-D26, June 2, 2006
• UMass Memorial Medical Center v. Blue Cross Blue Shield Association, Case No. 02-1213, U.S. Department of Health & Human Services Provider Reimbursement Review Board, June 14, 2005
• Alpena Dialysis Services v. Blue Cross Blue Shield Association, Case No 01-0742, U.S. Department of Health & Human Services Provider Reimbursement Review Board Decision No., 2004-D6, Dec. 22, 2003
• Howard Young Medical Center v. Blue Cross Blue Shield United of Wisconsin, Case No. 95-0113

• Admitted to Bars of Michigan (1980), Connecticut (1982), Florida (1983), District of Columbia (1987)
• Board Certified Health Lawyer, Florida Bar Board of Legal Specialization and Education, effective 2010-2015.
• LL.M. Degree in Government Procurement Law, George Washington University National Law Center (1988)
• BOARD CERTIFIED IN HEALTH LAW, FLORIDA BAR
• BOARD OF LEGAL SPECIALIZATION AND EDUCATION

• The Appellate Implications of Sebelius v. Auburn Regional Medical Center, JURIST - Sidebar, Feb. 14, 2012, http://jurist.org/sidebar/2013/02/jeffrey-lovitky-sebelius-auburn.php
• “Recent Cases Interpreting the Medicare Anti-Kickback Act,” Health Care Law Monthly, October 2006.
• “The Privacy of Health Information: Consents and Authorizations under HIPAA,” Florida Bar Journal, May 2002
• “OIG Model Compliance Programs,” Healthcare Financial Management, March 2002
•  “The Medicare Anti-Kickback Statute:  Understanding the Intent   Requirement,” Health Care Law Monthly, May 2001
• “The National Practitioner Data Bank: Coping with the Uncertainties,” Journal of Health Law, Spring 2000
• “White-Collar Crime: Most false-claims actions arise in the context of fraud against various federal health-care programs,” California Law Business, May 24, 1999
• Designing Compliance Programs That Foster Ethical Behavior,” Healthcare Financial Management, March 1999
• "Qui Tam Litigation:  A Practical Primer,” Journal of the Association of Trial Lawyers of America, January 1999
• “Health Care Fraud: A Growing Problem,” Nursing Management, November 1997
• “Medicare/Medicaid Fraud: A Growing Area Of Concern For Health Care Providers,” Michigan Bar Journal, March, 1997
• “Medicare Fraud & Podiatrists,” Podiatry Management Magazine, November, 1996
• “Shutting Down the Federal Government,” Legal Times of Washington, July 8, 1996
• “Dispute Resolution Procedures Under Federal Contracts,” The Florida Bar Journal, Vol. LXIX, No. 11, December, 1995
• “Procurement Integrity Returns: An Analysis of the Impact of Section 27 of the OFPP Act on the Federal Procurement Community,” Washington Legal Foundation, Critical Legal Issues, Working Paper Series No. 47, September, 1991
• “Key Problems in Attaining 8(a) Certification,” Minority Business Journal, Vol. 5, No. 6, September-October, 1990
• “New Lobbying Requirements Imposed on Federal Grantees,” Nonprofit World, Vol. 8, No. 5, September-October, 1990
• “New Anti-Lobbying Law Will Have Major Impact,” The Los Angeles Daily Journal, Vol. 103, No. 121, June 18, 1990
• “Congress Tightens Noose on Lobbying by Federal Grantees,” The Taft Nonprofit Executive, Volume IX, Number 9, May 1990
• “New Realities in Pricing Government Contracts,” Federal Acquisition Report, May, 1990
• Unisys v. United States: Federal Circuit Ushers New Uncertainties into   Defective Pricing Cases,” Public Contract Newsletter, Volume 25, Number  3, Spring, 1990
• “Procurement Integrity Law Deserved Suspension,” Legal Times of Washington, March 19, 1990
• “Applying the Exemptions to Cost or Pricing Data,” Volume 18, Number 1, Public Contract Law Journal, November, 1989
• “Current Issues in Defective Pricing Cases,” Public Contract Newsletter, Volume 24, Number 4, Summer 1989
• “A Review of the Byrd Amendment: What are its Implications for the Grantee Community?” Grants Magazine, Vol. 12, No. 2, June 1989
• “Understanding Causation and Determining the Price Adjustment in Defective Pricing Cases,” 17 Public Contract Law Journal 407 (1988)
• “The Defense of Fraud Proceedings Cost Principle, Government Contract Costs,” Pricing & Accounting Report, November 1988
• “Fact Versus Judgment in Defining Cost or Pricing Data,” Contract Management Magazine, September 1988
•  “Certification of Government Contract Claims Under the Contract Disputes Act,” 16 Public Contract Law Journal 551 (1987)
• “Cost or Pricing Data Defined: An Analysis of Disclosure Requirements Pursuant to Truth-in-Negotiations,” National Contract Management Journal, Winter, 1987
• “Understanding the Submission Requirement for Cost or Pricing Data,” National Contract Management Journal, Summer, 1987
• “Privatization and OMB A-76: The Case For Contracting-Out,” Contract Management Magazine, November, 1986
• “Problems of Government Contracting for Consulting Services,” 14 Public Contract Law Journal 332 (1984)
• “An Analysis of General Accounting Office Decisions Pertaining to Unbalanced Bidding,” 14 Public Contract Law Journal 178 (1983)
• “Torncello & Soledad Enterprises, Inc., v. United States: A Return to the Common Law,” The Army Lawyer, January, 1983

• Army Commendation Medal (1983)
• Department of Justice Special Achievement Award (1988)

• Membership Committee, The Army and Navy Club
• State Department Selected International Election Observer, Bulgarian National Elections

         George Washington University National Law Center, LL.M. (1988)

         Judge Advocate General’s School, U.S. Army, Charlottesville, Virginia   

         Thomas M. Cooley Law School, J.D., Lansing, Michigan (1980)

         University of Michigan, B.A., Ann Arbor, Michigan (1976)