Theresa Thompson is an associate in the Corporate and Securities Practice Group in the firm's Washington, D.C. office.
Areas of Practice
Theresa's practice focuses on healthcare fraud and abuse, particularly in matters relating to the civil False Claims Act, physician self-referral (Stark law) and anti-kickback issues, and Medicare and Medicaid program reimbursement and compliance, as well as telehealth and telemedicine. She is experienced in counseling payors, health plans, and pharmacy benefit managers in state and federal regulatory compliance, administrative inquiries and appeals, government audits and investigations, and litigation.
Theresa also regularly assists health care provider and payer clients with navigating the complex issues surrounding managed care programs, such as the Medicare Advantage Program and Medicare Prescription Drug (Part D) Plans, Medicaid Managed Care Plans, and Dual Special Needs Plans. This includes experience in managed care licensure, contract applications, and appeals, marketing compliance, risk adjustment, CMS innovation models such as the Medicare Shared Savings Program and the Direct Contracting Model, and health plan operations and compliance.
Theresa received her J.D., with a Health Law Certificate, from the University of Maryland Francis King Carey School of Law, where she also served as the Manuscripts Editor of the Journal of Health Care Law and Policy, President of the Student Health Law Organization and Treasurer of the Women’s Bar Association. She is a recipient of two CALI Excellence for the Future Awards – one for the study of Health Law Fraud and Abuse and the other for Written and Oral Advocacy – and was part of a team that won first place in the Fifth Annual Health Law Regulatory and Compliance Competition.
While attending law school, Theresa became a Certified Student Attorney at the University of Maryland’s Public Health Law Clinic and worked with the Legal Resource Center for Public Health Policy. She also interned at:
- the Division of Technical Payment Policy of the Centers for Medicare & Medicaid Services, where she analyzed the Stark Law and recommended potential regulatory clarifications for key terms;
- the Health Policy, Patient Advocacy and Project Management Department of a not-for-profit Catholic health system in Maryland; and
- the office of Congresswoman Carol Shea-Porter of New Hampshire.
Healthcare Law Blog Posts
- "Strategies in Responding to COVID-19: Expanding Scope of Practice to Increase Patient Access to Healthcare," March 31, 2020
- "Key Health Care Provisions of the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”)," March 30, 2020
- "Surprise Billing Initiatives Face Not-So-Surprising Resistance," December 13, 2019
- "CMS Issues Long-Awaited Draft Guidance for Hospital Co-Location with Other Hospitals or Healthcare Facilities," May 9, 2019
- "The Military Health Care Fraud and Abuse Prevention Program: The Department of Defense Issues Proposed Regulations regarding TRICARE and Civil Monetary Penalties," May 3, 2019
- "OIG Advisory Opinion No. 19-03: The OIG Puts the Healthcare Benefits of Free In-Home Care and the Risks of Patient Steering in the Balance," march 8, 2019
- "The Eliminating Kickbacks in Recovery Act: An Altered Landscape for Financial Relationships with Clinical Laboratories" January 8, 2019
- "Requirements for MA Plans Offering Additional Telehealth Benefits," November 1, 2018
- "Congress Passes “SUPPORT for Patients and Communities Act” — A Rare Example of Bi-Partisanship," October 12, 2018
Government Contracts, Investigations & International Trade Blog Posts
Member, American Bar Association
Member, American Health Lawyers Association
Member, Phi Beta Kappa