Amy Hooper Kearbey focuses her practice on the complex regulatory issues facing health industry stakeholders, including health care fraud and abuse laws, data informatics strategy and Medicare reimbursement policy.
With respect to health care fraud and abuse laws, Amy regularly counsels all types of health care organizations, including providers, suppliers and manufacturers, on issues arising under the Stark Law, the Anti-Kickback Statute and the Civil Monetary Penalties Law. She has experience advising clients in connection with proposed transactions and arrangements, development of new business models and the conduct of compliance reviews, as well as in the defense of clients against enforcement actions, including False Claims Act litigation.
Amy has extensive experience advising clients on data privacy matters, with an emphasis on the complex issues associated with "Big Data" initiatives. She works with clients on strategic approaches to the development and implementation of these initiatives and provides counsel on the nuanced and evolving requirements under federal and state privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA). She has particular experience developing research data repositories and data initiatives that are oriented around principles of rapid learning for health care, including quality improvement and clinical decision support.
Amy also regularly counsels clients on Medicare coverage, coding reimbursement issues. She has advised on compliance matters and on developing and implementing strategies to address specific issues in administrative rulemaking processes, including legal challenges to administrative actions through litigation. She also frequently represents hospitals in Provider Reimbursement Review Board proceedings.
While in law school, Amy served as president of the Health Law Society and was executive editor of the Duke Law & Technology Review. Prior to law school, she worked for a health care consulting firm, where she focused on strategic business planning issues for hospitals.