James Pinna

James M. Pinna represents health care providers in transactional, corporate, regulatory and compliance matters. Jim advises health care clients on matters involving regulatory compliance (including fraud and abuse, licensure, health privacy and reimbursement issues), structuring of business transactions, corporate governance and tax-exempt status issues.

He is a member of the firm’s Pro Bono Committee. Prior to law school, he served as a business development analyst for National Nephrology Associates, a privately held dialysis company in Nashville, TN, where he was responsible for market research, financial analysis and due diligence on the acquisition of 28 dialysis clinics with more than $90 million in revenues.

Experience:

• Advised clients on corporate, regulatory and nonprofit status issues related to acquisition and/or joint venture transactions involving over 130 healthcare facilities (including hospitals, ambulatory surgery centers, outpatient rehab clinics, radiation therapy centers and imaging centers, home health and laboratory providers) with an aggregate transaction value over $1.6 billion.
• Advised clients on physician practice acquisitions in cardiology, orthopedics, oncology and other specialties involving a combined total of more than 260 physicians.
• Advised clients on private placement offerings for hospitals, ambulatory surgery centers and other health care facilities.
• Advised clients on investigations relating to fraud and abuse and billing issues and self-disclosure filings with Centers for Medicare and Medicaid Services, HHS Office of Inspector General and other governmental agencies.
• Advised client in obtaining advisory opinion from Centers for Medicare and Medicaid Services regarding physician-owned hospital.
• Regularly advise health care providers on contractual arrangements with physicians, including employment, recruitment, call coverage, clinical co-management and other service agreements.
• Regularly advise health care providers on regulatory and compliance matters related to ongoing operations, including Stark, Anti-Kickback, nonprofit status, licensure, Medicare and Medicaid participation, reimbursement and health privacy issues.

EDUCATION:

• JD, University of Virginia School of Law, 2006
• BA, Duke University, 2000

BAR ADMISSIONS:

• Virginia

Memberships:

• Virginia Bar Association Health Law Section
• American Health Lawyers Association
• American Bar Association Health Law Section, Former Vice Chair of Business and Transactions Interest Group, Task Force member on comments to 2014 OIG Proposed Rule regarding revisions to Anti-Kickback Statute Safe Harbors and Civil Monetary Penalty Rules
• Massey Alliance, Former Board Member and Treasurer