Brian Lee

• Obtained coverage of wound care products in recently finalized Medicare local coverage determinations (LCDs), solving an existential threat to the client’s business.
• Secured more than $200 million in pandemic-related Provider Relief Funds and successfully defended clients in subsequent government audits.
• Counsel for health care providers and suppliers on compliance with the CARES Act Provider Relief Fund requirements.
• Assisted health care entities in obtaining more than $100 million in previously denied Provider Relief Fund payments.
• Advising health care providers with single audit findings and in response to demands from HRSA.
• Legislative and regulatory counsel for state and national health care trade associations, hospitals, and provider groups on federal coverage and reimbursement requirements.
• Counsel for providers and suppliers participating in alternative payment models and delivery system reform initiatives.
• Legislative and regulatory counsel for innovative technology manufacturers, including one of the leading diabetes care technology companies, on CMS coverage and reimbursement issues.
• Counsel for health care providers undergoing congressional investigations.
• Co-hosted Alston & Bird’s multipart series on HRSA’s Provider Relief Fund (PRF), advising health care providers on how to properly obtain payments for lost revenue during the pandemic and how to be prepared and respond to government audits.

Brian Lee focuses his practice on regulatory and legislative issues concerning federal reimbursement for and regulation of medical technologies and medical device manufacturers and providers who use these products.

Brian assists clients in navigating Medicare coverage and payment requirements and policies. He also provides counsel on the development and implementation of strategic initiatives in response to congressional and administrative coverage and reimbursement changes. Through Brian’s work, clients have obtained new and expanded Medicare coverage, defended against Medicare payment cuts, and obtained Medicare payment increases across multiple Medicare payment systems.

Before joining Alston & Bird, Brian served as a CMS contractor, where he advised CMS on congressional actions and their impact on Medicare, counseled on Medicare payment issues, and worked extensively on CMS Innovation Center alternative payment models. Brian also served as a Medicare denial appeals attorney, obtaining reimbursement for inappropriately denied Medicare Part A services. Chambers USA recognizes Brian as “Up and Coming” for Healthcare (District of Columbia). Super Lawyers named Brian to its Rising Stars list for health care law in 2019 and Best Lawyers: Ones to Watch^® named him to its list for health care law 2021–2023.

律师资格

• 哥伦比亚特区
• Massachusetts

学历

• Harvard University (M.P.H., 2013)
• 马里兰大学 (职业法律博士, 2012)
• Georgetown University (理学士, 2009)

Memberships