Nelson Hardiman - HealthCare Lawyers

Katherine Bowles

Katherine Bowles
Katherine Bowles
Attorney
Registered Nurse

T: 310.203.2800
F: 310.203.2727

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Admissions

State Bar of California
Central District of California
Southern District of California
Eastern District of California
Court of Appeals for the Ninth Circuit

Affiliations

American Health Lawyers Association
California Lawyers Association, Health Law Committee
Los Angeles County Bar, Healthcare Law Section

Education

Pepperdine University School of Law, J.D., cum laude
University of Pennsylvania, B.S.N., magna cum laude

Kate Bowles draws upon her in-depth litigation experience and background as a Registered Nurse to bring deep industry knowledge and expertise when representing healthcare providers. Focusing on investigation and enforcement of Medicare/Medi-Cal Fraud and Abuse, Stark Law, Anti-Kickback Statute, business and reimbursement litigation, and white-collar defense, Kate uses her first-hand understanding of the challenges faced by hospitals, surgery centers and individual providers to achieve exceptional results.

Diversity of Provider Clients
Kate’s experience encompasses all aspects of healthcare, including traditional healthcare systems and emerging groups in the outpatient sector, such as surgery centers, telehealth providers and substance use treatment facilities. Kate handles trial, mediation and arbitration of disputes with a variety of payors from commercial to employer to Government. Representing a diversity of providers allows Kate to effectively evaluate the motivations of various players within the healthcare industry and take advantage of emerging trends.

Focus on Prevention
Kate also brings to her practice a focus on compliance and prevention of disputes and regularly works with attorneys in Nelson Hardiman’s transactional, regulatory and finance departments to provide a full-service approach to healthcare provider clients. Payors are becoming increasingly focused on whether healthcare providers have a robust and functioning compliance program – and if not – ensuring that one is put in place following litigation through Corporate Integrity Agreements (CIAs). In this era, it is ever-more important for healthcare providers take a “big picture” approach to preventing litigation.

Life Outside the Firm
The perseverance and resolve in Kate’s healthcare law practice is reflected in her time volunteering to teach students in healthcare and legal programs about key “law and policy” drivers that have a real, practical effect on their anticipated practice area. Kate is an avid traveler, runner, yogi and enjoys being outdoors and raising her two daughters.

Accolades
Katherine has been recognized by Super Lawyers Southern California “Rising Star” 2018 – 2020 and by Super Lawyers Top Women Lawyers 2018 – 2020 . Katherine was recognized by The Best Lawyers in America “Ones to Watch ” for Healthcare Law 2021.

False Claims Act Successfully defended nationwide hospital system in multiple suits concerning healthcare fraud, including federal claims resulting from allegations of improper hospital admission through the emergency room in contravention of Medicare regulations and a separate matter involving allegations of providing unlicensed and unnecessary care for substance use disorders. In a matter involving another hospital system, successfully undermined whistleblower’s theory of the case concerning improper 5150 inpatient psychiatric holds to clear patients from local skilled nursing facilities and rehabilitation centers. health/substance abuse.

Stark and Anti-Kickback Obtained dismissal from civil conspiracy complaint and cleared client as a potential target of a criminal investigation of a large-scale workers’ compensation scheme involving over 70 parties, including California hospitals, device companies, pharmacies, marketers, and physicians.

California Hospital Pricing and Billing Advice Created a proprietary checklist of key billing and pricing authorities for 5-hospital systems in California, which can be implemented by hospital administrators to help identify and resolve areas of non-compliance.

Reimbursement Disputes Regularly represent healthcare providers in negotiating overpayment, recoupment and underpayment allegations, including all the way through trial with large-scale commercial insurance payors.

Ambulatory Surgery Center (ASC) Compliance Regularly advise and perform transactional work for surgery centers, surgeons and anesthesia providers to ensure compliance issues ranging from Stark, Anti-kickback, Corporate Practice of Medicine Concerns and Labor/Employment concerns.

Unfair Competition Litigation  Successfully defended owner and four surgeons affiliated with a Southern California multi-specialty surgery center group in a lawsuit concerning a purported breach of confidentiality agreements, unfair competition and kickback allegations lodged by a competing surgery center. In a separate matter involving two surgery centers in Northern California, successfully defended anesthesia providers from enforcement of non-competition agreements purportedly signed with the prior anesthesia group at those centers.

Coronavirus (COVID-19) Resources  Provided multiple clients with tools and documents needed in response to emergency rule changes put in place by the Government and commercial payors.

Provider Acquisitions  Represent healthcare providers including physician practices, home health agencies and others in the course of acquisitions, mergers, joint ventures and other arrangements.

Workers’ Compensation   Handle large-scale workers’ compensation lien resolutions to ensure compliance with recent updates in California Labor Code requirements and provide ongoing legal advance with respect to claims handling, settlements, and collection of liens.

White Collar Criminal Defense Obtained case dismissal on behalf of Medi-Cal physician overseeing another physician on probation from the Medical Board of California – physician client was fully cleared of all wrongdoing. In a separate matter, represented former marketer through successful plea in body-brokering allegation concerning substance use treatment.

Provisional and Post-Judgment Remedies Represent large Southern California Medi-Cal hospital in connection with pre- and post-judgment collections efforts, including two successful negotiations and settlements in 2020. In a separate matter, successfully prevented temporary restraining order (TRO) and writ of possession from being entered against former administrator of substance use treatment facility in response to allegations of property theft and misappropriation of trade secret information.

Substance Use Treatment Industry Represent substance use treatment disorder facilities, outpatient treatment programs and sober living homes in connection with Government investigations and civil wrongful death litigation.

DEA Controlled Substances Regulatory and Compliance Advice Engaged with physician medical director at radiology facility to implement DEA-compliant policies and procedures for dispensing and treating patients with controlled substances and to put in place a system of auditing for compliance on a going forward basis.

Cannabis Class Action Litigation Obtained favorable outcome for physician accused of providing medical marijuana prescriptions without adequate evaluation of patients’ underlying conditions.

 

HEADLINES

Nelson Hardiman Attorneys Recognized as Super Lawyers’ 2021 Southern California Rising Stars

January 28, 2021

Nelson Hardiman Recognized by U.S. News & World Report’s “2021 Best Law Firms in America” for Health Care Law

November 11, 2020

Inaugural Edition of Best Lawyers: Ones to Watch Recognizes Two Nelson Hardiman Attorneys

August 20, 2020

6 Nelson Hardiman Attorneys Recognized as Super Lawyers’ 2020 Southern California Rising Stars

June 9, 2020

Katherine Bowles interviewed on HCCA’s Compliance Perspectives Podcast

May 28, 2020

CARES Act “Provider Relief Fund” – Round Two – Follow these Steps for a Second Payment

April 29, 2020

Ambulatory Surgery Centers (“ASCs”) Called to Relieve COVID-19 Patient Surge: CMS Hospital “Without Walls” Program

April 20, 2020

CARES Act “Provider Relief Fund” Makes Medicare Part A and B Payments to Providers

April 13, 2020

Targeting Healthcare Provider Employment Concerns | Navigating COVID-19 Issues

April 10, 2020

Katherine Bowles Appointed to the California Lawyers Association Health Law Standing Committee

March 2, 2020

Client Alert: California AB 5 Codifies the Dynamex Independent Contractor Test and Expands the Definition of Employee

October 11, 2019

6 Nelson Hardiman Attorneys named 2019 Top Women Attorneys of Southern California

August 8, 2019

White House Issues Executive Order on Price Transparency

July 7, 2019

Nelson Hardiman Attorneys named to the 2019 Southern California Rising Stars

May 30, 2019

ASC, anesthesia provider relationships risk violating anti-kickback laws — 3 insights

December 5, 2018

Compliance Risks in ASC Anesthesia Services

December 3, 2018

Keeping Up With Insurance Reimbursement Tactics: “Recoupment”

November 6, 2018

How to Prevent Insurers from Repricing Physician Medical Bills

October 24, 2018

Katherine Bowles, Kathryn F. Edgerton, and Aviva Morady named 2018 Top Women Attorneys of Southern California

September 4, 2018

Nelson Hardiman Attorneys’ named to list of 2018 Southern California Rising Stars

June 7, 2018

Katherine Bowles Interviewed About Her Practice By Penn Nursing Magazine

November 17, 2017

Health Plan Senior Executive Joins Nelson Hardiman

August 25, 2017

Banner Year of Recognition for Nelson Hardiman

August 16, 2017

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SPEAKING ENGAGEMENTS

Pepperdine University School of Bioethics Law Class

Pepperdine University School of Law

Feb 24, 2021

Laws Effecting Anesthesia Practice

USC Keck School of Medicine – Masters in Anesthesia Program

Oct 19, 2020

Legal Insights for the Future of Anesthesia Practice

American Association of Nurse Anesthetists (AANA) Annual Congress

Aug 18, 2020

Hello From the Other Side: What Litigators and Transactional Attorneys Wish the Other Knew

California Lawyers Association - Health Law Committee

Feb 11, 2020

Hello From the Other Side: What Litigators and Transactional Attorneys Wish the Other Knew

Los Angeles County Bar Association - Healthcare Law Section Event

Jan 22, 2020

Fundamentals of Independent Anesthesia Practice: Business and Legal Insights (PART 1&2)

California Association of Nurse Anesthetists

Oct 12, 2019

Ethical Issues in Healthcare

Pepperdine University Lecture

Oct 02, 2019

Legal Aspects of Anesthesia

California Association of Nurse Anesthetists

Mar 17, 2019

How the Opioid Crisis and the SUPPORT Act Created a New Enforcement Reality

Nelson Hardiman, Behavioral Health Association of Providers, and Epstein Becker Green Webinar

Feb 07, 2019

Solutions for an Ailing Health System

Penn Nursing Alumni Event

Jan 18, 2018

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April 10, 2020
Los Angeles, CA
California Lawyers Association Webinar
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