- Academic Medicine
- Administrative Law
- Clinical Research
- Digital Health and Health Care Technology
- False Claims Act
- Fraud & Abuse, Stark, Anti-Kickback Counseling and Defense
- Health Information Privacy & Security
- Litigation, Mediation, Arbitration
- Managed Care
- Medical Education
- Medicare, Medicaid, Other Governmental Reimbursement & Payment
- Post-Acute and Long-Term Care Services & Supports
- Public Agency Law
Haverford College, B.A., 2000
Saint Louis University School of Law, J.D., 2010
University of Pennsylvania, Perelman School of Medicine, M.B.E., 2012
- District of Columbia
Kelly A. Carroll is a partner and member of the firm’s Regulatory Department and co-chair of the Medicare Appeals Practice. She assists health care providers, including hospitals, physicians, and long-term care providers, with a broad range of regulatory compliance, reimbursement, and fraud and abuse matters. Her practice focuses on Medicare and Medicaid reimbursement, and she regularly represents clients in reimbursement disputes before the Provider Reimbursement Review Board and in federal and state courts. In addition, she advises health care providers and state agencies on matters involving federal funding of state health care programs and disputes with the Centers for Medicare & Medicaid Services (CMS). Ms. Carroll also provides guidance on legal and ethical issues relating to informed consent and clinical research.
Prior to her legal career, Ms. Carroll conducted NIH-funded bioethics research at the University of Pennsylvania and Saint Louis University, and she was awarded a fellowship at the Institute for Ethics of the American Medical Association. Kelly also served as the Executive Managing Editor of The American Journal of Bioethics.
Prior to joining Hooper, Lundy & Bookman, Ms. Carroll was an attorney in the Washington, D.C. office of Proskauer Rose, LLP.
Ms. Carroll received a Bachelor of Arts degree in Religion from Haverford College and a Master of Bioethics (MBE) from the University of Pennsylvania. She received her J.D. from Saint Louis University School of Law, where she was the Executive Editor of the Saint Louis University Journal of Health Law & Policy. While in law school, Kelly worked on health care fraud and abuse matters as a legal intern with the U.S. Attorney’s Office for the Middle District of Pennsylvania. She also worked in her law school’s Mediation Clinic and received a Certificate in Health Law.
- Supreme Court of the United States
- United States Court of Appeals for the District of Columbia Circuit
- United States District Court for the Eastern District of Pennsylvania
- United States District Court for the District of Colorado
- United States District Court for the District of Columbia
- Member, American Health Lawyers Association
- Member, American Bar Association, Health Law Section
- Member, D.C. Bar, Health Law Section
Honors & Awards
- The American Society of Law, Medicine & Ethics Health Law Student of the Year, 2010
Presentations & Speaking Engagements
- Mandatory Electronic Filing and PRRB Rule Changes: Practice Pointers for Filing and Managing Your PRRB Appeals WebinarWebinar, November 18, 2021
- Webinar, October 8, 2019
- Davie, Florida, September 11, 2015
- HLB Webinar Recording Now Available: Managing the New HIE Environment: Privacy and Security Considerations for Providers (June 26, 2014)June 26, 2014
- June 17, 2022
- Unanimous Supreme Court Rules Against HHS in 340B Payment Reduction Challenge With Uncertain Consequences for HospitalsJune 15, 2022
- January 18, 2022
- Mandatory Electronic Filing and PRRB Rule Changes Are Effective November 1, 2021; Join Us for a Webinar on November 18, 2021October 29, 2021
- PRRB Announces New Address, Mandatory Electronic Filing, and Significant Proposed Changes to Rules, Inviting Comments on or before July 30, 2021June 17, 2021
- January 5, 2021
- June 9, 2020
- Hooper, Lundy & Bookman Ranked in the 2020 Edition of US News/Best Lawyers in America Best Law FirmsNovember 2, 2019
- October 1, 2019
- August 5, 2019
- CMS Proposes Significant and Far-Reaching Hospital Price Transparency Requirements in CY 2020 OPPS Proposed RuleJuly 31, 2019
- June 5, 2019
- June 4, 2019
- June 3, 2019
- Hooper, Lundy & Bookman Launches Webinar Series with Focused Discussions on Post-Acute Care PartnershipsMay 8, 2019PRNewswire
- Hooper Lundy & Bookman Recognized Among the Top Health Law Firms in the United States by Chambers USAApril 25, 2019
- OHRP Provides Draft Guidance Regarding the Revised Common Rule Implementation Timeline and Transition of Existing StudiesJanuary 30, 2019
- June 23, 2017
- Federal Court Permanently Enjoins CMS’ Policy Reducing the Hospital-Specific Medicaid Disproportionate Share Hospital LimitMarch 6, 2017
- February 22, 2017
- November 17, 2016
- October 18, 2016
- June 1, 2016
- May 3, 2016
- October 15, 2015Health Law Perspectives
Health Care Reform
Health Law Perspectives
- September 27, 2019
- August 27, 2019
- June 20, 2019
- June 2018
- June 2018
- June 2018
- Bloomberg Law, August 17, 2018
“Medicaid Rate Challenges Before and After Armstrong v. Exceptional Child Center, Inc.” (with Felicia Y Sze and David J. Vernon), 28 The Health Lawyer 16 (February 2016).
“California Medicaid Rate Challenges,” (with Felicia Y Sze and David J. Vernon), Volume XXXIII California Health Law News 10(Summer/Fall 2015).
“Research-Related Injury Compensation Policies of U.S. Research Institutions,” (with David B. Resnik et al.), 36 IRB: Ethics & Human Research 12 (2014).
“Understanding Research Misconduct: A Comparative Analysis of 120 Cases of Professional Wrongdoing,” (with James M. DuBois et al.), 20 Accountability in Research: Policies and Quality Assurance 320 (2013).
“Can For-profit Catholic Health Care Get The Mission Right?” Health Progress 49 (May-June 2012).
“Environmental Factors Contributing to Wrongdoing in Medicine: A Criterion-Based Review of Studies and Cases,” (with James M. DuBois et al.), 22 Ethics & Behavior 163(2012).
“What Is Managed Care Anyway?” (with Abe P. Schwab & Matthew K. Wynia), 6 The American Journal of Bioethics 36 (2006).
“Lessons Across the Pond: Assisted Reproductive Technology in the United Kingdom and the United States,” (with Arthur L. Caplan et al.), 31 American Journal of Law & Medicine 419 (2005).