Roma Sharma

Partner | She/Her/Hers

Overview

Roma Sharma is a partner in Crowell & Moring's Washington, D.C. office and a member of the firm's Health Care Group. Roma represents healthcare clients in regulatory, transactions, and investigation matters. Roma is a fraud, waste, and abuse attorney primarily focused on the Stark Law, the Anti-Kickback Statute (AKS), coding and billing fraud, medical necessity, and risk adjustment. Roma represents Fortune 500 companies across the spectrum, including  providers, payors, technology companies, distributors, and laboratories. In her role, clients rely on Roma for counseling on day-to-day compliance, in high-stakes False Claims Act (FCA) investigations and audits against the government, and to lead healthcare due diligence during mergers and acquisitions (M&A). Roma also represents clients nationally on matters related to certificate of need (CON), licensing, billing, the practice of medicine, innovative and value-based payment models, and artificial intelligence (AI).

In addition, Roma has an active pro bono practice. She and her team successfully obtained asylum for a client after a nearly 10-year wait in the federal system and continues to represent the client in related matters. Roma also currently represents a non-profit homeless shelter in healthcare regulatory compliance. She recently represented an immigration detainee who sought a habeas petition and has represented clients seeking clemency. Roma and her team successfully obtained settlement on behalf of an inmate who alleged assault and battery by the state. Roma has also represented several non-profit organizations, providing counsel on telemedicine and HIPAA. Before joining Crowell & Moring, Roma worked at the Office of the General Counsel at the American Medical Association, the Health Care Bureau at the Illinois Office of the Attorney General, and the Federal Government Affairs and Public Policy division at Sanofi Pasteur. Roma graduated cum laude from The George Washington University Law School. She also holds a master in public health (MPH) from The George Washington University Milken Institute, where she served as president of the Health Policy Student Association and was elected to the Delta Omega Honorary Society in Public Health. Roma frequently presents at conferences and writes client alerts and articles on healthcare AI and fraud and abuse developments. She is an active member of the American Health Lawyers Association (AHLA), the American Bar Association (ABA), the Women’s Bar Association (WBA), is co-chair of the firm’s Women Leadership Initiative (WLI), and is serving her second year as a co-lead in the Leadership Council on Legal Diversity (LCLD) coaching circles program.

Career & Education

    • The George Washington University Law School, J.D., cum laude
    • The George Washington University, M.P.H.
    • University of Michigan, B.S., with High Honors, brain, behavior, and the cognitive sciences
    • The George Washington University Law School, J.D., cum laude
    • The George Washington University, M.P.H.
    • University of Michigan, B.S., with High Honors, brain, behavior, and the cognitive sciences
    • District of Columbia
    • Illinois (Inactive)
    • District of Columbia
    • Illinois (Inactive)

Representative Matters

  • Conduct internal fraud, waste, and abuse investigations and compliance review for large academic medical centers (AMCs) and hospital systems, assessing legal risk and offering risk mitigation solutions.
  • Counsel vertically integrated provider-payer organization on the fraud and abuse compliance of several complex and innovative coverage models under the federal Stark Law and Anti-Kickback Statute, working closely with in-house legal and business teams.
  • Represent hospitals, ambulatory surgery centers, technology companies, and nursing home systems, to obtain, oppose, serve as an Interested Party in and strategize on business competition related to, Certificate of Need matters – including Amazon, MedStar, Johns Hopkins University, George Washington University, AmSurg, and Hill Valley Healthcare, among others.
  • Advise on the business models and fraud and abuse compliance of payment arrangements for large Fortune 10 technology companies, digital health platforms, and start-ups.
  • Represent large managed care organization (MCO) in multi-year risk adjustment investigations by the Department of Justice (DOJ).
  • Represent national inpatient rehabilitation facility (IRF) system in a multi-year FCA Medicare billing investigation conducted by DOJ, successfully reaching favorable settlement.
  • Defend large hospital system against the Department of Health and Human Services (HHS) Office of Inspector General (OIG) audit of physician billing, resulting in dismissal of audit in its entirety saving client over $50M.
  • Lead teams conducting health care regulatory due diligence for numerous Fortune 500 companies purchasing group practices in multimillion and billion dollar deals.
  • Counsel Accountable Care Organizations (ACOs) on legal and business matters related to Medicare Shared Savings Program (MSSP), ACO REACH, and other Centers for Medicare and Medicaid Innovate (CMMI) models.
  • Prepare and submit self-disclosures to the CMS Self-Referral Disclosure Protocol (SRDP) on behalf of hospital systems, laboratories, and pharmacies – resulting in successful resolution.

Recognition

  • The Best Lawyers in America: Ones to Watch in America, Health Care Law, 2023-2026