Jim Pyles is a co-founder of the firm and has more than 40 years of experience in litigation, counseling, and lobbying in the field of health law and policy.
Upon graduating from law school, Jim served for six years in the Office of the General Counsel for the U.S. Department of Health, Education, and Welfare, where he received the department's Distinguished Service Award for successfully handling complex Medicare litigation.
Nationally known for his expertise with respect to the legal issues related to health information technology and health information privacy, chronic care coordination, home health, hospice, and ambulatory care services, Jim also has experience in nearly all areas of the firm's practice. In addition, he is a registered lobbyist for several healthcare associations and participates intensively in health reform at the federal and state levels. He has crafted major pieces of healthcare legislation in many areas covered by the Medicare Act. Jim was a principal designer and author of the Independence at Home program enacted with bipartisan support as part of the Patient Protection and Affordable Care Act of 2010.
Jim's expertise encompasses the legislative and regulatory aspects of government and private health insurance coverage and reimbursement; the legal aspects of acquisitions, mergers, joint ventures, and networks; and the law pertaining to fraud and abuse. He writes and lectures frequently on health reform issues and appears periodically on national television as a healthcare commentator.
Additionally, Jim serves as counsel to several national mental health and state home care associations and is a trusted advisor to a national physician house call association and original author of legislation to advance home care medicine.
Jim's knowledge and expertise often allows him to serve as a source for national publications. He has appeared on Bloomberg News, and he participated in the First Annual Health Privacy Summit at Georgetown Law School.
PRACTICE AREASFraud and Abuse
Government Relations and Public Policy
Health Information Technology and Privacy
Healthcare Policy and Advocacy
Provider and Practitioner Operations
L.L.B., University of Tennessee, 1972
B.A., University of Virginia, 1968
District of Columbia
U.S. Supreme Court
Numerous Federal Courts of Appeal
HONORS & AWARDS
Washington Psychiatric Society Advocate of the Year 2002
Richard Z. Steinmetz Award for “Outstanding Contributions to the Home Health Care Provider Community" 1998
Malinoski Award, Maryland National Capitol Homecare Association, 1998
President’s Award, Capitol Home Health Association, 1990
MEMBERSHIPS & ACTIVITIES
Board of Directors, American Academy of Home Care Physicians
Board of Directors, Maryland National Capitol Homecare Association
American Health Lawyers Association
American Constitution Society for Law and Policy
Tennessee State Bar
Maryland State Bar
District of Columbia Bar
U.S. District Court Bar, District of Columbia
United States Supreme Court Bar