Tesch Leigh West

Tesch provides guidance to a variety of entities including Medicare Advantage plans, Medicaid managed care organizations (MCOs), hospitals, clinics, pharmacies, durable medical equipment (DME) suppliers, pharmaceutical manufacturers and distributors, and laboratories. Tesch advises on Medicare and Medicaid issues including risk adjustment coding, value-based care arrangements, medical loss ratio reporting, STAR ratings, supplemental payments and financing options, and analysis related to Medicaid state plans and Section 1115 demonstration waivers. Tesch also has experience providing advice on mail order pharmacy regulations, telehealth behavioral health practitioner licensure, and nonemergency medical transportation.

Tesch provides litigation support and compliance guidance with respect to state and federal healthcare program requirements, fraud and abuse laws, and telehealth laws. She has experience with the False Claims Act and the Anti-Kickback Statute, having aided in investigations and disputes involving health plans, network providers, data-driven healthcare companies, charitable organizations, pharmacies, healthcare management consulting firms, medical groups, as well as certifying actuaries for Medicare Advantage bids. Tesch has experience investigating and addressing qui tam complaints and responding to governmental subpoenas and document requests.

Tesch helps clients navigate a variety of federal and state issues related to veterinary medicine and the animal drug industry, including misbranding under the Federal Food, Drug, and Cosmetic Act, state practitioner and entity license requirements, and labeling and distribution of prescription animal drugs. She also assesses veterinary, animal drug, and petfood companies in connection with compliance reviews and investor due diligence.

Before joining Morgan Lewis, Tesch was a healthcare associate at a global law firm where she focused on fraud, abuse, and managed care regulatory compliance. Tesch was also a legal intern at the Federal Communications Commission’s Connect2Health Taskforce and a summer associate at a boutique law firm in Virginia specializing in long-term care hospital (LTCH) reimbursement.

Tesch is a graduate of the George Washington University Law School where she was a member of the moot court board, the alternative dispute resolution board, and the George Washington Journal of Energy & Environmental Law. Tesch serves as an adjunct professor at her alma mater, where she assists students enrolled in appellate competitions improve their oral and written advocacy.