
Thomas E. Kelly
Of Counsel
Suite 2100
Biography
Tom is of counsel in the Healthcare practice and a member of the Post-Acute & Long-Term Care industry team. A strategic defender of his clients’ revenue cycles, he counsels behavioral health providers in high-stakes reimbursement disputes. Tom’s practice focuses on the intersection of litigation, regulatory compliance, and payor relations, with a specific emphasis on Mental Health Parity and Addiction Equity Act (“MHPAEA”) enforcement and ERISA-based recovery strategies.
Tom advises a diverse roster of clients, from single-facility operators to multi-state, private equity-backed behavioral health platforms. He is frequently called upon to navigate complex commercial payor audits, helping providers mitigate risk against Special Investigations Unit (“SIU”) demands, “phantom” network enforcement, and allegations regarding member-responsibility collection.
Tom is a key member of legal teams serving as national counsel for major behavioral health providers. In this role, he manages the defense of multimillion-dollar audit demands and contributes to the prosecution of complex ERISA class actions challenging systemic underpayments. His approach combines aggressive advocacy with operational insight, helping clients correct upstream compliance issues — such as intake documentation and utilization review protocols — to prevent future disputes.
Tom’s advisory practice is backed by significant courtroom experience. Earlier in his career, he served as co-counsel in federal and state administrative trials, including litigating Certificate of Need (“CON”) awards and representing providers in government investigations. This litigation foundation allows him to provide counsel that is not just compliant, but defensible in court.
Experience
Served as co-first-chair over three-week bench trial appealing award of certificate of need to develop home health facility. Argued pre-trial motions, conducted witness examinations, and presented closing argument. Prior to trial, managed extensive electronic discovery, conducted depositions, and engaged in substantial motions practice.
Represented the largest single-specialty allergy practice in the United States against a False Claims Act action brought by former employee. Managed substantial electronic discovery and assisted with settlement negotiations with the Department of Justice.
Represented South Florida physician practice in dispute with North Carolina-based hospital system. Issues involved anti-competitive restrictive covenants and misappropriation of trade secrets by the hospital system.
Conducted an internal investigation of a hospital-run daycare facility following suspension of license, which resulted in reversal of adverse determination.
Advised and represented a nationwide chain of methadone clinics in variety of regulatory and litigation matters, including response to an EEOC complaint and investigation.
Represented the Secretary of the North Carolina Department of Health and Human Services in a nine-week federal bench trial involving claims under the Americans with Disabilities Act and the CMS Medicaid Waivers. Secured favorable judgment on all claims at trial.
Defended the North Carolina legislative leadership in several constitutional disputes before the North Carolina Supreme Court, ranging from school vouchers to composition of the State Board of Elections.
Represented commercial real estate clients, including solar farm developers, in land use and rezoning regulation matters. Appeared before local zoning boards and city councils seeking or opposing rezoning, special or conditional use permits, and variances.
Credentials
- Wake Forest University School of Law, Juris Doctor
- Managing Editor, Journal of Business & Intellectual Property Law
- Wake Forest University, Bachelor of Arts - Political Science
- State of Georgia
- State of North Carolina
- United States District Court for the Western District of North Carolina
- United States District Court for the Middle District of North Carolina
- United States District Court for the Eastern District of North Carolina
- United States Supreme Court
- American Health Lawyers Association
- Wake Forest University School of Law, Rose Council
- Pi Kappa Alpha, Alumni Advisory Board
Recognition
- Best Lawyers: Ones to Watch in America®, Health Care Law, 2023-26
News & Insights
- PublicationsThe Cost of Cost-Share: How Payors Leverage Patient Responsibility in SUD AuditsSeptember 24, 2025 | Articles | Arnall Golden Gregory LLP
- NewsAGG Attorneys Recognized Across Key Practices in 2026 Best Lawyers in America®August 21, 2025 | Rankings & Recognition | News Releases | Best Lawyers in America®
- PublicationsLocked Out: How a Federal Moratorium on AI Regulation Could Reshape Healthcare OversightMay 28, 2025 | Articles | Arnall Golden Gregory LLP